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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/218405
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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 Técnicas2025-09-29T10:31:02Zoai: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:34982025-09-29 10:31:02.777CONICET 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/ |
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openAccess |
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https://creativecommons.org/licenses/by/2.5/ar/ |
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application/pdf application/pdf application/pdf application/pdf |
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Cambridge University Press |
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Cambridge University Press |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
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dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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