ArticleInternational journal of health policy and management2022
Evidence-Informed Deliberative Processes for Legitimate Health Benefit Package Design - Part I: Conceptual Framework.
Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed.
- Medical-Bioethical Mediation as a Potential Governance Innovation for Sustainable, Efficient, and Resilient Healthcare Systems.Healthcare (Basel, Switzerland) · 2026Article
- National surgical, obstetrics, and anaesthesia plans in Sub-Saharan Africa: a comparative economic content analysis.BMC health services research · 2026Article
- From implicit to explicit: an evidence-informed deliberative process for health benefits package revision using the WHO UHC Compendium in Kyrgyzstan.BMJ global health · 2026Article
- Balancing the impact of socio-ethical and economic considerations on clinical-hospital decision-making.BMC medical ethics · 2026Article
- The RELIANT checklist: a novel approach to revealing implicit factors in HTA deliberations.Health policy OPEN · 2026Article
- Health technology assessment in Ghana: the development of the process guidelines using evidence-informed deliberative processes.Cost effectiveness and resource allocation : C/E · 2026Article
- A 10-Step Method for Fair Priority-Setting Processes: A Qualitative Case Study from Zanzibar.Health systems and reform · 2025Article
- Evolving Recommendations for Patient Populations Among Oncology Medicines: A Quantitative and Qualitative Analysis.Clinical pharmacology and therapeutics · 2025Article
- HTA responsiveness to today's challenges to health systems: a responsible innovation in health perspective.International journal of technology assessment in health care · 2025Article
- Road toward institutionalizing health technology assessment in the Emirate of Abu Dhabi: The role of evidence-informed deliberative processes.International journal of technology assessment in health care · 2024Article
- Understanding the extent of economic evidence usage for informing policy decisions in the context of India's national health insurance scheme: Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (PM-JAY).BMJ global health · 2024Article
- Can sugar taxes be used for financing surgical systems in Nigeria? A mixed-methods political economy analysis.Health policy and planning · 2024Article
- An overview of the perspectives used in health economic evaluations.Cost effectiveness and resource allocation : C/E · 2024Review
- National Immunization Program Decision Making Using the CAPACITI Decision-Support Tool: User Feedback from Indonesia and Ethiopia.Vaccines · 2024Article
- Implementing evidence ecosystems in the public health service: Development of a framework for designing tailored training programs.PloS one · 2024Review
- Evidence-Informed Surgical Systems Strengthening with Meaningful Stakeholder Involvement in Low-Resource Settings: A Response to Recent Commentaries.International journal of health policy and management · 2024Article
- Implicit factors influencing the HTA deliberative processes in 5 European countries: results from a mixed-methods research.Health policy OPEN · 2023Article
- Procedural fairness in health financing for universal health coverage: why, what and how.Health policy and planning · 2023Article
- Moral and Social Values in Evidence-Informed Deliberative Processes for Health Benefit Package Design Comment on "Evidence-Informed Deliberative Processes for Health Benefit Package Design - Part II: A Practical Guide".International journal of health policy and management · 2023Article
- Enhancing Priority-Setting Decision-Making Process Through Use of Intersectionality for Public Participation.International journal of health policy and management · 2023Article
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Abstract
backgroundCountries around the world are increasingly rethinking the design of their health benefit packages to achieve universal health coverage (UHC). Health technology assessment (HTA) bodies support governments in these decisions, but employ value frameworks that do not sufficiently account for the intrinsically complex and value-laden political reality of benefit package design.
methodsSeveral 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.
resultsEDPs 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.
conclusionThere 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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