PUBLIC AND PATIENT INVOLVEMENT IN HEALTH TECHNOLOGY ASSESSMENT: A FRAMEWORK FOR ACTION
This framework helps health technology assessment organizations involve patients and the public in their work. It provides guidance on when and how to include patient and societal perspectives, what goals to aim for, and how to evaluate the impact of involvement over time.
At a glance
Use when
Designing or improving patient and public involvement strategies in health technology assessment processes, especially within government or public HTA agencies
Avoid when
When organizational leadership lacks commitment to patient and public involvement or when there are insufficient resources to support meaningful engagement
Inputs
Stakeholder input, international best practices, literature on public and patient involvement, organizational context of HTA agencies
Outputs
A structured framework with guiding principles, common terminology, adaptable PPI methods, and an evaluation strategy for public and patient involvement in HTA
How it works
The framework was developed through a synthesis of international practices and literature, stakeholder dialogues, and deliberations of a government agency's public engagement subcommittee in Ontario, Canada. It consists of four core elements: (i) guiding principles and goals for public and patient involvement (PPI) in HTA, (ii) development of a common language to support PPI, (iii) a flexible menu of PPI methods tailored to different HTA stages and objectives, and (iv) continuous evaluation of PPI activities to inform iterative improvements. It emphasizes context-specific design based on the HTA stage, intended goals, and relevant societal or patient values.
- HTA domains
- Organisational aspects, Patient and Social Aspects, Aspects Beyond HTA
- Assumptions
- Public and patient involvement enhances the legitimacy, relevance, and responsiveness of HTA; meaningful involvement requires intentional design, resources, and organizational commitment
- Strengths
- Developed through comprehensive review and multi-level stakeholder engagement,Flexible and adaptable to different HTA contexts and stages,Includes mechanisms for ongoing evaluation and improvement of PPI activities
- Limitations
- Does not prescribe a single optimal method, requiring organizations to make context-specific decisions,Implementation success depends on organizational capacity and cultural readiness for PPI
- Also known as
- PPI Framework for HTA, Public and Patient Involvement Framework in HTA
Questions this answers
- › What are the guiding principles for involving patients and the public in HTA?
- › How can HTA organizations develop a common language to support meaningful public and patient involvement?
- › What methods can be used to involve patients and the public at different stages of the HTA process?
- › How should public and patient involvement be evaluated to ensure effectiveness and relevance?
- › What goals should guide the inclusion of societal and patient perspectives in HTA?
- › How can flexibility be maintained in PPI approaches while ensuring consistency and accountability?
References & sources
Related methods
Similar by meaning
- EUPATI Guidance for Patient Involvement in HTA
- Patients' Perspectives in HTA: A Route to Robust Evidence and Fair Deliberation
- Three-Domain Impact Framework for patient involvement in HTA
- Key Principles for the Improved Conduct of Health Technology Assessments for Resource Allocation Decisions
- IMPACT-HTA multicriteria value framework
Beta record. Generated from the primary source via AI extraction and independent audit, pending final human review.