Sustaining Meaningful Patient Engagement Across the Lifecycle of Medicines: A Roadmap for Action.

Call to action Medicines development Patient engagement Roadmap Sustainability

Journal

Therapeutic innovation & regulatory science
ISSN: 2168-4804
Titre abrégé: Ther Innov Regul Sci
Pays: Switzerland
ID NLM: 101597411

Informations de publication

Date de publication:
09 2021
Historique:
received: 09 12 2020
accepted: 17 03 2021
pubmed: 11 5 2021
medline: 11 8 2021
entrez: 10 5 2021
Statut: ppublish

Résumé

There is increased recognition that incorporating patients' perspectives and insights into the medicines development process results in better health outcomes and benefits for all involved stakeholders. Despite the increased interest and the existence of frameworks and practical recommendations, patient engagement (PE) is not yet considered standard practice. The objective of this work was to provide a roadmap to support systematic change in all stakeholder organisations involved in medicines development across Europe, patients and patient organisations, medicines developers, academia, regulatory authorities, Health Technology Assessment bodies, payers, policy-makers and public research funders, to sustain PE practices. A mixed-methods approach was used by the EU-funded Innovative Medicines Initiative PARADIGM Consortium to co-develop the sustainability roadmap including background work to identify success factors and scenarios for sustainable PE. The roadmap development was based on the Theory of Change concept and populated with findings from (1) interviews with national/ and international institutions with the potential to increase PE uptake by other stakeholders; (2) multi-stakeholder workshops and webinars; and (3) consultations with specific stakeholder groups, Consortium members and a consultative body formed by international PE initiatives. This roadmap sets strategic goals for the PE community to achieve meaningful and systematic PE through changes in the culture, processes and resources of stakeholder organisations. It brings in key PARADIGM outputs to work in a coordinated fashion with existing frameworks and mechanisms to achieve system-wide sustained PE. The roadmap provides a framework for all stakeholders to take collective action within their organisations and across Europe to implement PE in a sustainable manner.

Sections du résumé

BACKGROUND
There is increased recognition that incorporating patients' perspectives and insights into the medicines development process results in better health outcomes and benefits for all involved stakeholders. Despite the increased interest and the existence of frameworks and practical recommendations, patient engagement (PE) is not yet considered standard practice. The objective of this work was to provide a roadmap to support systematic change in all stakeholder organisations involved in medicines development across Europe, patients and patient organisations, medicines developers, academia, regulatory authorities, Health Technology Assessment bodies, payers, policy-makers and public research funders, to sustain PE practices.
METHODS
A mixed-methods approach was used by the EU-funded Innovative Medicines Initiative PARADIGM Consortium to co-develop the sustainability roadmap including background work to identify success factors and scenarios for sustainable PE. The roadmap development was based on the Theory of Change concept and populated with findings from (1) interviews with national/ and international institutions with the potential to increase PE uptake by other stakeholders; (2) multi-stakeholder workshops and webinars; and (3) consultations with specific stakeholder groups, Consortium members and a consultative body formed by international PE initiatives.
RESULTS
This roadmap sets strategic goals for the PE community to achieve meaningful and systematic PE through changes in the culture, processes and resources of stakeholder organisations. It brings in key PARADIGM outputs to work in a coordinated fashion with existing frameworks and mechanisms to achieve system-wide sustained PE.
CONCLUSIONS
The roadmap provides a framework for all stakeholders to take collective action within their organisations and across Europe to implement PE in a sustainable manner.

Identifiants

pubmed: 33970465
doi: 10.1007/s43441-021-00282-z
pii: 10.1007/s43441-021-00282-z
pmc: PMC8108434
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

936-953

Subventions

Organisme : Innovative Medicines Initiative 2 Joint Undertaking
ID : Grant Agreement 777450

Informations de copyright

© 2021. The Author(s).

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Auteurs

Maria Cavaller-Bellaubi (M)

EURORDIS-Rare Diseases Europe, Paris, France.

Stuart D Faulkner (SD)

Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Rd, Oxford, OX2 6GG, UK.

Bryan Teixeira (B)

European AIDS Treatment Group (EATG), Düsseldorf, Germany.

Mathieu Boudes (M)

European Patients' Forum (EPF), Chaussée d'Etterbeek, Brussels, Belgium.

Eva Molero (E)

Teamit Research S.L., Barcelona, Spain.

Nicholas Brooke (N)

The Synergist, Brussels, Belgium.

Laura McKeaveney (L)

Novartis International AG, Basel, Switzerland.

Jeffrey Southerton (J)

Pfizer Inc, San Diego, CA, USA.

Maria José Vicente (MJ)

Aragón Health Sciences Institute, Instituto Aragonés de Ciencias de la Salud (IACS), Zaragoza, Spain.

Neil Bertelsen (N)

Health Technology Assessment International (HTAi)-Patient and Citizen Involvement Interest Group, Berlin, Germany.

Juan García-Burgos (J)

European Medicines Agency (EMA), Amsterdam, The Netherlands.

Vinciane Pirard (V)

Sanofi-Genzyme, Brussels, Belgium.

Kirsty Reid (K)

European Federation of Pharmaceutical Industries and Associations (EFPIA), Brussels, Belgium.

Elisa Ferrer (E)

EURORDIS-Rare Diseases Europe, Paris, France. ferrer.elisa@gmail.com.

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