Systematic review for the development of a pharmaceutical and medical products prioritization framework.

ABSTRACT

OBJECTIVE: To identify and analyze the criteria, approaches, and conceptual frameworks, used for national/international priority setting. DATA SOURCES We performed a search of the main biomedical databases (Medline/PubMed, Embase, Centre for Reviews and Dissemination, and Cochrane), and we reviewed assessment agency websites, among other sources. STUDY DESIGN: An systematic review of the literature was carried out. DATA COLLECTION Eligibility criteria for inclusion were based on set of predefined criteria. Systematic reviews and/or qualitative studies (interviews, surveys, expert consensus, etc) that aimed to identify prioritization criteria or develop general operational frameworks for the selection of health priorities were included. A critical analysis is made of all the aspects that may be useful for any public body that intends to establish priorities in health. PRINCIPAL FINDINGS: We found that there are no standardized criteria for priority setting, although common trends have been identified regarding key elements. Eight key domains were identified 1) need for intervention; 2) health outcomes; 3) type of benefit of the intervention; 4) economic consequences; 5) existing knowledge on the intervention/quality and uncertainties of the regarding evidence; 6) implementation and complexity of the intervention/feasibility; 7) justice and ethics; and 8) overall context. CONCLUSIONS: Our review provides a thorough analysis of the relevant issues and offers key recommendations regarding considerations for developing a national prioritization framework. Findings are envisioned to be useful for different public organizations that are aiming to establish healthcare priorities.