Evidence-Informed Deliberative Processes for HTA Around the Globe: Exploring the Next Frontiers of HTA and Best Practices Comment on "Use of Evidence-informed Deliberative Processes by Health Technology Assessment Agencies Around the Globe"

Abstract

This comment reflects on an article by Oortwijn, Jansen, and Baltussen about the use and features of ‘evidence-informed deliberative processes’ (EDPs) among health technology assessment (HTA) agencies around the world and the need for more guidance. First, we highlight procedural aspects that are relevant across key steps of EDP, focusing on conflict of interest, the different roles of stakeholders throughout a HTA and public justification of decisions. Second, we discuss new knowledge and models needed to maximize the value of deliberative processes at the expanding frontiers of HTA, paying special attention to when HTA is applied in primary care, employed for public health interventions, and is produced through international collaboration.

The Role of Medical Societies and the Relevance of Clinical Perspective in the Evolving EU HTA Process: Insights Generated at the 2023 Fall Convention and Survey of the European Access Academy

“…Based on the guidance on interaction with patients and clinical experts as developed by EUnetHTA 21, there are a number of challenges to successfully implementing and utilising meaningful clinical input [ 15 ]. Among these, appropriate conflict of interest (CoI) management based on the guiding principles of ‘transparency and expertise’ will be crucial to allow for the involvement of representatives with the required expertise and experience [ 11 , 30 , 31 ]. Further, strong coordination of the relevant medical societies would be needed to facilitate and structure an integrated medical input to address the issue of limited funding.…”

Deliberativna komunikacija u zdravstvenoj skrbi

“…Health Technology Assessment, HTA), uz posebnu pozornost pri primjeni HTA-a u primarnoj zaštiti te kod javnozdravstvenih intervencija. 12 Procjena tehnologije zdravstvene skrbi (HTA) može se učinkovito uključiti u komunikacijski proces koji uključuje razmatranje razloga, dokaza i obrazloženja koji se smatraju relevantnima za pravedno zadovoljavanje zdravstvenih potreba stanovništva. Jedan važan način da se osigura postojanje stvarne rasprave o relevantnim razlozima jest uključivanje niza dionika u proces odlučivanja.…”