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The Use of HTA to Support Universal Health Coverage

This course provides practical and stepwise guidance on the use of evidence-informed deliberative processes in HTA to design a country’s health benefit package. You will learn how this approach promotes legitimate decision-making on the path to universal health coverage.

Countries around the world need to make choices on how they progress towards universal health coverage (UHC), including choices on the content of the package. Health Technology Assessment (HTA) is an important approach to support countries in making these choices. It is a multidisciplinary process that uses explicit methods to determine the value of a health technology at different points in its lifecycle. The purpose is to inform decision-making in order to promote an equitable, efficient, and high-quality health system.  This course provides guidance on how to design the necessary HTA processes informed by the theory of evidence-informed deliberative processes (EDPs), international best practices and practical examples from low and middle income countries

EDPs are based on rational decision-making through evidence-informed evaluation of identified relevant values (reflected as criteria used in multi-criteria decision analyses) as well as fair decision-making (as reflected in the accountability for reasonableness approach – A4R). The underlying premise is that involvement of relevant stakeholders to identify, reflect, and learn about the meaning and importance of relevant values and questions, and an evidence-informed evaluation of the identified values can contribute to the legitimacy of recommendations and/or decisions, e.g. by improving the quality, consistency and transparency of the HTA process.

The course is highly interactive and includes a visit to the Dutch National Health Care Institute on their HTA processes. Participants who attend this course will gain a better understanding of the application of EDPs in their own context, and how these processes can be used to promote legitimate decision-making on the path to universal health coverage.

Course Leader

Rob Baltussen
Professor Global health economics
Radboud University Medical Centre, Health Evidence

Learning Outcomes

After this course you are able to:

  1. Understand the concepts of HTA, UHC and evidence-informed deliberative processes
  2. Understand best practices of HTA for benefit package design
  3. Apply the concept of HTA and EDPs in your own context

Level of participant

  • Master
  • PhD
  • Post-doc
  • Professional

The course is designed for

Policy makers at Ministries of Health or other governmental institutes; representatives of HTA organisations; researchers and students who work in HTA; industry representatives.

Admission Requirements

Basic understanding of HTA, cost-effectiveness analysis and/or priority setting. Interest in global health.

Admission Documents

  • Motivation letter
  • CV

Date

5 – 9 July 2021

Application Deadline

1 May 2021

Discount

15% course fee discount:

  • for students from our partner universities
  • for students and alumni from Radboud University
  • for alumni of Radboud Summer School

Mode of study

This course will be offered online. Study from the comfort of your own home, and meet participants from all over the world, expanding your international network with no additional costs for hotels or flights. The course will consist of a combination of interactive live sessions, challenging discussions with other participants, group work and individual study. More information about our online summer school.

ECTS credits

2 (workload 56 hours)

Certificate

You will be awarded a certificate of attendance for actively participating and successfully completing all assignments. The certificate will state the amount of ECTS credits earned.

Study load

• Pre-course assignments/reading 13 hours
• Class attendance 15 hours
• Self-study 12 hours
Total 40 hours

Assessment

The student will develop a short report of 1500 words on the application of EDPs in his or her own context and present this on the final day. The student will be graded on the basis of both the report and the presentation. There will be no separate exam.

Brightspace

During Radboud Summer School, you will have access to our online learning environment Brightspace. One month before the summer course starts you will receive more information about Brightspace and how to access it. In your online course you will find the schedule and course related documents and or reading materials.

Literature

Pre-course literature: Oortwijn W, Jansen M, Baltussen R. Evidence-informed deliberative processes. Step-by-step practical guide for HTA agencies to enhance legitimate decision-making. Nijmegen, the Netherlands: Available at https://www.radboudumc.nl/global-health-priorities;2019.

Obligatory reading: To add
Recommended reading: To add

Preliminary day-to-day programme

Day 1: Introducing HTA, universal health coverage, and the use of evidence-informed-deliberative processes

• Introduction on HTA
• Introduction on benefit package design and universal health coverage
• Introduction on the steps of EDPs, including best practices of HTA organizations using EDPs around the world (total 3 hours class)
• Self study – assignment (3 hours)

Day 2: The use of evidence-informed-deliberative processes in practice, part I

• Reflection on self study assignment
• Description of EDP steps A -C (Context; Installation of advisory committee; Selection of decision criteria) of the EDP process
• Practical application in Iran and Pakistan, with remote input from our collaborators there
• Small group discussions
• Reporting back / discussion (total 3 hours class)
• Self study – assignment (3 hours)

Day 3: The use of evidence-informed-deliberative processes in practice, part II

• Reflection on self study assignment
• Description of EDP steps D-F (Scoping; Assessment; Apprisal; Communication and appeal; Monitoring and Evaluation)
• practical application in Kazakhstan, with remote input from our collaborators there
• Small group discussions
• Reporting back / discussion (total 3 hours class)
• Self study – assignment (3 hours)

Day 4: Application of EDP to participant context – self study

• Reflection on self study assignment
• Development of short report of 1500 words on the application of EDPs in the context of the participant (Self study – assignment (3 hours)
• Time for Q&A (1 hour class)

Day 5: Presentation of reports and consolidation

• Presentation of report
• Consolidation (total 3 hours class)

Testimonial summer school participant

“The organization team, support activities and of course lectures were amazing. It doesn’t matter if you choose a course within your research or focus area (which I did), but summer school for me is a good way to expand your perspective and learn from other areas (which I would do another year).”

Lucie, 2019