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The 'Values in Modelling' Framework for Patient and Public Involvement in Health Economics Modelling: Development and

Stephanie Harvard1,2, Rachel Carter3, Sian Hoe Cheong3

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The Values in Modelling (VIM) framework enhances patient and public involvement (PPI) in health economics modeling. It guides collaboration and decision-making, improving transparency and justification in research.

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Area of Science:

  • Health Economics
  • Health Services Research
  • Decision Science

Background:

  • Patient and public involvement (PPI) is crucial in health economics modeling but lacks formal guidance.
  • Existing methods for structuring and evaluating PPI in modeling are limited.

Purpose of the Study:

  • To introduce the Values in Modelling (VIM) framework for structuring and evaluating PPI in health economics modeling.
  • To guide collaboration between modelers and stakeholders on value-laden decisions.
  • To enhance transparency and justification in health economics research.

Main Methods:

  • Developed the five-step VIM framework based on philosophical theory.
  • Applied the VIM framework in the Lifetime Exposures and Asthma Outcomes Projection (LEAP) model project.
  • Steps include identifying ethical issues, characterizing decisions, selecting strategies, deliberating decisions, and reporting.

Main Results:

  • The VIM framework facilitated prioritization of modeling decisions for PPI.
  • It supported transparent deliberation regarding uncertainty in the LEAP model.
  • Led to methodological changes, including new sensitivity analyses and revised outcome measures.

Conclusions:

  • The theory-informed VIM framework effectively enhances PPI in health economics modeling.
  • It improves transparency, justification, and adequacy-for-purpose of health economics research.
  • The VIM framework provides a structured approach for collaborative decision-making in modeling.