Stakeholder Involvement in the Health Technology Assessment Process in Ukraine
Author(s)
Oresta Piniazhko, PhD1, Elina Dale, PhD2, Bianca Lay, MSc2, Lumbwe Chola, PhD3, Marharyta Khmelovska, MSc1, Yulia Malyshevska, MD1, Valeriia Serediuk, MSc1, Iryna Musiienko, MSc1.
1State Expert Centre of the Ministry of Health of Ukraine, Kyiv, Ukraine, 2Norwegian Institute of Public Health, Oslo, Norway, 3University of Oslo, Oslo, Norway.
1State Expert Centre of the Ministry of Health of Ukraine, Kyiv, Ukraine, 2Norwegian Institute of Public Health, Oslo, Norway, 3University of Oslo, Oslo, Norway.
OBJECTIVES: Stakeholder involvement promotes trust in the health technology assessment (HTA) process. This research, conducted by the HTA Department of the State Expert Centre of the Ministry of Health of Ukraine (SEC of MOH) in collaboration with the Norwegian Institute of Public Health, analysed stakeholder involvement in Ukraine’s HTA process and compared it with European best practices to pinpoint areas for enhancement.
METHODS: A mixed-methods approach was used, including 28 survey responses, consultations with HTA Committee members, a multi-stakeholder workshop in Norway, and online consultations with Ukrainian experts to assess stakeholder involvement in Ukraine’s HTA process. A literature review of stakeholder engagement in HTA across Europe, drawing on 22 full-text articles and 35 grey literature sources, identified stakeholder types, engagement methods, and involvement across HTA stages.
RESULTS: In Ukraine, patients contribute through an adapted version of the National Institute of Health and Care Excellence (NICE) patient questionnaire. Clinicians provide expertise on target populations, interventions, care pathways, and real-world health outcomes in response to letter requests from SEC’s HTA Department. The National Health Service of Ukraine (NHSU), as the sole purchaser of public health services, proposes assessment topics through the MOH for abbreviated HTAs. The MOH can also request assessments of specific medicines. The HTA Department publishes draft HTA conclusions on the official website, allowing stakeholders to submit comments, which are considered if well-justified. In countries such as England and Denmark, structured frameworks guide patient and clinician involvement across the HTA process, including formal roles in standing committees.
CONCLUSIONS: This study highlights the diverse roles stakeholders play in the HTA process, shaped by the health system's organisation. As Ukraine’s HTA system continues to develop, it could benefit from a more balanced and structured approach to stakeholder engagement, drawing on European best practices. Areas for enhancement include establishing feedback mechanisms for patients and formalising clinician involvement.
METHODS: A mixed-methods approach was used, including 28 survey responses, consultations with HTA Committee members, a multi-stakeholder workshop in Norway, and online consultations with Ukrainian experts to assess stakeholder involvement in Ukraine’s HTA process. A literature review of stakeholder engagement in HTA across Europe, drawing on 22 full-text articles and 35 grey literature sources, identified stakeholder types, engagement methods, and involvement across HTA stages.
RESULTS: In Ukraine, patients contribute through an adapted version of the National Institute of Health and Care Excellence (NICE) patient questionnaire. Clinicians provide expertise on target populations, interventions, care pathways, and real-world health outcomes in response to letter requests from SEC’s HTA Department. The National Health Service of Ukraine (NHSU), as the sole purchaser of public health services, proposes assessment topics through the MOH for abbreviated HTAs. The MOH can also request assessments of specific medicines. The HTA Department publishes draft HTA conclusions on the official website, allowing stakeholders to submit comments, which are considered if well-justified. In countries such as England and Denmark, structured frameworks guide patient and clinician involvement across the HTA process, including formal roles in standing committees.
CONCLUSIONS: This study highlights the diverse roles stakeholders play in the HTA process, shaped by the health system's organisation. As Ukraine’s HTA system continues to develop, it could benefit from a more balanced and structured approach to stakeholder engagement, drawing on European best practices. Areas for enhancement include establishing feedback mechanisms for patients and formalising clinician involvement.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
HTA301
Topic
Health Technology Assessment, Patient-Centered Research
Topic Subcategory
Systems & Structure, Value Frameworks & Dossier Format
Disease
No Additional Disease & Conditions/Specialized Treatment Areas