Patient Preference and Adherence (May 2024)

Stakeholders’ Involvement in Health Technology Assessment in Kazakhstan, Poland and Bulgaria

  • Kulembekova L,
  • Hailey D,
  • Kulzhanov M,
  • Tabarov A,
  • Georgiev S,
  • Jaworzynska M,
  • Yanakieva AY,
  • Kosherbayeva L

Journal volume & issue
Vol. Volume 18
pp. 1009 – 1015

Abstract

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Lyazzat Kulembekova,1 David Hailey,2 Maksut Kulzhanov,1 Adlet Tabarov,3 Svetlin Georgiev,4 Magdalena Jaworzynska,5 Antoniya Yordanova Yanakieva,4 Lyazzat Kosherbayeva1,6 1Health Policy and Management Department, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan; 2School of Information Sciences and Computer Technology, University of Wollongong, Wollongong, Australia; 3Deputy Director of the National Center for Health Development, Ministry of Health, Astana, Kazakhstan; 4Department HTA, Faculty of Public Health “prof. Tzecomir Vodenitcharov, MD, PhD, Dsc”, Medical University, Sofia, Bulgaria; 5Faculty of Economics, Maria Curie-Sklodowska University, Lublin, Poland; 6Department of Health Policy and Organization, Al-Farabi Kazakh National University, Almaty, KazakhstanCorrespondence: Lyazzat Kosherbayeva, Asfendiyarov Kazakh National Medical University, 88 Tole Bi Street, Almaty, Kazakhstan, Email [email protected]; [email protected]: In recent years, involvement of healthcare stakeholders in health technology assessment (HTA) has been discussed as helping the inclusion of social values in the decision-making process. The aim of our research was to identify and compare details from Kazakhstan, Poland and Bulgaria on their stakeholders’ involvement in the HTA process. Information was sought on their identification, responsibilities, and regulation.Methods: We conducted a survey of seven types of stakeholders in the healthcare systems of Kazakhstan, Poland, and Bulgaria. They included patients and the public, providers, purchasers, payers, policy makers, product makers, and principal investigators. They were questioned on their involvement in the HTA process, and on the objectives of their participation.Results: Levels of involvement of different kinds of stakeholder varied between countries, reflecting political and administrative developments. There was full or partial agreement on the objectives of stakeholder participation. All respondents agreed that representatives of the ministry of health should be involved in selection of stakeholders for HTA.Conclusion: Progress has been made in the involvement of stakeholders, with interest in further development in all three countries.Keywords: health priorities, health policy, stakeholder involvement, Universal health coverage, health technology assessment

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