Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR
The evolving landscape of Health Technology Assessment (HTA) in Europe, shaped by the implementation of the new EU HTA Regulation (HTAR), places an emphasis on engaging all stakeholders, including patients, in collaborative evidence generation. Yet integrating patients’ perspectives into critical pr...
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| Format: | Article |
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MDPI AG
2025-06-01
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| Series: | Journal of Market Access & Health Policy |
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| Online Access: | https://www.mdpi.com/2001-6689/13/2/27 |
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| author | Emanuele Arcà Adele Barlassina Adaeze Eze Valentina Strammiello |
| author_facet | Emanuele Arcà Adele Barlassina Adaeze Eze Valentina Strammiello |
| author_sort | Emanuele Arcà |
| collection | DOAJ |
| description | The evolving landscape of Health Technology Assessment (HTA) in Europe, shaped by the implementation of the new EU HTA Regulation (HTAR), places an emphasis on engaging all stakeholders, including patients, in collaborative evidence generation. Yet integrating patients’ perspectives into critical processes like PICO scoping remains a challenge, with concerns around subjectivity, representativeness, and methodological robustness. This opinion paper examines the complexities of patient engagement in HTA, highlighting both the opportunities for patients to make meaningful contributions and the barriers that stand in the way. We propose a framework that employes the Delphi panel methodology to (1) foster scientific validity and increase transparency in patient contributions, (2) establish a structured and consistent patient engagement framework, and (3) and understand European patients’ perspectives while promoting collaboration among EU countries. By facilitating iterative feedback and fostering agreement among diverse groups of patients and caregivers contributing with their expertise, consensus methods like Delphi panels can help refine PICO criteria, align diverse stakeholders’ expectations, and increase the relevance of HTA outcomes. A study is now underway to evaluate the feasibility and value of using the modified Delphi panel methodology for patient engagement in PICO scoping. The authors propose that embracing patient engagement through carefully designed consensus frameworks could enhance the legitimacy and completeness of HTA processes, driving more patient-centered decision making across Europe. |
| format | Article |
| id | doaj-art-d2ec0a59bbf2463e9c277b03ad3e7b75 |
| institution | OA Journals |
| issn | 2001-6689 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Market Access & Health Policy |
| spelling | doaj-art-d2ec0a59bbf2463e9c277b03ad3e7b752025-08-20T02:21:07ZengMDPI AGJournal of Market Access & Health Policy2001-66892025-06-011322710.3390/jmahp13020027Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAREmanuele Arcà0Adele Barlassina1Adaeze Eze2Valentina Strammiello3OPEN Health, Marten Meesweg 107, 3068 AV Rotterdam, The NetherlandsOPEN Health, Marten Meesweg 107, 3068 AV Rotterdam, The NetherlandsOPEN Health, Marten Meesweg 107, 3068 AV Rotterdam, The NetherlandsEuropean Patients’ Forum, Chaussée d’Etterbeek 180, 1040 Brussels, BelgiumThe evolving landscape of Health Technology Assessment (HTA) in Europe, shaped by the implementation of the new EU HTA Regulation (HTAR), places an emphasis on engaging all stakeholders, including patients, in collaborative evidence generation. Yet integrating patients’ perspectives into critical processes like PICO scoping remains a challenge, with concerns around subjectivity, representativeness, and methodological robustness. This opinion paper examines the complexities of patient engagement in HTA, highlighting both the opportunities for patients to make meaningful contributions and the barriers that stand in the way. We propose a framework that employes the Delphi panel methodology to (1) foster scientific validity and increase transparency in patient contributions, (2) establish a structured and consistent patient engagement framework, and (3) and understand European patients’ perspectives while promoting collaboration among EU countries. By facilitating iterative feedback and fostering agreement among diverse groups of patients and caregivers contributing with their expertise, consensus methods like Delphi panels can help refine PICO criteria, align diverse stakeholders’ expectations, and increase the relevance of HTA outcomes. A study is now underway to evaluate the feasibility and value of using the modified Delphi panel methodology for patient engagement in PICO scoping. The authors propose that embracing patient engagement through carefully designed consensus frameworks could enhance the legitimacy and completeness of HTA processes, driving more patient-centered decision making across Europe.https://www.mdpi.com/2001-6689/13/2/27patient engagementEU HTA RegulationPICO scopingconsensus researchDelphi panelsHealth Technology Assessment |
| spellingShingle | Emanuele Arcà Adele Barlassina Adaeze Eze Valentina Strammiello Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR Journal of Market Access & Health Policy patient engagement EU HTA Regulation PICO scoping consensus research Delphi panels Health Technology Assessment |
| title | Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR |
| title_full | Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR |
| title_fullStr | Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR |
| title_full_unstemmed | Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR |
| title_short | Enhancing Patient Engagement in HTA: Using Consensus Research to Overcome PICO Scoping Challenges Under the EU HTAR |
| title_sort | enhancing patient engagement in hta using consensus research to overcome pico scoping challenges under the eu htar |
| topic | patient engagement EU HTA Regulation PICO scoping consensus research Delphi panels Health Technology Assessment |
| url | https://www.mdpi.com/2001-6689/13/2/27 |
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