کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6239682 1279005 2014 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Transparency in Canadian public drug advisory committees
ترجمه فارسی عنوان
شفافیت در کمیته های مشاوره عمومی کانادا
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی


- Most committees have some mechanisms to address transparency.
- None of the committees had a fully transparent process.
- Some steps to increase transparency can be implemented rapidly.
- Increased transparency will lead to better decisions.

BackgroundTransparency in health care resource allocation decisions is a criterion of a fair process. We used qualitative methods to explore transparency across 11 Canadian drug advisory committees.MethodsWe developed seven criteria to assess transparency (disclosure of members' names, disclosure of membership selection criteria, disclosure of conflict of interest guidelines and members' conflicts, public posting of decisions not to fund drugs, public posting of rationales for decisions, stakeholder input, and presence of an appeals mechanism) and two sub-criteria for when rationales were posted (direct website link and readability). We interviewed a purposeful sample of key informants who were conversant in English and a current or past member of either a committee or a stakeholder group. We analyzed data using a thematic approach. Interviewing continued until saturation was reached.ResultsWe examined documents from 10 committees and conducted 27 interviews. The median number of criteria addressed by committees was 2 (range 0-6). Major interview themes included addressing: (1) accessibility issues, including stakeholders' degree of access to the decision making process and appeal mechanisms; (2) communication issues, including improving internal and external communication and public access to information; and (3) confidentiality issues, including the use of proprietary evidence.ConclusionMost committees have some mechanisms to address transparency but none had a fully transparent process. The most important ways to improve transparency include creating formal appeal mechanisms, improving communication, and establishing consistent rules about the use of, and public access to, proprietary evidence.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 118, Issue 2, November 2014, Pages 255-263
نویسندگان
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