Involving stakeholders in policy research should not imply that they control the problem definition: lessons from a case study on new analgesics
by Margriet Moret-Hartman, Gert Jan Van Der Wilt, John Grin
International Journal of Healthcare Technology and Management (IJHTM), Vol. 10, No. 6, 2009

Abstract: The Dutch Health Care Insurance Board (HCIB) commissions research to guide their policy recommendations. However, the studies conducted do not always yield relevant information. This may result from differences in problem definitions held by the HCIB and target populations. To compensate these problems, researchers were asked to analyse the problems from the perspective of the policy's target populations. We analysed the HCIB's commissioning approach when used in a tender for research proposals on new analgesics. The HCIB considered off-label use of these drugs to be problematic. Researchers, however, were reluctant to adopt the HCIB's problem definition, questioning whether it would be shared by 'the field'. Although most of the physicians did not consider their prescribing patterns to be problematic, one of the new drugs had to be withdrawn from the market because of severe side effects. These findings emphasise that involving target populations in policy research should not imply that they control the problem definition.

Online publication date: Wed, 30-Dec-2009

The full text of this article is only available to individual subscribers or to users at subscribing institutions.

Existing subscribers:
Go to Inderscience Online Journals to access the Full Text of this article.

Pay per view:
If you are not a subscriber and you just want to read the full contents of this article, buy online access here.

Complimentary Subscribers, Editors or Members of the Editorial Board of the International Journal of Healthcare Technology and Management (IJHTM):
Login with your Inderscience username and password:

    Username:        Password:         

Forgotten your password?

Want to subscribe?
A subscription gives you complete access to all articles in the current issue, as well as to all articles in the previous three years (where applicable). See our Orders page to subscribe.

If you still need assistance, please email