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Toward a Strategy to Involve Patients in Health Technology Assessment in Spain

Published online by Cambridge University Press:  14 March 2019

Ana Toledo-Chávarri*
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS) Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Instituto de Tecnologías Biomédicas (ITB), Universidad de La Laguna
Yolanda Alvarez-Perez
Affiliation:
Fundación Canaria de Investigación Sanitaria (FUNCANIS)
Yolanda Triñanes
Affiliation:
Unidad de Asesoramiento científico-técnico (Avalia-t); Axencia de Coñecemento en Saúde (ACIS), Servizo Galego de Saúde
Lilisbeth Perestelo-Pérez
Affiliation:
Servicio de Evaluación del Servicio Canario de la Salud (SESCS)
Mireia Espallargues
Affiliation:
Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
Matilde Palma
Affiliation:
Instituto de Salud Carlos III (ISCIII)
Pedro Serrano-Aguilar
Affiliation:
Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC) Servicio de Evaluación del Servicio Canario de la Salud (SESCS)
*
Author for correspondence: Ana Toledo-Chávarri, E-mail: anatoledochavarri@sescs.es

Abstract

Objectives

The aim of this study was to develop a feasible and effective strategy to involve patients in the Spanish Network of Agencies of Health Technology Assessment (RedETS).

Methods

The framework for patient involvement (PI) in the assessment activities and processes of RedETS were developed through a research project that included: (i) a systematic search of the international literature describing a strategy and/or a methodology linking health technology assessment (HTA) and PI; (ii) a qualitative study through interviews with RedETS members to analyze the perceptions of PI among HTA managers in the Spanish context; (iii) a Delphi consultation with three large platforms of patients, carers and consumer organizations in Spain about their perspectives of PI; (iv) a consensus process with the members of the RedETS Governing Council to define the final strategy.

Results

Three main themes were identified in the literature and Web site review: (i) PI methods for the different HTA phases; (ii) Participant definition and selection; (iii) Resources needed. A three-step implementation strategy was proposed: (i) short-term actions: piloting and testing patient participation in HTA and building patients' capacity; (ii) medium-term actions: broadening the participation of patients, and building internal capacity; (iii) long-term actions: consolidating and mainstreaming patient involvement

Conclusions

Patient participation can be incorporated into almost all the HTA phases and products with greater or lesser degrees of difficulty. However, a progressive implementation strategy is suggested for a feasible PI process.

Type
Method
Copyright
Copyright © Cambridge University Press 2019 

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