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Table 4 Relevance of concerns about regulations of HRMDs and procurement processes, and about factors influencing procurement

From: Effects of procurement practices on quality of medical device or service received: a qualitative study comparing countries

Stakeholder group Mexico Switzerland Germany UK Total
Regulations for market approval
 Group 1 - +++ +++ +++ ++(+)
 Group 2 - ++ ++ +++ +(+)
 Group 3 ++ +++ +++ +++ ++(+)
 Group 4 ++ +++ +++ +++ ++(+)
Total + ++(+) ++(+) +++  
Regulations for eligibility
 Group 1 + ++ +++ +++ ++(+)
 Group 2 - +++ ++ ++ +(+)
 Group 3 ++ +++ +++ +++ ++(+)
 Group 4 ++ ++ +++ +++ ++
Total + ++ ++(+) ++(+)  
Procurement regulations and practices
 Group 1 ++ - - - (+)
 Group 2 - - - - -
 Group 3 +++ - + - +
 Group 4 +++ - + - +
Total ++ - (+) -  
Programmes targeting quality and supporting procurement
 Group 1 + - - - (+)
 Group 2 + - - - (+)
 Group 3 ++ - - - (+)
 Group 4 ++ - - - (+)
Total +(+) - - -  
Factors influencing procurement
 Cost +++ - + - +
 Knowledge +++ - + - +
 Clinical evidence +++ - - - +
 Procurement setting +++ - - - +
Total +++ - (+) -  
  1. +++ very relevant ++ moderate relevant + relevant - not relevant