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01.12.2013 | Study protocol | Ausgabe 1/2013 Open Access

Implementation Science 1/2013

Integrating evidence on patient preferences in healthcare policy decisions: protocol of the patient-VIP study

Implementation Science > Ausgabe 1/2013
Carmen D Dirksen, Cecile MA Utens, Manuela A Joore, Teus A van Barneveld, Bert Boer, Dunja HH Dreesens, Hans van Laarhoven, Cees Smit, Anne M Stiggelbout, Trudy van der Weijden
Wichtige Hinweise

Competing interests

The authors declare to have no competing interest regarding this study.

Authors’ contributions

CD is project leader. MJ and TvW are co project leaders. CD, MJ and TvW designed the study and received a grant. CU is the main researcher on the project and will perform the sub-studies. CD wrote the manuscript. MJ, CU and TvW contributed to the writing of the manuscript. BB, CS, DD, HL and TB are advisors for the project. AS is member of the project committee. All authors reviewed and provided feedback for this manuscript. The final version was approved by all authors. All authors read and approved the final manuscript.



Despite a strong movement towards active patient involvement in healthcare policy decisions, systematic and explicit consideration of evidence of this research on patient preferences seems limited. Furthermore, little is known about the opinions of several stakeholders towards consideration of research evidence on patient preferences in healthcare policy decisions. This paper describes the protocol for an explorative study on the integration of research on patient preferences in healthcare policy decisions. The study questions: to what extent research evidence on patient preferences is considered in current procedures for healthcare policy decisions; opinions of stakeholders regarding the integration of this type of evidence in healthcare policy decisions; and what could be a decision framework for the integration of such research evidence in healthcare policy decisions.


The study is divided in three sub-studies, predominantly using qualitative methods. The first sub-study is a scoping review in five European countries to investigate whether and how results of research on patient preferences are considered in current procedures for coverage decisions and clinical practice guideline development. The second sub-study is a qualitative study to explore the opinions of stakeholders with regard to the possibilities for integrating evidence on patient preferences in the process of healthcare decision-making in the Netherlands. The third sub-study is the development of a decision framework for research on patient preferences. The framework will consist of: a process description regarding the place of evidence on patient preferences in the decision-making process; and a taxonomy describing different terminologies and conceptualisations of ‘preferences’ and an overview of existing methodologies for investigating preferences. The concept framework will be presented to and discussed with experts.


This study will create awareness regarding the existence and potential value of research evidence on patient preferences for healthcare policy decision-making and provides insight in the methods for investigating patient preferences and the barriers and facilitators for integration of such research in healthcare policy decisions. Results of the study will be useful for researchers, clinical practice guideline developers, healthcare policy makers, and patient representatives.
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