Evidence map›Paper›PMID 40365699›Full record

SynthesisInternational journal of technology assessment in health care2025

Redefining value assessment and healthcare funding priorities for medicines: the journey to patient-centric decision making in APAC - a systematic literature review.

Durhane Wong-Rieger, I-Ching Tsai, Jin Yu Tan, David Bin-Chia Wu, DaeYoung Yu, Alison Keetley, Alex Best, Ritu Jain

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of technology assessment in health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Durhane Wong-RiegerCanadian Organization for Rare Disorders, Toronto, ON, Canada.
I-Ching TsaiJohnson & Johnson International (Singapore) Pte. Ltd., Asia Pacific Market Access, Singapore, Singapore.ORCID https://orcid.org/0009-0003-4831-5474
Jin Yu TanJohnson & Johnson International (Singapore) Pte. Ltd., Asia Pacific Market Access, Singapore, Singapore.
David Bin-Chia WuJohnson & Johnson International (Singapore) Pte. Ltd., Asia Pacific Market Access, Singapore, Singapore.
DaeYoung YuJohnson & Johnson International (Singapore) Pte. Ltd., Asia Pacific Market Access, Singapore, Singapore.
Alison KeetleyJohnson & Johnson International (Singapore) Pte. Ltd., Asia Pacific Market Access, Singapore, Singapore.
Alex BestJohnson & Johnson International (Singapore) Pte. Ltd., Asia Pacific Market Access, Singapore, Singapore.
Ritu JainAgency for Care Effectiveness, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study explored patient involvement in healthcare decision-making in the Asia Pacific region (APAC) by identifying roles and factors influencing differences between healthcare systems. Proposed recommendations to enhance patient engagement were made.

methodsThis systematic literature review was conducted using studies from Australia, China, Japan, Malaysia, New Zealand, the Philippines, South Korea, Singapore, Taiwan, and Thailand. Studies were included if they provided data on patient involvement in health technology assessment (HTA) and/or funding decisions for medicines. Extracted data were scored according to eleven parameters adapted from the National Health Council (NHC) rubric, which assessed the level of patient involvement in healthcare system decision-making.

resultsWe identified 159 records between 2018 and 2022, including methodology guidelines from Government websites. Most mentioned parameters were patient partnership, patient-reported outcome, and mechanism to incorporate patient input. Limited information was available on diversity and patient-centered data sources. Tools for collecting patient experience included quality-of-life questionnaires, focus groups, interviews, and surveys, with feedback options like structured templates, videos, and public sessions.Beyond input in assessment process, involvement of patients in decision-making phase has evolved within HTA bodies over time with considerable variation. Few APAC healthcare systems involve patients in the appraisal process as members of the recommendation or decision-making committee.

conclusionsThe findings indicate that while patient involvement in pharmaceutical reimbursement decisions exists, improvements are needed. Effective integration of patient input requires transparency, education, and resource planning. This study establishes a baseline to track progress and assess the long-term impact of patient involvement.

Indexed as

Decision MakingPatient-Centered CarePatient ParticipationTechnology Assessment, BiomedicalAsiaHumansAsia Pacificpatient-centric approachpatient engagementsystematic literature reviewvalue assessment framework

Identifiers

PMID40365699
PMCPMC12086590

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.