Evidence map›Paper›PMID 36141691›Full record

ArticleInternational journal of environmental research and public health2022

The Use of Evidence-Informed Deliberative Processes for Health Benefit Package Design in Kazakhstan.

Wija Oortwijn, Gavin Surgey, Tanja Novakovic, Rob Baltussen, Lyazzat Kosherbayeva

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
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  5. Article
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  9. Trends in Avoidable Mortality in Kazakhstan From 2015 to 2021.International journal of health policy and management · 2024
    Article
  10. Article
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

5 authors.

Wija OortwijnDepartment for Health Evidence, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0003-4499-8602
Gavin SurgeyDepartment for Health Evidence, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0003-1832-3716
Tanja NovakovicZEM Solutions, 11010 Belgrade, Serbia.
Rob BaltussenDepartment for Health Evidence, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Lyazzat KosherbayevaDepartment of Health Politics and Management, School of Public Health, Asfendiyarov Kazakh National Medical University, Almaty 050000, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kazakhstan strives to obtain Universal Health Coverage (UHC) by using health technology assessment (HTA) for determining their health benefit package. This paper reports on employing evidence-informed deliberative processes (EDPs), a practical and stepwise approach to enhance legitimate health benefit package design in Kazakhstan.

methodsThe Ministry of Health of Kazakhstan approved the operationalization and application of EDPs during March 2019 and December 2020. We used a combination of desk research, conducting HTA, online surveys as well as a face-to-face workshop in Nur-Sultan, Kazakhstan, and two online workshops to prioritize 25 selected health technologies. During the latter, we tested two alternative approaches to prioritization: quantitative multicriteria decision analysis (MCDA) and the use of decision rules.

resultsFor each of the HTA reports, evidence summaries were developed according to the decision criteria (safety, social priority disease, severity of disease, effectiveness, cost-effectiveness, level of evidence, financial risk protection and budget impact). When appraising the evidence, the advisory committee preferred using quantitative MCDA, and only when this would result in any controversy could decision rules be applied.

conclusionsDespite several challenges, including a partial disruption because of the COVID-19 pandemic, implementation of the process will likely play a key role in determining an evidence-informed and transparent health benefit package.

Indexed as

COVID-19PandemicsHumansKazakhstanTechnology Assessment, BiomedicalUniversal Health Insuranceevidence-informed deliberative processhealth benefit package designKazakhstan

Identifiers

PMID36141691
PMCPMC9517624

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Registered trials

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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.