What Decision-Makers Want and What They Have Been Getting

I believe we would all agree that the only reason we produce health technology assessments (HTAs) is to inform health policy decisions, and when they fail to do so they are a waste of time and effort. Nevertheless, at the present time it seems that HTAs often have little impact [1–4]. My first objective will be to consider some of the factors that cause HTAs to fail to influence policy. My second will be to report on an ongoing experiment in HTA...