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Stakeholders involvement by HTA Organisations: why is so different?
Marianna Cavazza1, Claudio Jommi
1CERGAS (Centre for Health and Social Care Management), Università Bocconi, Via Roengten 1, 20136 Milan, Italy. marianna.cavazza@unibocconi.it
Health Policy (Amsterdam, Netherlands)
|February 28, 2012
Summary
Stakeholder involvement in Health Technology Assessment Organisations (HTAOs) varies by country, influenced by administrative traditions and healthcare system structures. Transferring stakeholder engagement models internationally is challenging due to these national specificities.
Area of Science:
- Health Services Research
- Health Policy Analysis
- Comparative Healthcare Systems
Background:
- Stakeholder involvement in Health Technology Assessment Organisations (HTAOs) is crucial for legitimacy and consensus.
- Understanding national variations in stakeholder engagement is essential for effective health policy.
- Previous research has not fully explored the influence of administrative traditions and healthcare system structures on stakeholder involvement in HTAOs.
Purpose of the Study:
- To investigate stakeholder involvement in HTAOs across six European countries: France, Spain, England and Wales, Germany, Sweden, and The Netherlands.
- To examine whether stakeholder involvement is influenced by administrative traditions (contractarian/corporative vs. organic), healthcare system structures (Bismarckian vs. Beveridgian), and the role of Health Technology Assessment (HTA).
Main Methods:
- An exploratory study employing semi-structured interviews with 16 key personnel in selected HTAOs.
- A literature review on HTAOs and stakeholders from 1999-2011 using major scientific databases (PubMed, Ebsco, JSTOR, Wiley Science).
Main Results:
- Stakeholder involvement is higher in contractarian and Bismarckian healthcare models.
- Administrative traditions and healthcare system structures become less critical when HTA is binding and regulatory.
- Intensive stakeholder involvement in regulatory HTA facilitates consensus and legitimacy for HTAOs.
Conclusions:
- Models of stakeholder involvement in HTAOs are not easily transferable across countries due to significant national administrative traditions and healthcare system characteristics.
- Despite study limitations, the findings highlight the importance of context-specific approaches to stakeholder engagement in HTA.
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