What factors determine the choice of public engagement undertaken by health technology assessment decision-making organizations?

Sally Wortley, Jackie M. Street, Wendy Lipworth, Kirsten Howard

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose Public engagement in health technology assessment (HTA) is increasingly considered crucial for good decision making. Determining the "right" type of engagement activity is key in achieving the appropriate consideration of public values. Little is known about the factors that determine how HTA organizations (HTAOs) decide on their method of public engagement, and there are a number of possible factors that might shape these decisions. The purpose of this paper is to understand the potential drivers of public engagement from an organizational perspective. Design/methodology/approach The published HTA literature is reviewed alongside existing frameworks of public engagement in order to elucidate key factors influencing the choice of public engagement process undertaken by HTAOs. A conceptual framework is then developed to illustrate the factors identified from the literature that appear to influence public engagement choice. Findings Determining the type of public engagement undertaken in HTA is based on multiple factors, some of which are not always explicitly acknowledged. These factors included the: perceived complexity of the policy-making issue, perceived impact of the decision, transparency and opportunities for public involvement in governance, as well as time and resource constraints. The influences of these factors vary depending on the context, indicating that a one size fits all approach to public engagement may not be effective. Originality/value Awareness of the various factors that might influence the type of public engagement undertaken would enable decision makers to reflect on their choices and be more accountable and transparent about their choice of engagement process in eliciting public values and preferences in a HTAO.

LanguageEnglish
Pages872-890
Number of pages19
JournalJournal of Health, Organisation and Management
Volume30
Issue number6
DOIs
Publication statusPublished - 19 Sep 2016
Externally publishedYes

Fingerprint

Biomedical Technology Assessment
Decision Making
Organizations
Policy Making
Decision making
Health technology assessment
Public engagement
Factors

Keywords

  • Decision making
  • Health care
  • Consumers
  • Public engagement
  • Health technology assessment

Cite this

Wortley, Sally ; Street, Jackie M. ; Lipworth, Wendy ; Howard, Kirsten. / What factors determine the choice of public engagement undertaken by health technology assessment decision-making organizations?. In: Journal of Health, Organisation and Management. 2016 ; Vol. 30, No. 6. pp. 872-890.
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What factors determine the choice of public engagement undertaken by health technology assessment decision-making organizations? / Wortley, Sally; Street, Jackie M.; Lipworth, Wendy; Howard, Kirsten.

In: Journal of Health, Organisation and Management, Vol. 30, No. 6, 19.09.2016, p. 872-890.

Research output: Contribution to journalArticleResearchpeer-review

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