Designing and Implementing Deliberative Processes for HTA: A Good Practices Report of a Joint HTAi/ISPOR Task Force
This guideline helps health technology assessment (HTA) organizations design fair and open decision-making processes. It offers practical advice on how to turn research evidence into real-world decisions through structured discussions that include different perspectives.
At a glance
Use when
Designing or reforming an HTA appraisal committee; developing standard operating procedures for decision-making; enhancing transparency and stakeholder engagement in HTA
Avoid when
When decisions are purely automated or algorithm-driven without human judgment; in settings where transparency and deliberation are not institutionally supported
Inputs
Evidence from clinical, economic, and social evaluations; stakeholder input; policy context; institutional mandates
Outputs
Structured deliberative processes; transparent decision-making frameworks; documented appraisal outcomes
How it works
Developed by a joint HTAi/ISPOR task force, this good practices report provides evidence-informed recommendations for structuring deliberative processes in HTA. It emphasizes legitimacy, transparency, and accountability in appraisal committees, offering guidance on composition, procedures, documentation, and stakeholder engagement to ensure robust and defensible decision-making.
- HTA domains
- Organisational aspects, Patient and Social Aspects, Aspects Beyond HTA
- Assumptions
- Decision-making in HTA requires balancing multiple types of evidence and values; transparency and inclusiveness improve legitimacy; structured processes reduce bias and increase consistency
- Strengths
- Developed through international expert consensus; grounded in practical experience and theoretical frameworks; supports accountability and public trust in HTA decisions
- Limitations
- May require adaptation to fit different HTA system contexts; implementation depends on institutional capacity and political will
- Also known as
- HTAi/ISPOR Deliberative Processes Guideline, Good Practices Report on Deliberative Appraisal in HTA
Questions this answers
- › How can HTA bodies structure fair and transparent decision-making processes?
- › What are the key components of a legitimate deliberative appraisal process?
- › How should appraisal committees be composed and operated?
- › How can stakeholder input be effectively integrated into HTA decisions?
- › What documentation and reporting practices support accountability in HTA?
- › How can HTA bodies ensure consistency and justification in their recommendations?
References & sources
Similar by meaning
- Principles for Deliberative Processes in HTA
- Evidence-Informed Deliberative Processes (EDP) framework
- Evidence-Informed Deliberative Processes (EDP) — Part II: A Practical Guide
- Key Principles for the Improved Conduct of Health Technology Assessments for Resource Allocation Decisions
- We need to talk about values: framework for articulating normative reasoning in HTA
Beta record. Based on the original catalogue summary; primary-source enrichment pending.

