Fundación Canaria de Investigación Sanitaria (S/C Tenerife), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (Galdakao), Servicio de Evaluación y Planificación, Dirección del Servicio Canario de la Salud, Camino Candelaria s/n. C.S. El Chorrillo, 38109, El Rosario, S/C Tenerife, Spain.
Unidad de Asesoramiento Científico-técnico, Avalia-t, Axencia de Coñecemento en Saúde (ACIS), Servizo Galego de Saúde, Santiago de Compostela (La Coruña), Spain.
Int J Technol Assess Health Care. 2020 Sep 11;37:e25. doi: 10.1017/S0266462320000586.
The Spanish Network of Agencies for Assessing National Health System Technologies and Performance (RedETS) defined a patient involvement (PI) framework for health technology assessment (HTA) activities in 2016. The aim of this study is to evaluate the process and impact of those PI initiatives that were implemented in the first year following the publication of this new framework.
A survey was sent to those HTA researchers who implemented PI in RedETS projects. Responses were reviewed by two authors. An adapted thematic analysis was performed and the results were later discussed by all authors.
Six responses from six agencies/units were analyzed. The objectives of PI initiatives were the following: inclusion of patient perspectives, preferences and values; elicitation of important health outcomes measures; and barriers, facilitators, or suggestions for implementation. Different methods were used for PI: surveys, focus groups, in depth interviews, and participation in an expert panel. Five main themes emerged: (i) challenges with the recruitment process, (ii) needs identified, (iii) impact of PI, (iv) lessons learned, and (v) suggestions for the future.
PI initiatives within the RedETS framework were tailored to each HTA project, its specific goals and the individual needs and resources of each HTA agency. The results also pointed out how PI has a relevant impact that has enriched RedETS products providing key information on experiences, values, and preferences of patients, contributions that benefit the HTA and the process of drawing up recommendations. The main challenges were related to recruitment processes and capacity building.
西班牙国家卫生系统技术和绩效评估机构网络（RedETS）于 2016 年为健康技术评估（HTA）活动定义了患者参与（PI）框架。本研究旨在评估在发布该新框架后的第一年中实施的那些 PI 计划的过程和影响。
向在 RedETS 项目中实施 PI 的 HTA 研究人员发送了一份调查问卷。由两位作者对答复进行了审查。进行了适应性主题分析，然后由所有作者讨论结果。
对来自六个机构/单位的六份答复进行了分析。PI 计划的目标如下：纳入患者的观点、偏好和价值观；确定重要的健康结果衡量标准；以及实施的障碍、促进因素或建议。采用了不同的方法进行 PI：调查、焦点小组、深入访谈和参与专家小组。出现了五个主要主题：（i）参与过程中的挑战，（ii）确定的需求，（iii）PI 的影响，（iv）经验教训，以及（v）未来的建议。
RedETS 框架内的 PI 计划针对每个 HTA 项目、其特定目标以及每个 HTA 机构的个人需求和资源进行了定制。结果还指出了 PI 如何产生相关影响，丰富了 RedETS 产品，提供了患者的经验、价值观和偏好的关键信息，这些贡献有益于 HTA 和制定建议的过程。主要挑战与招聘流程和能力建设有关。
