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Bringing ‘the public’ into health technology assessment and coverage policy decisions: From principles to practice

Bringing ‘the public’ into health technology assessment and coverage policy decisions: From principles to practice,10.1016/j.healthpol.2006.07.009,Hea

Bringing ‘the public’ into health technology assessment and coverage policy decisions: From principles to practice   (Citations: 21)
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Those making health care coverage decisions rely on health technology assessment (HTA) for crucial technical information. But coverage decision-making, and the HTA that informs it, are also inherently political. They involve the values and judgments of a range of stakeholders as well as the public. Moreover, governments are politically accountable for their resource allocation decisions. Canadian policy makers are at an early stage in the design of legitimate mechanisms for the public to contribute to, and to be apprised of, HTA and coverage decisions. As they consider the options, questions arise about whom to involve (e.g., which publics), how to engage them (e.g., through what public involvement or accountability mechanisms), and for what purpose (e.g., to inform the public of decisions and their rationales, or to have the public directly affect those decisions). Often key concepts, such as the difference between public accountability and public participation, are not well articulated or distinguished in these debates. Guidance is needed regarding both rationales and methods for involving the public in HTA and technology coverage decisions. We offer a framework that clearly distinguishes specific roles for the public, and relates them to several layers of policy analysis and policy making where ‘the public’ may engage in different tasks. The framework offers a menu of choices for policy makers contemplating changes to public involvement, as well as a model that can be used to characterize and analyze different approaches across jurisdictions.
Journal: Health Policy , vol. 82, no. 1, pp. 37-50, 2007
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    • ...Nevertheless, they are increasingly calling for greater participation in decisions regarding their health and the future of the healthcare system [42,43]...

    Gilles Jobinet al. User's perspectives of barriers and facilitators to implementing quali...

    • ...This is congruent with the fact that several HTA agencies and academics associated with HTA are now considering ways to incorporate the perspectives of patients in their methods, thus calling for patient-centred HTA [10,11]...
    • ...Gaps in knowledge this study is addressing Although opportunities to favour patient participation in HTA activities are increasingly considered [11,15], few experiences of patient involvement in HTA appear to be reported in the literature [16]...
    • ...The research will use analytical frameworks developed in the field of patient involvement in clinical decision making [31,32] and public participation in research and HTA activities [11,12,23,33] for each objective of the research...
    • ...Findings will be reported using frameworks that propose models of patient and public involvement in HTA [11,23,33]...

    Marie-Pierre Gagnonet al. Introducing patient perspective in health technology assessment at the...

    • ...The scientific community discusses these issues in great detail and there is an increasing interest in the underlying processes that lead to the allocation of funding budgets at the international, national and subnational levels [4-6]...

    Beatrix Groneberg-Kloftet al. New quality and quantity indices in science (NewQIS): the study protoc...

    • ...It has to be taken into account that the term technology covers diagnostics, medical treatments, screening, and all forms of medical interventions (Abelson et al. 2007; Waugh 2006)...

    Stephan L. Haaset al. A Cost Decision Analysis for Diagnosing and Staging

    • ...The Subcommittee identified two phases where the public engagement process may fit into MAS’ pre-existing review timelines: (1) before the review period, at the research question development stage and, (2) during its 21-day consultation period; which occurs after OHTAC has made its recommendation (based on an evidencebased review prepared by MAS)...

    Yvonne Bombard. Public Engagement Pilot Study on Point of-Care International Normalize...

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