Use of Evidence-Informed Deliberative Processes – Learning by Doing; Comment on “Use of Evidence-informed Deliberative Processes by Health Technology Assessment Agencies Around the Globe”

Document Type : Commentary


Centre for Health Economics and Department of Economics & Related Studies, University of York, York, UK


The article by Oortwijn, Jansen, and Baltussen (OJB) is much more important than it appears because, in the absence of any good general theory of “evidence-informed deliberative processes” (EDP) and limited evidence of how they might be shaped and work in institutionalising health technology assessment (HTA), the best approach seems to be to accumulate the experience of a variety of countries, preferably systematically, from which some general principles might subsequently be inferred. This comment reinforces their arguments and provides a further example.


Main Subjects

  1. Oortwijn W, Jansen M, Baltussen R. Use of evidence-informed deliberative processes by health technology assessment agencies around the globe. Int J Health Policy Manag. 2020; In Press.  doi:10.15171/ijhpm.2019.72
  2. Culyer, AJ, Podhisita C, Santatiwongchai B, A Star in the East: A Short History of HITAP. Bangkok: Amarin; 2016:17.
  3. Culyer AJ, Lomas J. Deliberative processes and evidence-informed decision making in healthcare: do they work and how might we know? Evid Policy. 2006;2:357-371.
  4. Elster J. Deliberative Democracy. Cambridge University Press; 1998.
  5. Culyer AJ. NICE's use of cost-effectiveness as an exemplar of a deliberative process. Health Econ Policy Law. 2006;1(Pt 3):299-318. doi:10.1017/S1744133106004026
  6. Dobrow MJ, Chafe R, Burchett HED, Culyer AJ, Lemieux-Charles L. Designing Deliberative Methods for Combining Heterogeneous Evidence: A Systematic Review and Qualitative Scan. A Report to the Canadian Health Services Research Foundation. Ottawa: Canadian Health Services Research Foundation; 2009.
  7. Culyer AJ. Involving stakeholders in healthcare decisions – the experience of the National Institute for Health and Clinical Excellence (NICE) in England and Wales. Healthc Q. 2005;8:56-60. doi:10.12927/hcq..17155
  8. National Institute for Clinical Excellence (NICE). Guide to the Methods of Technology Appraisal. London: NICE; 2004.
Volume 9, Issue 6
June 2020
Pages 263-265
  • Receive Date: 09 October 2019
  • Revise Date: 09 November 2019
  • Accept Date: 09 November 2019
  • First Publish Date: 01 June 2020