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Stakeholder participation on the path to universal health coverage: the use of evidence-informed deliberative processes

Published on Oct 1, 2018in Tropical Medicine & International Health2.423
· DOI :10.1111/tmi.13138
Rob Baltussen40
Estimated H-index: 40
,
Maarten Jansen5
Estimated H-index: 5
,
Leon Bijlmakers8
Estimated H-index: 8
Abstract
  • References (6)
  • Citations (0)
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References6
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#1Noor Tromp (Radboud University Nijmegen)H-Index: 9
#2Rozar Prawiranegara (UNPAD: Padjadjaran University)H-Index: 3
Last. Rob Baltussen (Radboud University Nijmegen)H-Index: 40
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textabstractObjective: International guidelines recommend countries to expand antiretroviral therapy (ART) to all HIV-infected individuals and establish local-level priorities in relation to other treatment, prevention and mitigation interventions through fair processes. However, no practical guidance is provided for such priority-setting processes. Evidence-informed deliberative processes (EDPs) fill this gap and combine stakeholder deliberation to incorporate relevant social values with ration...
3 CitationsSource
#1Evelinn Mikkelsen (Radboud University Nijmegen)H-Index: 5
#2Jan A. C. Hontelez (UKZN: University of KwaZulu-Natal)H-Index: 4
Last. Rob Baltussen (Radboud University Nijmegen)H-Index: 40
view all 13 authors...
Jan Hontelez and colleagues argue that the cost-effectiveness studies of HIV treatment scale-up need to include health system constraints to be more informative.
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#1Julia Abelson (McMaster University)H-Index: 38
#2Frank Wagner (U of T: University of Toronto)H-Index: 5
Last. John N. Lavis (McMaster University)H-Index: 54
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Objective: As health technology assessment (HTA) organizations in Canada and around the world seek to involve the public and patients in their activities, frameworks to guide decisions about whom to involve, through which mechanisms, and at what stages of the HTA process have been lacking. The aim of this study was to describe the development and outputs of a comprehensive framework for involving the public and patients in a government agency's HTA process. Methods: The framework was informed by...
28 CitationsSource
#1Rob Baltussen (Radboud University Nijmegen Medical Centre)H-Index: 40
#2Evelinn Mikkelsen (Radboud University Nijmegen Medical Centre)H-Index: 5
Last. Ole Frithjof Norheim (University of Bergen)H-Index: 47
view all 10 authors...
South Africa, the country with the largest HIV epidemic worldwide, has been scaling up treatment since 2003 and is rapidly expanding its eligibility criteria. The HIV treatment programme has achieved significant results, and had 1.8 million people on treatment per 2011. Despite these achievements, it is now facing major concerns regarding (i) efficiency: alternative treatment policies may save more lives for the same budget; (ii) equity: there are large inequalities in who receives treatment; (i...
21 CitationsSource
All health systems struggle with the issue of meeting population health needs fairly under resource constraints. Decisions about the implementation of new technologies provide a useful window into the larger issue, and a paper in this week's journal provides a valuable insight into the elements of decision making that decision makers themselves think important in trying to reach fair decisions on applying new technologies in health care.1 In mixed systems, like that in the United States, decisio...
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Background Evidence-informed deliberative processes (EDPs) were recently introduced to guide health technology assessment (HTA) agencies to improve their processes towards more legitimate decision-making. The EDP framework provides guidance that covers the HTA process, ie, contextual factors, installation of an appraisal committee, selecting health technologies and criteria, assessment, appraisal, and communication and appeal. The aims of this study were to identify the level of use of EDPs by H...
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