Systematic Literature Review on the Implicit Factors Influencing the HTA Decision-Making Process in Europe
Author(s)
Monleón Bonet C1, Toumi M2, Spath HM3, Crespo C4
1TAKEDA, LYON, 69, France, 2Aix-Marseille University, Marseille, France, 3UNIVERSITE DE LYON, LYON, France, 4Axentiva Solutions SL, Barcelona, B, Spain
OBJECTIVES : Deliberative processes in Health Technologies Assessment (HTA) result in recommendations for the reimbursement of medicines, diagnostics or devices. These decision-making processes are determined by explicit criteria like efficacy, safety and cost of these technologies but also influenced by implicit factors related to psychology, culture and behavior of the decision-makers. The objection of this review is to analyze from a general perspective the studies in the literature assessing implicit factors present in the deliberative decision-making process in the EU5 countries (France, Germany, Italy, Spain and the United Kingdom). METHODS : We conducted a systematic literature review and developed a search strategy to identify the implicit factors influencing the HTA deliberative processes in France, Germany, Italy, Spain and the United Kingdom. The search was performed in Pubmed, The Cochrane Database of Systematic Reviews, Google Scholar and Center for Reviews and Dissemination. ISPOR repository was hand searched and the time-frame for all searches was 2009-2019. RESULTS : 1,094 references were retrieved from the search strategy (Pubmed: 944, Google Scholar:45, Cochrane: 5 and CRD: 10; Value in Health: 90). 429 references were removed due to duplication, title and abstract of 665 references were screened and 113 references were selected for full text assessment (Pubmed: 98; Google Scholar:12; Cochrane: 0; CRD: 1; grey literature: 3). In the end, 9 articles were selected for data extraction and analysis. 6 out of 9 articles recognized the influence of implicit factors in the HTA deliberative process. These are personality, psychology, gender, education, culture, socioeconomic status and previous experiences. CONCLUSIONS : There is a general paucity of data and research in the area of implicit factors among HTA decision-making process. Further research needs to be done to better understand from a healthcare decision-making perspective the implicit factors that may play a role in this deliberative process.
Conference/Value in Health Info
2020-11, ISPOR Europe 2020, Milan, Italy
Value in Health, Volume 23, Issue S2 (December 2020)
Code
PNS151
Topic
Health Policy & Regulatory, Health Technology Assessment
Topic Subcategory
Decision & Deliberative Processes, Reimbursement & Access Policy
Disease
No Specific Disease