Reader in Public Law and Health Policy, School of Law, University of Bristol, Wills Memorial Building, Clifton, Bristol, UK.
Health Econ Policy Law. 2011 Oct;6(4):469-88. doi: 10.1017/S1744133110000228. Epub 2010 Aug 12.
Recommendations issued by agencies undertaking appraisals of health technologies at the national level may impact upon the availability of certain treatments and services in some publicly funded health systems, and, as such, have regularly been subject to challenge, including by way of litigation. In addition to expertise in the evaluation of evidence, fairness of procedures has been identified as a necessary component of a claim to legitimacy in such circumstances. This article analyses the assessment of courts in three jurisdictions of the fairness of decision-making by such agencies and evaluates the judicial reading of procedural justice developed in this particular context against the conditions of 'accountability for reasonableness'.
国家层面进行卫生技术评估的机构发布的建议可能会影响某些治疗方法和服务在某些公共资助的卫生系统中的可及性，因此，这些建议经常受到质疑，包括通过诉讼的方式。除了在证据评估方面的专业知识外，程序公正性也被认为是在这种情况下主张合法性的必要组成部分。本文分析了三个司法管辖区的法院对这些机构决策公正性的评估，并根据“合理性问责制”的条件，评估了在这一特定背景下发展起来的程序正义的司法解读。
