The Use of Evidence-Informed Deliberative Processes for Health Benefit Package Design in Kazakhstan

Oortwijn W. Surgey G. Novakovic T. Baltussen R. Kosherbayeva L.
September 2022 MDPI

International Journal of Environmental Research and Public Health
2022 #19 Issue 18

Kazakhstan strives to obtain Universal Health Coverage (UHC) by using health technology assessment (HTA) for determining their health benefit package. This paper reports on employing evidence-informed deliberative processes (EDPs), a practical and stepwise approach to enhance legitimate health benefit package design in Kazakhstan. Methods: The Ministry of Health of Kazakhstan approved the operationalization and application of EDPs during March 2019 and December 2020. We used a combination of desk research, conducting HTA, online surveys as well as a face-to-face workshop in Nur-Sultan, Kazakhstan, and two online workshops to prioritize 25 selected health technologies. During the latter, we tested two alternative approaches to prioritization: quantitative multicriteria decision analysis (MCDA) and the use of decision rules. Results: For each of the HTA reports, evidence summaries were developed according to the decision criteria (safety, social priority disease, severity of disease, effectiveness, cost-effectiveness, level of evidence, financial risk protection and budget impact). When appraising the evidence, the advisory committee preferred using quantitative MCDA, and only when this would result in any controversy could decision rules be applied. Conclusions: Despite several challenges, including a partial disruption because of the COVID-19 pandemic, implementation of the process will likely play a key role in determining an evidence-informed and transparent health benefit package.

evidence-informed deliberative process , health benefit package design , Kazakhstan

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Department for Health Evidence, Radboud University Medical Centre, Nijmegen, 6525 GA, Netherlands
ZEM Solutions, Belgrade, 11010, Serbia
Department of Health Politics and Management, School of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, 050000, Kazakhstan

Department for Health Evidence
ZEM Solutions
Department of Health Politics and Management

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