Should Priority Setting Also Be Concerned About Profound Socio-Economic Transformations? A Response to Recent Commentary

Seixas, Brayan V.; Mitton, Craig; Danis, Marion; Williams, Iestyn; Gold, Marthe R.; Baltussen, Rob

doi:10.15171/ijhpm.2017.85

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…The overall concept of EDPs stems from the general principle of legitimacy, the definition of four elements is a practical translation of the Accountability for Reasonableness framework, 5 the definition of practical steps is based on existing HTA methods and tools, whereas related recommendations on best practices are inferred from observed practices of HTA bodies around the world. The development process itself was geared through academic knowledge exchange 15,[18][19][20][21][22][23][24][25][26][27][28] and the experience of implementing EDPs in several countries. We also surveyed HTA bodies and experts around the globe on their need for guidance.…”

Section: Development Of Practical Guidancementioning

confidence: 99%

Evidence-Informed Deliberative Processes for Health Benefit Package Design – Part II: A Practical Guide

Oortwijn¹,

Jansen²,

Baltussen³

2021

Int J Health Policy Manag

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Background. Countries around the world are using health technology assessment (HTA) for health benefit package design. Evidence-informed deliberative processes (EDPs) are a practical and stepwise approach to enhance legitimate health benefit package design based on deliberation between stakeholders to identify, reflect and learn about the meaning and importance of values, informed by evidence on these values. This paper reports on the development of practical guidance on EDPs, while the conceptual framework of EDPs is described in a companion paper. Methods. The first guide on EDPs (2019) is further developed based on academic knowledge exchange, surveying 27 HTA bodies and 66 experts around the globe, and the implementation of EDPs in several countries. We present the revised steps of EDPs and how selected HTA bodies (in Australia, Brazil, Canada, France, Germany, Scotland, Thailand and the United Kingdom) organize key issues of legitimacy in their processes. This is based on a review of literature via PubMed and HTA bodies’ websites. Results. HTA bodies around the globe vary considerable in how they address legitimacy (stakeholder involvement ideally through participation with deliberation; evidence-informed evaluation; transparency; and appeal) in their processes. While there is increased attention for improving legitimacy in decision-making processes, we found that the selected HTA bodies are still lacking or just starting to develop activities in this area. We provide recommendations on how HTA bodies can improve on this. Conclusion. The design and implementation of EDPs is in its infancy. We call for a systematic analysis of experiences of a variety of countries, from which general principles on EDPs might subsequently be inferred.

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Section: Development Of Practical Guidancementioning

confidence: 99%

Evidence-Informed Deliberative Processes for Health Benefit Package Design – Part II: A Practical Guide

Oortwijn¹,

Jansen²,

Baltussen³

2021

Int J Health Policy Manag

Self Cite

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Evidence-Informed Deliberative Processes for Legitimate Health Benefit Package Design − Part I: Conceptual Framework

Baltussen¹,

Jansen²,

Oortwijn³

2021

Int J Health Policy Manag

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Background. Countries around the world are increasingly rethinking the design of their health benefit packages to achieve universal health coverage and health technology assessment (HTA) bodies support governments in these decisions. Coverage decision-making is an intrinsically complex and value-laden political process, but value frameworks currently employed by HTA bodies do not sufficiently account for this complex reality. Methods. Several years ago, evidence-informed deliberative processes (EDPs) were developed to address this issue. An EDP is a practical and stepwise approach for HTA bodies to enhance legitimate health benefit package design based on deliberation between stakeholders to identify, reflect and learn about the meaning and importance of values, and to interpret available evidence on these values. We further developed the conceptual framework and initial 2019 guidance based on academic knowledge exchange, analysing practices of HTA bodies, surveying HTA bodies and experts around the globe, and implementation of EDPs in several countries around the world. Results. EDPs stem from the general concept of legitimacy, which is translated into four elements – stakeholder involvement ideally operationalised through stakeholder participation with deliberation; evidence-informed evaluation; transparency; and appeal. The 2021 practical guidance distinguishes six practical steps of a HTA process and provides recommendations on how these elements can be implemented in each of these steps. Conclusion. There is an increased attention for legitimacy, deliberative processes for HTA and health benefit package design, but the development of theories and methods for such processes remain behind. The added value of EDPs lies in the operationalisation of the general concept of legitimacy into practical guidance for HTA bodies.

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International Journal of Health Policy and Management (IJHPM): A Decade of Advancing Knowledge and Influencing Global Health Policy (2013-2023)

Moradzadeh,

Karamouzian,

Najafizadeh

et al. 2023

Int J Health Policy Manag

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Should Priority Setting Also Be Concerned About Profound Socio-Economic Transformations? A Response to Recent Commentary

Cited by 3 publications

References 24 publications

Evidence-Informed Deliberative Processes for Health Benefit Package Design – Part II: A Practical Guide

Evidence-Informed Deliberative Processes for Health Benefit Package Design – Part II: A Practical Guide

Evidence-Informed Deliberative Processes for Legitimate Health Benefit Package Design − Part I: Conceptual Framework

International Journal of Health Policy and Management (IJHPM): A Decade of Advancing Knowledge and Influencing Global Health Policy (2013-2023)

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