Evidence map›Paper›PMID 30051315›Full record

ArticleThe patient2018

Putting Patients at the Centre of Healthcare: Progress and Challenges for Health Technology Assessments.

Karen M Facey, Nicola Bedlington, Sarah Berglas, Neil Bertelsen, Ann N V Single, Victoria Thomas

Abstract read
PubMed Publisher
In one paragraph

Article in The patient, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Karen M FaceyUsher Institute of Population Health Sciences and Informatics, No 9 Edinburgh Bioquarter, 9 Little France Road, Edinburgh, EH 16 4UX, UK. k.facey@btinternet.com.ORCID http://orcid.org/0000-0001-6670-5271
Nicola BedlingtonEuropean Patients' Forum, 180 Chaussée d'Etterbeek, Brussels, Belgium.
Sarah BerglasCanadian Agency for Drugs and Technologies in Health (CADTH), 865 Carling Ave, Ottawa, ON, K1S 5S8, Canada.
Neil Bertelsen, Eisenacher Str 3, 10777, Berlin, Germany.
Ann N V Single, 7 Garden Grove, Ashgrove, QLD, 4060, Australia.
Victoria ThomasNational Institute for Health and Care Excellence, 10 Spring Gardens, London, SW1A 2BU, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health technology assessments (HTAs) are meant to inform health policy by taking account of all the potential impacts of using a health technology. In the 1990s, HTAs included rigorous research to produce patient-based evidence, and some supported participation of patient representatives to help focus HTA research and determine value. In the 2000s, HTAs became more closely linked to reimbursement decisions, focusing on clinical and cost effectiveness. Patient involvement should be tailored to the specific needs of each HTA. As the timeframe for HTAs has reduced, research to produce patient-based evidence has been replaced by input from patient groups. This places a burden on individuals and organizations that needs to be critically reviewed. Therefore, it is imperative that we clarify when patient involvement is likely to add value and support patients to provide their unique knowledge in the most optimal way to influence HTA decision making. To reduce the burden on patient groups, more must be done to encourage research to produce patient-based evidence early in technology development. Like clinical research, a programme of research should be carefully planned, with appropriate methodological rigor for each study, and all research should be published. For this, the development of quality standards for research to produce patient-based evidence may be needed. Patient involvement has inherent value. It should be focused, systematic and transparent, and evolve according to the experiences of all stakeholders. All countries or collaboratives that undertake HTA should consider how they can elicit the needs, preferences and experiences of patients to support creation of patient-centered healthcare policy.

Indexed as

Biomedical ResearchCommunicationDecision MakingHealth PolicyHumansPatient-Centered CarePatient ParticipationPatientsQuality of Health CareResearch PersonnelTechnology Assessment, Biomedical

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.