Chang, Li-cheng (2020) On cost effectiveness analysis and fairness: Normalizing control of and resistance to NICE technology appraisals. Financial Accountability & Management, . ISSN 0267-4424. E-ISSN 1468-0408. (doi:10.1111/faam.12235) (KAR id:81456)
PDF
Publisher pdf
Language: English
This work is licensed under a Creative Commons Attribution 4.0 International License.
|
|
Download this file (PDF/264kB) |
|
Request a format suitable for use with assistive technology e.g. a screenreader | |
Official URL: https://dx.doi.org/10.1111/faam.12235 |
Abstract
This study examines NICE’s application of cost effectiveness analysis (CEA) for normalizing patients’ access to newly licensed health technologies. Drawing upon evidence from the appraisal of four drugs developed for a rare form of cancer, this study demonstrates that the discourse of CEA provided a medium whereby contradicting ideologies of fairness were contested and resistance was provoked. Far from being docile the patients whom the NICE technology appraisal sought to administer were actively challenging the legitimacy of the calculation of CEA. The patients’ recalcitrance not only undermined the normalizing force but also compelled NICE to revise its application of CEA to suit their own interests. This study concludes that the discursive characteristic of calculating technologies not only constituted but was also constituted by conflicting interests and power struggles.
Item Type: | Article |
---|---|
DOI/Identification number: | 10.1111/faam.12235 |
Uncontrolled keywords: | NICE, cost effectiveness analysis, fairness, resistance |
Subjects: | H Social Sciences > HJ Public Finance |
Divisions: | Divisions > Kent Business School - Division > Department of Accounting and Finance |
Depositing User: | Li-cheng Chang |
Date Deposited: | 29 May 2020 20:39 UTC |
Last Modified: | 05 Nov 2024 12:47 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/81456 (The current URI for this page, for reference purposes) |
- Link to SensusAccess
- Export to:
- RefWorks
- EPrints3 XML
- BibTeX
- CSV
- Depositors only (login required):