Health technology assessment: the process in Brazil

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dc.citation.volume41
dc.contributor.authorAbuleac, Fernanda Lessa [UNIFESP]
dc.contributor.authorFerraz, Marcos Bosi [UNIFESP]
dc.coverageWashington
dc.date.accessioned2020-07-31T12:46:31Z
dc.date.available2020-07-31T12:46:31Z
dc.date.issued2017
dc.description.abstractObjectives. 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 ageen
dc.description.abstract36% 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 inadequateen
dc.description.abstract88% 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.en
dc.description.affiliationUniv Fed Sao Paulo, Div Hlth Econ & Healthcare Management, Dept Med, Sao Paulo, Brazil
dc.description.affiliationUnifespDivision of Health Economics and Healthcare Management, Department of Medicine, Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent-
dc.identifierhttps://www.scielosp.org/article/rpsp/2017.v41/e25/
dc.identifier.citationRevista Panamericana De Salud Publica-Pan American Journal Of Public Health. Washington, v. 41, p. -, 2017.
dc.identifier.fileWOS000404644600013.pdf
dc.identifier.issn1020-4989
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56259
dc.identifier.wosWOS:000404644600013
dc.language.isoeng
dc.publisherPan Amer Health Organization
dc.relation.ispartofRevista Panamericana De Salud Publica-Pan American Journal Of Public Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTechnology assessmenten
dc.subjectbiomedicalen
dc.subjectdecision makingen
dc.subjectorganizationalen
dc.subjecthealth services administrationen
dc.subjecthealth policyen
dc.subjectBrazilen
dc.titleHealth technology assessment: the process in Brazilen
dc.typeinfo:eu-repo/semantics/article
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