Organizational Formation for Priority Setting: Historical Perspectives and Thematic Analysis of India’s Health Technology Assessment Agency

Autor: Victoria Y. Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T. Sundararaman, Soumya Swaminathan
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Health Systems & Reform, Vol 9, Iss 3 (2023)
Druh dokumentu: article
ISSN: 23288604
2328-8620
2328-8604
DOI: 10.1080/23288604.2024.2327414
Popis: Countries pursuing universal health coverage must set priorities to determine which benefits to add to a national health program, but the roles that organizations play are less understood. This article investigates the case of the formation of an organization with a mandate for choice of technology for public health interventions and priorities, the Health Technology Assessment India. First, we narrate a chronology of agenda setting and adoption of national policy for organizational formation drawing on historical documentation, publicly available literature, and lived experiences from coauthors. Next, we conduct a thematic analysis that examines windows of opportunity, enabling factors, barriers and conditions, roles of stakeholders, messaging and framing, and specific administrative and bureaucratic tools that facilitated organization formation. This case study shows that organizational formation relied on the identification of multiple champions with sufficient seniority and political authority across a wide group of organizations, forming a coalition of broad base support, who were keen to advance health technology assessment policy development and organizational placement or formation. The champions in turn could use their roles for policy decisions that used private and public events to raise priority and commitment to the decisions, carefully considered organizational placement and formation, and developed the network of organizations for the generation of technical evidence and capacity building for health technology assessment, strengthened by international networks and organizations with financing, expertise, and policymaker relationships.
Databáze: Directory of Open Access Journals
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