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Advancing stakeholder analysis: Power and participation in health technology assessment policy development in the
1Department of Applied Health Sciences, University of Birmingham, Dubai.
Background:
Stakeholder analysis (SHA) is a well-established approach for studying health policy development through mapping policy actors' power, positions, interests and influence on policy processes. There is growing interest in the influence of policy participation on policy change processes. However, there is little empirical evidence on how policy participation could affect the potential roles of policy actors in a prospective health policy process. Health Technology Assessment (HTA) is a multidisciplinary process for assessing the value of health technologies and supporting evidence-based decision-making in health systems. Given its technical and political complexity, institutionalising HTA remains a significant health policy challenge that requires diligent analysis and planning.
Objective:
This study aims to provide a thorough SHA on the United Arab Emirates (UAE) journey toward HTA establishment, to provide insights into how to optimise policy participation during the policy development process.
Methods:
Data were collected from document reviews and semi-structured interviews, then analysed using the thematic analysis technique.
Results:
The perspectives of 34 experts and leaders shed new light on the different forms of stakeholders' power, and on the bidirectional relationship between policy participation and their capacity to contribute to HTA's development process.
Conclusions:
This study extends the analytical knowledge of the SHA's applications by integrating policy participation as a critical new dimension for successful HTA policy development.
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