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Designing and Implementing Deliberative Processes for Health Technology Assessment: A Good Practices Report of a

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Summary

This study provides practical guidance and a checklist for designing and implementing deliberative processes in health technology assessment (HTA). These tools aim to improve participatory decision-making in HTA programs.

Keywords:
Deliberative processesGuidanceHealth technology assessmentParticipationStakeholders

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Area of Science:

  • Health Technology Assessment (HTA)
  • Participatory Decision-Making
  • Health Policy and Management

Background:

  • Deliberative processes in HTA facilitate participatory decision-making through stakeholder dialogue.
  • There is a recognized lack of comprehensive guidance for designing and implementing these deliberative processes.
  • Health Technology Assessment International (HTAi) and ISPOR formed a joint Task Force to address this guidance gap.

Purpose of the Study:

  • To develop practical guidance and a checklist for establishing and improving deliberative processes in HTA.
  • To support the informed and critical examination of issues within HTA.
  • To aid in the weighing of arguments and evidence to guide HTA decisions.

Main Methods:

  • A joint Task Force of fifteen experts with diverse backgrounds was convened.
  • Guidance and a checklist were developed, incorporating existing initiatives and community input.
  • The developed guidance underwent two rounds of peer review.

Main Results:

  • A definition of a deliberative process for HTA was established.
  • Guidance is provided for developing HTA program governance and structure.
  • The guidance details how to manage HTA stages using deliberation.

Conclusions:

  • A model deliberative process, structured in six phases, is presented with a checklist.
  • These tools are designed for practical application in establishing or refining HTA deliberative processes.
  • The guidance and checklist can also serve for independent scrutiny of HTA deliberative processes.