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Development of a decisional flowchart for meaningful patient involvement in Health Technology Assessment

Part of: Special Collection - Methods

Published online by Cambridge University Press:  03 December 2020

Ana Toledo-Chávarri Open the ORCID record for Ana Toledo-Chávarri [Opens in a new window] ,
Marie-Pierre Gagnon Open the ORCID record for Marie-Pierre Gagnon [Opens in a new window] ,
Yolanda Álvarez-Pérez ,
Lilisbeth Perestelo-Pérez ,
Yolanda Triñanes Pego ,
Pedro Serrano Aguilar  and
On behalf of the Patient Involvement Interest Group of the Spanish Network for Health Technology Assessment of the National Health System (RedETS)
Ana Toledo-Chávarri*
Affiliation:
Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), El Rosario, S/C Tenerife, Spain Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain Servicio de Evaluación y Planificación, Dirección del Servicio Canario de la Salud, Camino Candelaria s/n. C.S. El Chorrillo, 38109, El Rosario, S/C Tenerife, Spain
Marie-Pierre Gagnon
Affiliation:
Faculty of Nursing Sciences, Université Laval, Quebec City, Quebec, Canada
Yolanda Álvarez-Pérez
Affiliation:
Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), El Rosario, S/C Tenerife, Spain
Lilisbeth Perestelo-Pérez
Affiliation:
Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain Servicio de Evaluación y Planificación del Servicio Canario de la Salud (SESCS), Santa Cruz de Tenerife, Spain
Yolanda Triñanes Pego
Affiliation:
Unidad de Asesoramiento Científico-técnico, Avalia-t, Axencia de Coñecemento en Saúde (ACIS), Servizo Galego de Saúde, Santiago de Compostela, La Coruña, Spain
Pedro Serrano Aguilar
Affiliation:
Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain Servicio de Evaluación y Planificación del Servicio Canario de la Salud (SESCS), Santa Cruz de Tenerife, Spain
*
Author for correspondence: Ana Toledo-Chávarri, E-mail: anatoledochavarri@sescs.es
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Abstract

Introduction

This paper aims to describe the development of a flowchart to guide the decisions of researchers in the Spanish Network for Health Technology Assessment of the National Health System (RedETS) regarding patient involvement (PI) in Health Technology Assessment (HTA). By doing so, it reflects on current methodological challenges in PI in the HTA field: how best to combine PI methods and what is the role of patient-based evidence.

Methods

A decisional flowchart for PI in HTA was developed between March and April 2019 following an iterative process, reviewed by the members of the PI Interest Group and other RedETS members and validated during an online deliberative meeting. The development of the flowchart was based on a previous methodological framework assessed in a pilot study.

Results

The guidelines on how to involve patients in HTA in the RedETS were graphically represented in a flowchart. PI must be included in all HTA reports, except those that assess technologies with no relevant impact on patients’ experiences, values, and preferences. Patient organizations or expert patients related to the topic of the HTA report must be identified and invited. These patients can participate in protocol development, outcomes' identification, assessment process, and report review. When the technology assessed affects in a relevant way patient experiences, values, and preferences, patient-based evidence should be included through a systematic literature review or a primary study.

Conclusions

The decisional flowchart for PI in HTA contributes to the current methodological challenges by proposing a combination of direct involvement and patient-based evidence.

Keywords

Health Technology Assessment (HTA)Patient participationPatient-based evidenceRedETS
Type
Method
Information
International Journal of Technology Assessment in Health Care , Volume 37 , Issue 1 , 2021 , e3
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

*

From AQuAS: Emmanuel Giménez García, Lina Masana, Elisa Puigdomènech (REDISSEC), Rita Reig Viander. From Osteba: Asun Gutiérrez Iglesias, Nora Ibargoyen Roteta, Marta López-Argumedo, Eva Reviriego. From AETSA: Elena Baños, Soledad Benot, Juan Máximo Linde. From SESCS: Lidia García Pérez, Beatriz León Salas, Renata Linertova, Vanesa Ramos García, Amado Rivero Santana, Alezandra Torres Castaño, Marría del Mar Trujillo-Martin. From avalia-T: Paula Cantero Muñoz. From IACS: Lucía Prieto Remón, María José Vicente Edo. From ISCIII: Matilde Palma Ruiz. From UETS: Blanca Novella Arribas.

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