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CHAPTER 3

                                    STAKEHOLDER’S ENGAGEMENT POLICY


                 3.  INTRODUCTION

                      The quality, usefulness and legitimacy of HTA can be improved by  open and

                 consultative  processes.  The  interested  parties  affected  by  a  recommendation  for  a

                 health  intervention  are  called  the  stakeholders.  Stakeholders  are  individuals,

                 organizations or communities that are directly affected or, have a direct interest in the
                 process and/or outcomes of a health technology assessment. Stakeholders in the HTA

                 process could be:


                    The User Department (e.g. RSBY or NPPA, NHM)

                    Central Government and/or State Government Public health authorities

                    Policy makers

                    Healthcare organizations (e.g. Indian Medical Association)

                    Insurance Providers

                    Regulatory agencies

                    Industrial  associations  (e.g.  manufacturers,  suppliers,  wholesalers,  distributors

                      and retailers)

                    Patients (patient organization, disease specific society or organization)

                    Academics or Methodological experts

                    Researchers

                    Social groups (NGOs, Advocacy groups, Ethical groups etc.)


                      Stakeholders are distinct from the common public as they are impacted by the the
                 process and/ or recommendations of an HTA. The impact can be on patient outcomes,

                 service provision, income, or out of pocket expenditure. Therefore, their participation

                 in HTA is both rational and likely to contribute to the quality and legitimacy of the

                 process and outcomes. Stakeholders may provide valuable inputs on different aspects

                 of HTA (epidemiology, grey literature, therapy, clinical efficacy and effectiveness, cost
                 and budget impact) at different stages of the HTA.







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