Health technology assessment: the process in Brazil

Health technology assessment: the process in Brazil

Author Abuleac, Fernanda Lessa Autor UNIFESP Google Scholar
Ferraz, Marcos Bosi Autor UNIFESP Google Scholar
Abstract Objectives. To describe, analyze, and compare the opinions of decision makers involved in the health technology assessment (HTA) process in Brazil in 2011. Methods. A cross-sectional study was conducted using a structured questionnaire to evaluate the opinions of a convenience sample of health care professionals from both the public and private health care systems (HCS). The survey collected demographic data for each respondent along with their input on national regulations. Data analysis included descriptive statistics, including chi-square tests to compare groups. Results. Of the 200 completed questionnaires, 65% of the respondents were 31-50 years of age

36% were HCS managers, 49.3% from the public and 50.7% from the private system. The majority of respondents (85%) considered the time permitted for submission of new technology to be inadequate

88% also stated that the composition of the evaluation committee needed improvement. Respondents from the private health system more frequently stated that submission times were inappropriate (P = 0.019) and that the deadline for a decision by the committee should be defined (P = 0.021), with a maximum of no more than 180 days / 6 months (P < 0.001). Conclusions. Respondents indicated that the HTA process should be improved to meet their expectations. Given that new legislation has been enacted to continuously accept submissions, to make decisions within 180 days, and to expand the committee to represent more stakeholders, most of the respondents concerns have been addressed. This study is valuable as an historical analysis of HTA process improvement. Further surveys are needed to track the new HTA process, its application, and its contribution to health care needs in Brazil.
Keywords Technology assessment
biomedical
decision making
organizational
health services administration
health policy
Brazil
xmlui.dri2xhtml.METS-1.0.item-coverage Washington
Language English
Date 2017
Published in Revista Panamericana De Salud Publica-Pan American Journal Of Public Health. Washington, v. 41, p. -, 2017.
ISSN 1020-4989 (Sherpa/Romeo, impact factor)
Publisher Pan Amer Health Organization
Extent -
Origin https://www.scielosp.org/article/rpsp/2017.v41/e25/
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000404644600013
URI https://repositorio.unifesp.br/handle/11600/56259

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