Patients' perspectives in health technology assessment: A route to robust evidence and fair deliberation
- 29 June 2010
- journal article
- research article
- Published by Cambridge University Press (CUP) in International Journal of Technology Assessment in Health Care
- Vol. 26 (3), 334-340
- https://doi.org/10.1017/s0266462310000395
Abstract
There is increasing emphasis on providing patient-focused health care and ensuring patient involvement in the design of health services. As health technology assessment (HTA) is meant to be a multidisciplinary, wide-ranging policy analysis that informs decision making, it would be expected that patients’ views should be incorporated into the assessment. However, HTA is still driven by collection of quantitative evidence to determine the clinical and cost effectiveness of a health technology. Patients’ perspectives about their illness and the technology are rarely included, perhaps because they are seen as anecdotal, biased views. There are two distinct but complementary ways in which HTAs can be strengthened by: (i) gathering robust evidence about the patients’ perspectives, and (ii) ensuring effective engagement of patients in the HTA process from scoping, through evidence gathering, assessment of value, development of recommendations and dissemination of findings. Robust evidence eliciting patients’ perspectives can be obtained through social science research that is well conducted, critically appraised and carefully reported, either through meta-synthesis of existing studies or new primary research. Engagement with patients can occur at several levels and we propose that HTA should seek to support effective patient participation to create a fair deliberative process. This should allow two-way flow of information, so that the views of patients are obtained in a supportive way and fed into decision-making processes in a transparent manner.Keywords
This publication has 16 references indexed in Scilit:
- Fostering deliberations about health innovation: What do we want to know from publics?Social Science & Medicine, 2009
- Introducing patient perspective in health technology assessment at the local levelBMC Health Services Research, 2009
- Virtual community consultation? Using the literature and weblogs to link community perspectives and health technology assessmentHealth Expectations, 2008
- Patient-based health technology assessment: A vision of the futureInternational Journal of Technology Assessment in Health Care, 2007
- Patients and professionals as research partners: Challenges, practicalities, and benefitsArthritis Care & Research, 2006
- How can systematic reviews incorporate qualitative research? A critical perspectiveQualitative Research, 2006
- Survey on the involvement of consumers in health technology assessment programsInternational Journal of Technology Assessment in Health Care, 2006
- A Typology of Public Engagement MechanismsScience, Technology, & Human Values, 2005
- What does it mean to involve consumers successfully in NHS research? A consensus studyHealth Expectations, 2004
- Qualitative research: standards, challenges, and guidelinesThe Lancet, 2001