The contribution of French patient and consumer groups to health technology assessments over a 2-year period: an observational retrospective study

Cedric Gesbert, Joëlle André-Vert, Marc Guerrier, Margaret Galbraith, Christine Devaud, Jean-Claude Dupont and Marie-France Mamzer
Additional contact information
Cedric Gesbert: UPCité - Université Paris Cité
Joëlle André-Vert: HAS - Haute Autorité de Santé [Saint-Denis La Plaine]
Marc Guerrier: HAS - Haute Autorité de Santé [Saint-Denis La Plaine]
Margaret Galbraith: HAS - Haute Autorité de Santé [Saint-Denis La Plaine]
Christine Devaud: HAS - Haute Autorité de Santé [Saint-Denis La Plaine]
Jean-Claude Dupont: Hospinomics - PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, SU - Sorbonne Université
Marie-France Mamzer: SU - Sorbonne Université, Hôpital Necker - Enfants Malades [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP)

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Abstract: Background In 2017, The French National Authority for Health (HAS) created an open, online, systematic contribution process to enable patient and consumer groups (PCGs) to contribute to health technology assessment (HTA) carried out to aid public authorities in reimbursement and pricing decision making. Objectives This retrospective study analyzes how French PCGs contributed to the HTA process within the HAS for the first 2 years of this new mechanism. Methods PCG contributions received between 01 January 2017 and 31 December 2018 and the recording of deliberations leading to reports of the corresponding HTAs were included. Analysis grids were designed by the investigators with 5 rounds of refinement tests on 10 random PCG contributions and the reports. Systematic data extraction was then performed separately by two investigators. PCG answers to the open-question templates and the related final HTA report published by the HAS were analyzed. Results Seventy-nine contributions from 44 PCGs were received and analyzed by the HAS for 78 out of the 592 HTAs performed for drugs or medical devices during the 2-year period. Twenty-five percent of the HTAs performed for drugs received at least one contribution. The contributions covered quality-of-life aspects, access to care, and personal and family impact. Membership and budget of the contributing PCGs varied greatly. Conclusions The experience gained in the first 2 years demonstrates the feasibility of the process and the fact that PCG contribution actually provides relevant input on the patient perspective for HTAs used for reimbursement decisions. The challenges identified on the side of PCGs were time constraints and human resources.

Date: 2021
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Published in International Journal of Technology Assessment in Health Care, 2021, 37 (1), ⟨10.1017/S0266462321000180⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04465312

DOI: 10.1017/S0266462321000180

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