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Embracing identity: broadly shared identity can be the basis for the sense of shared destiny that is at the core of good politics

Velasco, Andrés ORCID: 0000-0003-0441-5062 (2019) Embracing identity: broadly shared identity can be the basis for the sense of shared destiny that is at the core of good politics. Finance and Development, 57 (2). pp. 21-23. ISSN 0145-1707

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Abstract

Using quantitative and qualitative research designs, respectively, two studies investigated why countries make different health technology assessment (HTA) drug reimbursement recommendations. Building on these, the objective of this study was to (a) develop a conceptual framework integrating the factors explaining these decisions, (b) explore their relationship and (c) assess if they are congruent, complementary or discrepant. A parallel convergent mixed methods design was used. Countries included in both previous studies were selected (England, Sweden, Scotland and France). A conceptual framework that integrated and organised the factors explaining the decisions from the two studies was developed. Relationships between factors were explored and illustrated through case studies. The framework distinguishes macro-level factors from micro-level ones. Only two of the factors common to both studies were congruent, while two others reached discrepant conclusions (stakeholder input and external review of the evidence processes). The remaining factors identified within one or both studies were complementary. Bringing together these findings contributed to generating a more complete picture of why countries make different HTA recommendations. Results were mostly complementary, explaining and enhancing each other. We conclude that differences often result from a combination of factors, with an important component relating to what occurs during the deliberative process.

Item Type: Article
Additional Information: © 2022 Cambridge University Press.
Divisions: School of Public Policy
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Subjects: H Social Sciences
Date Deposited: 11 Aug 2022 14:45
Last Modified: 11 Aug 2022 15:36
URI: http://eprints.lse.ac.uk/id/eprint/115972

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