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Learning and practicing more value-reflective, problem-setting health technology assessment: experiences and lessons
John Grin1, Bart Bloemen2, Iñaki Gutierrez-Ibarluzea3
1Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, The Netherlands.
Summary
Students found the VALIDATE approach valuable for health technology assessment (HTA) training, particularly in understanding policy relevance and stakeholder perspectives. Practical application revealed challenges in data gathering and institutional constraints, highlighting areas for improvement in real-world use.
Area of Science:
- Health Technology Assessment (HTA)
- Educational Research
- Sociology of Science
Background:
- The VALIDATE approach offers a framework for integrating empirical analysis with normative inquiry in HTA.
- Understanding the practical application and perceived value of novel HTA methodologies is crucial for their adoption.
- Existing HTA training may not fully equip students with skills for navigating complex stakeholder landscapes and institutional contexts.
Purpose of the Study:
- To evaluate the practical application of the VALIDATE approach through student experiences in an e-learning course and subsequent internships.
- To assess student appreciation of the VALIDATE e-learning course and the utility of acquired competences in real-world HTA settings.
- To explore how institutional contexts influence the application and outcomes of the VALIDATE approach in practice.
Main Methods:
- Formative evaluation using semistructured surveys and oral feedback from students participating in the VALIDATE e-learning course.
- Analysis of intern reports and semistructured interviews with interns and supervisors regarding the application of VALIDATE competences during HTA internships.
- Comparative discussion of experiences across different institutional contexts.
Main Results:
- Students highly valued the VALIDATE approach, especially its emphasis on the link between empirical analysis and normative inquiry, policy relevance, and interpretive frame reconstruction.
- Interns successfully redefined HTA problems by considering diverse stakeholder perspectives, though faced limitations due to literature availability and institutional routines.
- The reconstruction of interpretive frames was perceived as intellectually demanding, requiring prior HTA knowledge.
Conclusions:
- The VALIDATE approach is a valuable addition to HTA knowledge, enhancing understanding of policy relevance and stakeholder engagement.
- Challenges in applying VALIDATE include the need to move beyond 'given' problem definitions and the scarcity of reported value-related data in scientific literature.
- Future implementation of VALIDATE should address difficulties in data gathering for diverse perspectives and the evaluation of value dimensions.
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