Evidence-Informed Deliberative Processes (EDP) framework
The EDP framework helps health technology assessment bodies make fair and inclusive decisions about which health services to include in a national benefits package by bringing together stakeholders to discuss evidence and values in a transparent way.
At a glance
Use when
Designing or revising national health benefit packages; making coverage decisions in contexts with high value-laden trade-offs; strengthening legitimacy and public trust in HTA
Avoid when
Rapid, emergency decision-making is required; when institutional capacity for stakeholder engagement is lacking; in highly centralized systems resistant to deliberative input
Inputs
Stakeholder input, scientific evidence on clinical and economic outcomes, contextual values and priorities, data on equity and social impact
Outputs
Legitimate, transparent, and evidence-informed health benefit package design decisions with documented rationale and opportunities for appeal
How it works
The Evidence-Informed Deliberative Processes (EDP) framework operationalizes legitimacy in health benefit package design through four elements: stakeholder involvement with deliberation, evidence-informed evaluation, transparency, and appeal. It structures HTA processes into six practical steps, integrating stakeholder deliberation to interpret evidence and values, and has been refined through global implementation and expert analysis.
- HTA domains
- Organisational aspects, Patient and Social Aspects, Aspects Beyond HTA
- Assumptions
- Legitimate decision-making requires inclusive stakeholder deliberation; evidence alone is insufficient for coverage decisions; transparency and appeal mechanisms enhance trust
- Strengths
- Enhances legitimacy and inclusiveness of HTA decisions; integrates diverse stakeholder perspectives; promotes transparency and accountability; adaptable to different country contexts
- Limitations
- Requires significant stakeholder engagement capacity; may be time-consuming; success depends on political will and institutional support; challenges in ensuring equitable representation
- Also known as
- EDP, Evidence-Informed Deliberative Processes
Questions this answers
- › How can health technology assessment ensure fair and legitimate decisions on health benefit packages?
- › How can stakeholder values be systematically integrated into HTA decisions?
- › How can political and social values be balanced with scientific evidence in coverage decisions?
- › What role does transparency and appeal play in HTA legitimacy?
- › How can HTA bodies facilitate learning and reflection on values during decision-making?
- › What practical steps support the implementation of deliberative processes in HTA?
References & sources
Similar by meaning
- Evidence-Informed Deliberative Processes (EDP) — Part II: A Practical Guide
- Principles for Deliberative Processes in HTA
- Designing and Implementing Deliberative Processes for HTA: A Good Practices Report of a Joint HTAi/ISPOR Task Force
- We need to talk about values: framework for articulating normative reasoning in HTA
- VALIDATE handbook
Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.