Avaliação tecnológica em saúde: questões metodológicas e operacionais
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Data de Publicação: | 2004 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393 |
Resumo: | Coverage policies, elaboration of clinical guidelines, and health services evaluation and management are increasingly dependent on formal technology assessments in developed countries. The objective of this study was to identify methodological and operational barriers, as well as strategies to enhance technology assessment activities, with a focus on Brazil. Methodological limitations to the elaboration of systematic reviews and economic evaluations were reviewed, including equity considerations, as well as attempts to overcome those problems; regulatory efforts in developed countries are acknowledged as a lever for methodological advances in the field. Operational barriers to the elaboration and utilization of technology assessment reports in Brazil are related to the adequacy and availability of relevant data as well as to the scarcity of trained researchers and decision-makers. Besides political barriers, constraints to the implementation of technology assessment recommendations are generally posed by methodological and transferability limitations, by communication deficits, and by factors related to the decision-making context external to the assessment itself, like availability of resources, budget flexibility, and transactional costs. |
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Avaliação tecnológica em saúde: questões metodológicas e operacionaisServiços de SaúdeAvaliação da Tecnologia BiomédicaAnálise Custo-BenefícioCoverage policies, elaboration of clinical guidelines, and health services evaluation and management are increasingly dependent on formal technology assessments in developed countries. The objective of this study was to identify methodological and operational barriers, as well as strategies to enhance technology assessment activities, with a focus on Brazil. Methodological limitations to the elaboration of systematic reviews and economic evaluations were reviewed, including equity considerations, as well as attempts to overcome those problems; regulatory efforts in developed countries are acknowledged as a lever for methodological advances in the field. Operational barriers to the elaboration and utilization of technology assessment reports in Brazil are related to the adequacy and availability of relevant data as well as to the scarcity of trained researchers and decision-makers. Besides political barriers, constraints to the implementation of technology assessment recommendations are generally posed by methodological and transferability limitations, by communication deficits, and by factors related to the decision-making context external to the assessment itself, like availability of resources, budget flexibility, and transactional costs.A cobertura de tecnologias/procedimentos, assim como os processos de elaboração de diretrizes clínicas, planejamento, gerência e avaliação de serviços e programas por parte dos governos dos países desenvolvidos cada vez mais dependem de avaliações tecnológicas formais. O objetivo deste trabalho foi apontar dificuldades de caráter metodológico e operacional e caminhos relevantes ao sucesso de atividades de avaliação tecnológica, particularmente, no Brasil. Foram revisadas as limitações atuais para a elaboração de revisões sistemáticas e avaliações econômicas, incluindo a questão da eqüidade e as tentativas de avanços nesse campo, propiciadas por critérios de difusão em países desenvolvidos. As dificuldades operacionais para a elaboração e utilização de avaliações tecnológicas dependem, em nosso país, da adequação e disponibilização de dados e da formação de pesquisadores e tomadores de decisão nesse campo. Além das barreiras políticas, a implementação de resultados das avaliações tecnológicas é dificultada, principalmente, por limitações metodológicas e validade de transferência de seus resultados para diferentes contextos, falhas de comunicação de várias naturezas e fatores do contexto da tomada de decisão externos à avaliação tecnológica, como disponibilidade de recursos, flexibilidade orçamentária e custos transacionais.Reports in Public HealthCadernos de Saúde Pública2004-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393Reports in Public Health; Vol. 20 No. 8 (2004): Supplement 2Cadernos de Saúde Pública; v. 20 n. 8 (2004): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393/4788https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393/4789Krauss-Silva, Letíciainfo:eu-repo/semantics/openAccess2024-03-06T15:26:59Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2393Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:02:48.503072Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
title |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
spellingShingle |
Avaliação tecnológica em saúde: questões metodológicas e operacionais Krauss-Silva, Letícia Serviços de Saúde Avaliação da Tecnologia Biomédica Análise Custo-Benefício |
title_short |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
title_full |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
title_fullStr |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
title_full_unstemmed |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
title_sort |
Avaliação tecnológica em saúde: questões metodológicas e operacionais |
author |
Krauss-Silva, Letícia |
author_facet |
Krauss-Silva, Letícia |
author_role |
author |
dc.contributor.author.fl_str_mv |
Krauss-Silva, Letícia |
dc.subject.por.fl_str_mv |
Serviços de Saúde Avaliação da Tecnologia Biomédica Análise Custo-Benefício |
topic |
Serviços de Saúde Avaliação da Tecnologia Biomédica Análise Custo-Benefício |
description |
Coverage policies, elaboration of clinical guidelines, and health services evaluation and management are increasingly dependent on formal technology assessments in developed countries. The objective of this study was to identify methodological and operational barriers, as well as strategies to enhance technology assessment activities, with a focus on Brazil. Methodological limitations to the elaboration of systematic reviews and economic evaluations were reviewed, including equity considerations, as well as attempts to overcome those problems; regulatory efforts in developed countries are acknowledged as a lever for methodological advances in the field. Operational barriers to the elaboration and utilization of technology assessment reports in Brazil are related to the adequacy and availability of relevant data as well as to the scarcity of trained researchers and decision-makers. Besides political barriers, constraints to the implementation of technology assessment recommendations are generally posed by methodological and transferability limitations, by communication deficits, and by factors related to the decision-making context external to the assessment itself, like availability of resources, budget flexibility, and transactional costs. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393/4788 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2393/4789 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 20 No. 8 (2004): Supplement 2 Cadernos de Saúde Pública; v. 20 n. 8 (2004): Suplemento 2 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943354492289024 |