Principles for Deliberative Processes in HTA
This guideline outlines key principles to ensure fair and effective decision-making in health technology assessment. It emphasizes openness, inclusion, and fairness in discussions that involve evidence, values, and diverse perspectives.
At a glance
Use when
Designing or evaluating HTA decision-making frameworks; establishing new deliberative bodies; enhancing transparency and stakeholder engagement in HTA.
Avoid when
When decision-making is legally mandated without room for deliberation; in highly centralized systems resistant to stakeholder input.
How it works
Developed through the 2020 HTAi Global Policy Forum, this guideline establishes core principles—transparency, inclusivity, and impartiality—for deliberative processes in HTA, supported by complementary principles (e.g., respect, reviewability, consistency, reasonableness) and actionable steps. It aims to improve the quality, accountability, and documentation of deliberative processes across diverse HTA contexts.
- HTA domains
- Organisational aspects, Patient and Social Aspects, Aspects Beyond HTA
- Assumptions
- That deliberative processes benefit from structured ethical guidance; that HTA decisions should be accountable and context-sensitive; and that multi-stakeholder input improves decision legitimacy.
- Strengths
- Developed through international expert consensus; provides actionable and context-sensitive principles; enhances legitimacy and transparency of HTA decisions; supports inclusivity and stakeholder trust.
- Limitations
- Principles require context-specific adaptation; implementation may be constrained by legal or political frameworks; limited empirical validation of impact on decision outcomes.
- Also known as
- HTAi GPF 2020 Principles on Deliberation, Deliberative Process Principles in HTA
Questions this answers
- › What core principles should guide deliberative processes in HTA?
- › How can transparency, inclusivity, and impartiality be operationalized in HTA decision-making?
- › What supporting actions help implement ethical and effective deliberation in HTA?
- › Which complementary principles strengthen the legitimacy of HTA decisions?
- › How can HTA agencies improve the documentation and evaluation of deliberative processes?
References & sources
Similar by meaning
- Designing and Implementing Deliberative Processes for HTA: A Good Practices Report of a Joint HTAi/ISPOR Task Force
- Evidence-Informed Deliberative Processes (EDP) framework
- 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
- Evidence-Informed Deliberative Processes (EDP) — Part II: A Practical Guide
Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.