ArticleInternational journal of health policy and management2020
Around the Tables - Contextual Factors in Healthcare Coverage Decisions Across Western Europe.
Article in International journal of health policy and management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Implicit factors influencing the HTA deliberative processes in 5 European countries: results from a mixed-methods research.Health policy OPEN · 2023Article
- Uncertainty management in regulatory and health technology assessment decision-making on drugs: guidance of the HTAi-DIA Working Group.International journal of technology assessment in health care · 2023Review
- Social pharmaceutical innovation and alternative forms of research, development and deployment for drugs for rare diseases.Orphanet journal of rare diseases · 2022Article
- Under careful construction: combining findings, arguments, and values into robust health care coverage decisions.BMC health services research · 2022Article
- Designing and Implementing Deliberative Processes for Health Technology Assessment: A Good Practices Report of a Joint HTAi/ISPOR Task Force.International journal of technology assessment in health care · 2022Article
- Designing and Implementing Deliberative Processes for Health Technology Assessment: A Good Practices Report of a Joint HTAi/ISPOR Task Force.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022Article
- Necessity under construction - societal weighing rationality in the appraisal of health care technologies.Health economics, policy, and law · 2021Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAcross Western Europe, procedures and formalised criteria for taking decisions on the coverage (inclusion in the benefits basket or equivalent) of healthcare technologies vary substantially. In the decision documents, which display the justification of, the rationale for, these decisions, national healthcare institutes may employ 'contextual factors,' defined here as
methodsFour group interviews with 3 experts from the national healthcare institute of each country, document and web site analysis, and a workshop with 1 to 2 of these experts per country were followed by the examination of the documents of 4 specific decisions taken in each of the 4 countries, sampled to vary widely in type of technology and decision outcome.
resultsFrom the available decision documents, we conclude that in every country studied, contextual factors are established 'around the table,' ie, in deliberation. All documents examined feature contextual factors, with similar contextual factor patterns leading to similar decisions in different countries. The Dutch decisions employ the widest variety of factors, with the exception of the societal functioning of the patient, which is relatively common in Belgium, England, and Germany. Half of the final decisions were taken in another setting, with the consequence that no documentation was retrievable for 2 decisions.
conclusionFirst, we conclude that in these countries, contextual factors are
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