A5053697213- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Healthcare Systems and Reforms
- Global Public Health Policies and Epidemiology
- Pharmaceutical Economics and Policy
- Healthcare Policy and Management
- Ethics in Clinical Research
- Global Maternal and Child Health
- Health Policy Implementation Science
- HIV/AIDS Research and Interventions
- Mental Health and Patient Involvement
- Global Health Care Issues
- Biomedical Ethics and Regulation
- HIV/AIDS Impact and Responses
- HIV, Drug Use, Sexual Risk
- Leadership, Behavior, and Decision-Making Studies
- Behavioral Health and Interventions
- Delphi Technique in Research
- Decision-Making and Behavioral Economics
- Ethics in medical practice
- Patient-Provider Communication in Healthcare
- Family Business Performance and Succession
- Biotechnology and Related Fields
- Economic and Environmental Valuation
- Advancements in Transdermal Drug Delivery
Radboud University Nijmegen
2016-2024
Radboud University Medical Center
2016-2024
World Health Organization
2024
Radboud Institute for Molecular Life Sciences
2019
University Medical Center
2018
Wilfrid Laurier University
1992
Priority setting in health care has been long recognized as an intrinsically complex and value-laden process. Yet, technology assessment agencies (HTAs) presently employ value frameworks that are ill fitted to capture the range diversity of stakeholder values thereby risk compromising legitimacy their recommendations. We propose "evidence-informed deliberative processes" alternative framework with aim enhance this legitimacy. This integrates two increasingly popular complementary for...
The ever-growing HIV treatment programs in sub-Saharan Africa (SSA) present local policy makers with complex decision dilemmas, as international guidelines emphasize the need for expanded access to antiretroviral therapy (ART), yet funding has flatlined.• We argue that current evidence base prioritizing ART scale-up strategies results recommendations are theoretically optimal but practically infeasible implement.• Cost-effectiveness analyses (CEAs) of scaling up SSA should be made more...
Background: Evidence-informed deliberative processes (EDPs) were recently introduced to guide health technology assessment (HTA) agencies improve their towards more legitimate decision-making. The EDP framework provides guidance that covers the HTA process, ie, contextual factors, installation of an appraisal committee, selecting technologies and criteria, assessment, appraisal, communication appeal. aims this study identify level use EDPs by agencies, needs for guidance, learn about best...
SUMMARY In this study associations are sought between certain biographical, family, personality and career variables the likelihood that managers will develop their own business venture. Results, based on an analysis of questionnaires completed by 194 managers, reveal ownership a self or parents together with personal characteristics predispose towards founding. Contrary to expectations, job frustration does not incline proprietorship.
BackgroundSome studies in the Netherlands have gauged public views on principles for healthcare priority setting, but they fall short of comprehensively explaining disapproval several recent reimbursement decisions.ObjectiveTo obtain insight into citizens’ preferences and identify criteria would propose decisions pertaining to benefits package basic health insurance.MethodsTwenty-four Dutch citizens were selected participation a Citizen Forum, which involved 3 weekends. Deliberations took...
Countries around the world are increasingly rethinking design of their health benefit packages to achieve universal coverage (UHC). Health technology assessment (HTA) bodies support governments in these decisions, but employ value frameworks that do not sufficiently account for intrinsically complex and value-laden political reality package design.Several years ago, evidence-informed deliberative processes (EDPs) were developed address this issue. An EDP is a practical stepwise approach HTA...
Accountable decision-makers are required to legitimize their priority setting decisions in health members of society. In this perspective we stress the point that fair, legitimate processes should reflect efforts authorities treat all stakeholders as moral equals terms providing people with well-justified, reasonable reasons endorse decisions. We argue there is a special concern for being accountable those who potentially adversely affected by Health need operationalize requirement into real...
Abstract Background Countries around the world are increasingly rethinking design of their health benefit package to achieve universal coverage. can periodically revise packages on basis sectoral cost-effectiveness analyses, i.e. by evaluating a broad set services against ‘doing nothing’ scenario using budget constraint. Alternatively, they use incremental evaluate specific current practice threshold. In addition, countries may employ hybrid approaches which combines elements and analysis -...
Embedding health technology assessment (HTA) in a fair process has great potential to capture societal values relevant public reimbursement decisions on technologies. However, the development of such processes for priority setting largely been theoretical. In this paper, we provide further practical lead ways how these can be implemented. We first present misconception about relation between facts and that is since long misleading conduct HTA underlies current assessmentappraisal split. then...
A deliberative citizens panel was held to obtain insight into criteria considered relevant for healthcare priority setting in the Netherlands. Our aim examine whether and how participation influenced participants' views on this topic. Participants (n = 24) deliberated eight reimbursement cases September October, 2017. Using Q methodology, we identified three distinct viewpoints before (T0) after (T1) participation. At T0, viewpoint 1 emphasised that access is a right prioritisation should be...
Background: Pakistan developed its first national Essential Package of Health Services (EPHS) as a key step towards accelerating progress in achieving Universal Coverage (UHC). We describe the rationale, aims, systematic approach followed to EPHS development, methods adopted, outcomes process, challenges encountered, and lessons learned. Methods: design was led by Ministry National Services, Regulations & Coordination. The adopted were technically guided Disease Control Priorities 3...
Background: Countries designing a health benefit package (HBP) to support progress towards universal coverage (UHC) require robust cost-effectiveness evidence. This paper reports on Pakistan’s approach assessing the applicability of global evidence country context as part HBP design process. Methods: A seven-step process was developed and implemented with Disease Control Priority 3 (DCP3) project partners assess incremental ratios (ICER) Pakistan. First, scope interventions be assessed...
International guidelines recommend countries to expand antiretroviral therapy (ART) all HIV-infected individuals and establish local-level priorities in relation other treatment, prevention mitigation interventions through fair processes. However, no practical guidance is provided for such priority-setting Evidence-informed deliberative processes (EDPs) fill this gap combine stakeholder deliberation incorporate relevant social values with rational decision-making informed by evidence on...
Background: The Federal Ministry of National Health Services, Regulations and Coordination (MNHSR&C) in Pakistan has committed to progress towards Universal Coverage (UHC) by 2030 providing an essential package for health services (EPHS). Starting 2019, the Disease Control Priorities 3 (DCP3) evidence framework was used guide development Pakistan’s EPHS. In this paper, we describe methods results a rapid costing approach inform EPHS design process. Methods: A total 167 unit costs were...
: Microarray patches (MAPs) are innovative, needle-free vaccine delivery systems, suitable for administration by minimally trained health care workers or community workers. Their introduction may transform immunization programmes, particularly vaccines where high coverage is required population immunity, such as measles, and challenging, in low- middle-income countries. Recognizing the need to understand how best tailor these products reflect country priorities, workshops on measles rubella...
Background: The Disease Control Priorities 3 (DCP3) project provides long-term support to Pakistan in the development and implementation of its universal health coverage essential package services (UHC-EPHS). This paper reports on priority setting process used design EPHS during period 2019-2020, employing framework evidence-informed deliberative processes (EDPs), a tool for with explicit aim optimising legitimacy decision-making benefit packages. Methods: We planned six steps two workshops...