Abstract
In the field of medical devices, HTA activities in Italy are conducted by the National Agency for Regional Health Services (AGENAS), while pharmaceuticals are assessed by the Italian Medicine Agency (AIFA). Italy has a regionally organised national health service, and regions are responsible for organising and delivering healthcare, while, at the national level, the Ministry of Health (MoH)—supported by specialised agencies—sets the fundamental principles and decides the core benefit package, allocating national funds to regions (Ferré et al. 2014). This chapter focuses on AGENAS activities undertaken over the past 10 years to involve patients in HTA and promote this approach across regions, including primary and secondary research and education and training of patient organisations to build capacity. It highlights the critical role played by international HTA bodies, a supportive national policy context in driving patient involvement in HTA and the importance of activities that address concerns about patient involvement among HTA professionals.
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Notes
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This is the main instrument for healthcare planning at a national level. It is drafted by the MoH following consultations with the regions, and it is approved by the government in agreement with the State-Regions Conference.
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This body was established as a permanent interface for consultation and communication between the state and the regions in the domains of public policy where their mandates overlap.
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Acknowledgements
The author would like to acknowledge comments received from Marina Cerbo while revising the original manuscript. Acknowledgements go also to Francesca Moccia and Daniela Mondatore from Cittadinanzattiva for their suggestions. All views expressed and any errors are entirely the responsibility of the author.
The author declares to have no potential conflict of interest.
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Lo Scalzo, A. (2017). Italy. In: Facey, K., Ploug Hansen, H., Single, A. (eds) Patient Involvement in Health Technology Assessment. Adis, Singapore. https://doi.org/10.1007/978-981-10-4068-9_26
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