Deliberative processes in decision making informed by health technology assessment in Latin America

Autores
Alcaraz, Andrea; Pichón-riviere, Andres; García Martí, Sebastián; Alfie, Verónica; Augustovski, Federico Ariel; Castro, Héctor
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective The objective of Health Technology Assessment International's 6th Latin America Policy Form, held in 2021, was to explore the implementation of deliberative processes in the framework of health technology assessment (HTA) and how agencies in the region could involve stakeholders in this process. Methods This paper is based on a preparatory survey, a background document, and the deliberative work of participants at the virtual Forum conducted in 2021. There were ninety-one participants in the open session and fifty-two in the closed sessions, representing twelve countries and diverse areas of the health sector. Results While there are mechanisms in most countries in Latin America to consider stakeholder involvement to some degree, it remains reduced or limited to a consultative role, making true participative involvement rare. There are significant barriers and structural and contextual limitations that have impeded or slowed progress toward deliberative processes. Relatively low levels of institutionalization and knowledge about HTA, as well as the lack of trust among stakeholders are important challenges. This situation has impacted health systems by diminishing the legitimacy of decisions and the very structures and processes of HTA. Conclusion The Forum's broad group of participants identified barriers, facilitators, and recommendations to improve the use of deliberative processes in Latin America to foster improved fairness and reasonableness in HTA and decision making.
Fil: Alcaraz, Andrea. Institute For Clinical Effectiveness And Health Policy, Ciudad Autonoma de Buenos Aires; Argentina
Fil: Pichón-riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Alfie, Verónica. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Castro, Héctor. Management Sciences For Health; Estados Unidos
Materia
DECISION MAKING
HEALTH RESOURCES
LATIN AMERICA
PATIENT PARTICIPATION
PRIORITY SETTING
STAKEHOLDER INVOLVEMENT
TECHNOLOGY ASSESSMENT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/218405
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Deliberative processes in decision making informed by health technology assessment in Latin AmericaAlcaraz, AndreaPichón-riviere, AndresGarcía Martí, SebastiánAlfie, VerónicaAugustovski, Federico ArielCastro, HéctorDECISION MAKINGHEALTH RESOURCESLATIN AMERICAPATIENT PARTICIPATIONPRIORITY SETTINGSTAKEHOLDER INVOLVEMENTTECHNOLOGY ASSESSMENThttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective The objective of Health Technology Assessment International's 6th Latin America Policy Form, held in 2021, was to explore the implementation of deliberative processes in the framework of health technology assessment (HTA) and how agencies in the region could involve stakeholders in this process. Methods This paper is based on a preparatory survey, a background document, and the deliberative work of participants at the virtual Forum conducted in 2021. There were ninety-one participants in the open session and fifty-two in the closed sessions, representing twelve countries and diverse areas of the health sector. Results While there are mechanisms in most countries in Latin America to consider stakeholder involvement to some degree, it remains reduced or limited to a consultative role, making true participative involvement rare. There are significant barriers and structural and contextual limitations that have impeded or slowed progress toward deliberative processes. Relatively low levels of institutionalization and knowledge about HTA, as well as the lack of trust among stakeholders are important challenges. This situation has impacted health systems by diminishing the legitimacy of decisions and the very structures and processes of HTA. Conclusion The Forum's broad group of participants identified barriers, facilitators, and recommendations to improve the use of deliberative processes in Latin America to foster improved fairness and reasonableness in HTA and decision making.Fil: Alcaraz, Andrea. Institute For Clinical Effectiveness And Health Policy, Ciudad Autonoma de Buenos Aires; ArgentinaFil: Pichón-riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Alfie, Verónica. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Castro, Héctor. Management Sciences For Health; Estados UnidosCambridge University Press2022-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/218405Alcaraz, Andrea; Pichón-riviere, Andres; García Martí, Sebastián; Alfie, Verónica; Augustovski, Federico Ariel; et al.; Deliberative processes in decision making informed by health technology assessment in Latin America; Cambridge University Press; International Journal Of Technology Assessment In Health Care; 38; 1; 12-2022; 1-90266-4623CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.cambridge.org/core/journals/international-journal-of-technology-assessment-in-health-care/article/deliberative-processes-in-decision-making-informed-by-health-technology-assessment-in-latin-america/D916AC8CA4904028670273C67A15EB44info:eu-repo/semantics/altIdentifier/doi/10.1017/S0266462322003294info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T12:03:26Zoai:ri.conicet.gov.ar:11336/218405instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 12:03:27.225CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Deliberative processes in decision making informed by health technology assessment in Latin America
title Deliberative processes in decision making informed by health technology assessment in Latin America
spellingShingle Deliberative processes in decision making informed by health technology assessment in Latin America
Alcaraz, Andrea
DECISION MAKING
HEALTH RESOURCES
LATIN AMERICA
PATIENT PARTICIPATION
PRIORITY SETTING
STAKEHOLDER INVOLVEMENT
TECHNOLOGY ASSESSMENT
title_short Deliberative processes in decision making informed by health technology assessment in Latin America
title_full Deliberative processes in decision making informed by health technology assessment in Latin America
title_fullStr Deliberative processes in decision making informed by health technology assessment in Latin America
title_full_unstemmed Deliberative processes in decision making informed by health technology assessment in Latin America
title_sort Deliberative processes in decision making informed by health technology assessment in Latin America
dc.creator.none.fl_str_mv Alcaraz, Andrea
Pichón-riviere, Andres
García Martí, Sebastián
Alfie, Verónica
Augustovski, Federico Ariel
Castro, Héctor
author Alcaraz, Andrea
author_facet Alcaraz, Andrea
Pichón-riviere, Andres
García Martí, Sebastián
Alfie, Verónica
Augustovski, Federico Ariel
Castro, Héctor
author_role author
author2 Pichón-riviere, Andres
García Martí, Sebastián
Alfie, Verónica
Augustovski, Federico Ariel
Castro, Héctor
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv DECISION MAKING
HEALTH RESOURCES
LATIN AMERICA
PATIENT PARTICIPATION
PRIORITY SETTING
STAKEHOLDER INVOLVEMENT
TECHNOLOGY ASSESSMENT
topic DECISION MAKING
HEALTH RESOURCES
LATIN AMERICA
PATIENT PARTICIPATION
PRIORITY SETTING
STAKEHOLDER INVOLVEMENT
TECHNOLOGY ASSESSMENT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective The objective of Health Technology Assessment International's 6th Latin America Policy Form, held in 2021, was to explore the implementation of deliberative processes in the framework of health technology assessment (HTA) and how agencies in the region could involve stakeholders in this process. Methods This paper is based on a preparatory survey, a background document, and the deliberative work of participants at the virtual Forum conducted in 2021. There were ninety-one participants in the open session and fifty-two in the closed sessions, representing twelve countries and diverse areas of the health sector. Results While there are mechanisms in most countries in Latin America to consider stakeholder involvement to some degree, it remains reduced or limited to a consultative role, making true participative involvement rare. There are significant barriers and structural and contextual limitations that have impeded or slowed progress toward deliberative processes. Relatively low levels of institutionalization and knowledge about HTA, as well as the lack of trust among stakeholders are important challenges. This situation has impacted health systems by diminishing the legitimacy of decisions and the very structures and processes of HTA. Conclusion The Forum's broad group of participants identified barriers, facilitators, and recommendations to improve the use of deliberative processes in Latin America to foster improved fairness and reasonableness in HTA and decision making.
Fil: Alcaraz, Andrea. Institute For Clinical Effectiveness And Health Policy, Ciudad Autonoma de Buenos Aires; Argentina
Fil: Pichón-riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Alfie, Verónica. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Castro, Héctor. Management Sciences For Health; Estados Unidos
description Objective The objective of Health Technology Assessment International's 6th Latin America Policy Form, held in 2021, was to explore the implementation of deliberative processes in the framework of health technology assessment (HTA) and how agencies in the region could involve stakeholders in this process. Methods This paper is based on a preparatory survey, a background document, and the deliberative work of participants at the virtual Forum conducted in 2021. There were ninety-one participants in the open session and fifty-two in the closed sessions, representing twelve countries and diverse areas of the health sector. Results While there are mechanisms in most countries in Latin America to consider stakeholder involvement to some degree, it remains reduced or limited to a consultative role, making true participative involvement rare. There are significant barriers and structural and contextual limitations that have impeded or slowed progress toward deliberative processes. Relatively low levels of institutionalization and knowledge about HTA, as well as the lack of trust among stakeholders are important challenges. This situation has impacted health systems by diminishing the legitimacy of decisions and the very structures and processes of HTA. Conclusion The Forum's broad group of participants identified barriers, facilitators, and recommendations to improve the use of deliberative processes in Latin America to foster improved fairness and reasonableness in HTA and decision making.
publishDate 2022
dc.date.none.fl_str_mv 2022-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/218405
Alcaraz, Andrea; Pichón-riviere, Andres; García Martí, Sebastián; Alfie, Verónica; Augustovski, Federico Ariel; et al.; Deliberative processes in decision making informed by health technology assessment in Latin America; Cambridge University Press; International Journal Of Technology Assessment In Health Care; 38; 1; 12-2022; 1-9
0266-4623
CONICET Digital
CONICET
url http://hdl.handle.net/11336/218405
identifier_str_mv Alcaraz, Andrea; Pichón-riviere, Andres; García Martí, Sebastián; Alfie, Verónica; Augustovski, Federico Ariel; et al.; Deliberative processes in decision making informed by health technology assessment in Latin America; Cambridge University Press; International Journal Of Technology Assessment In Health Care; 38; 1; 12-2022; 1-9
0266-4623
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.cambridge.org/core/journals/international-journal-of-technology-assessment-in-health-care/article/deliberative-processes-in-decision-making-informed-by-health-technology-assessment-in-latin-america/D916AC8CA4904028670273C67A15EB44
info:eu-repo/semantics/altIdentifier/doi/10.1017/S0266462322003294
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.982451

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