Health technology reassessment in the Brazilian public health system: analysis of the current status

Detalhes bibliográficos
Autor(a) principal: Pereira, Viviane Cássia
Data de Publicação: 2019
Outros Autores: Barreto, Jorge Otávio Maia, Neves, Francisco Assis da Rocha
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/41600
Resumo: Universidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
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spelling Pereira, Viviane CássiaBarreto, Jorge Otávio MaiaNeves, Francisco Assis da Rocha2020-06-10T13:08:50Z2020-06-10T13:08:50Z2019PEREIRA, Viviane Cássia et al. Health technology reassessment in the Brazilian public health system: analysis of the current status. PLoS One, [San Franscico], v. 14, n. 7, p. 1-19, Jul. 2019.1932-6203https://www.arca.fiocruz.br/handle/icict/4160010.1371/journal.pone.0220131engPublic Library of ScienceBiomedical TechnologyDecision MakingQualitative ResearchRetrospective StudiesTechnology Assessment, BiomedicalPublic HealthBrazilHealth technologyBrazilian public healthTechnology assessment, biomedicalPublic healthTecnologia BiomédicaAvaliação da Tecnologia BiomédicaSistema Público de SaúdeSaúde PúblicaHealth technology reassessment in the Brazilian public health system: analysis of the current statusinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Universidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil.Background: The reassessment of technologies and services offered by healthcare systems is recent initiative and still without a widely adopted and evaluated method. To a better understanding of this process in Brazil, we have described the health technology reassessment (HTR) performed by the National Committee for Health Technology Incorporation (Conitec) into Brazilian public health system (SUS). Methods: A documental, exploratory, descriptive, retrospective study with qualitative-quantitative approach regarding the HTR performed by Conitec from January 2012 to November 2017. Results: After applying the criteria of inclusion and exclusion, we selected 47 technologies for this study. The vast majority of the demands (41 demands) came from the public sector, and only six from the private sector. Most of the requests referred to the exclusion of specific indication; followed by extension of use, withdraw of the technology from SUS, maintenance, and restriction of use. The dimensions of analysis found in the recommendation reports were scientific evidence on efficacy, effectiveness and safety, disease-related issues, issues related to the use of technology, costs, and social participation. However, these dimensions were not included in all analysis, and a standardized structure of the reports has not been observed. The most relevant decision factors considered for decision-making were efficacy, safety and use of the technology. Conclusion: During a six-year period of Conitec actuation, we could find some reassessments of technologies that are available in SUS. We observed that these activities had enabled progress, however, they are still not yet structured, with gaps in the selection process, and the assessment since no methodology and criteria for proper conduct were established.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83074https://www.arca.fiocruz.br/bitstream/icict/41600/1/license.txtd3e717dbb24bfc607ede047f44d29a0eMD51ORIGINALve_Viviane_Pereira_etal.pdfve_Viviane_Pereira_etal.pdfArtigoapplication/pdf589121https://www.arca.fiocruz.br/bitstream/icict/41600/2/ve_Viviane_Pereira_etal.pdfdeb4329f2ebe8a98321d6c106563c0d4MD52ve_Viviane_Pereira_etal add.pdfve_Viviane_Pereira_etal add.pdfMaterial suplementar 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dc.title.pt_BR.fl_str_mv Health technology reassessment in the Brazilian public health system: analysis of the current status
title Health technology reassessment in the Brazilian public health system: analysis of the current status
spellingShingle Health technology reassessment in the Brazilian public health system: analysis of the current status
Pereira, Viviane Cássia
Biomedical Technology
Decision Making
Qualitative Research
Retrospective Studies
Technology Assessment, Biomedical
Public Health
Brazil
Health technology
Brazilian public health
Technology assessment, biomedical
Public health
Tecnologia Biomédica
Avaliação da Tecnologia Biomédica
Sistema Público de Saúde
Saúde Pública
title_short Health technology reassessment in the Brazilian public health system: analysis of the current status
title_full Health technology reassessment in the Brazilian public health system: analysis of the current status
title_fullStr Health technology reassessment in the Brazilian public health system: analysis of the current status
title_full_unstemmed Health technology reassessment in the Brazilian public health system: analysis of the current status
title_sort Health technology reassessment in the Brazilian public health system: analysis of the current status
author Pereira, Viviane Cássia
author_facet Pereira, Viviane Cássia
Barreto, Jorge Otávio Maia
Neves, Francisco Assis da Rocha
author_role author
author2 Barreto, Jorge Otávio Maia
Neves, Francisco Assis da Rocha
author2_role author
author
dc.contributor.author.fl_str_mv Pereira, Viviane Cássia
Barreto, Jorge Otávio Maia
Neves, Francisco Assis da Rocha
dc.subject.mesh.pt_BR.fl_str_mv Biomedical Technology
Decision Making
Qualitative Research
Retrospective Studies
Technology Assessment, Biomedical
Public Health
Brazil
topic Biomedical Technology
Decision Making
Qualitative Research
Retrospective Studies
Technology Assessment, Biomedical
Public Health
Brazil
Health technology
Brazilian public health
Technology assessment, biomedical
Public health
Tecnologia Biomédica
Avaliação da Tecnologia Biomédica
Sistema Público de Saúde
Saúde Pública
dc.subject.en.pt_BR.fl_str_mv Health technology
Brazilian public health
Technology assessment, biomedical
Public health
dc.subject.decs.pt_BR.fl_str_mv Tecnologia Biomédica
Avaliação da Tecnologia Biomédica
Sistema Público de Saúde
Saúde Pública
description Universidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
publishDate 2019
dc.date.issued.fl_str_mv 2019
dc.date.accessioned.fl_str_mv 2020-06-10T13:08:50Z
dc.date.available.fl_str_mv 2020-06-10T13:08:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv PEREIRA, Viviane Cássia et al. Health technology reassessment in the Brazilian public health system: analysis of the current status. PLoS One, [San Franscico], v. 14, n. 7, p. 1-19, Jul. 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/41600
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0220131
identifier_str_mv PEREIRA, Viviane Cássia et al. Health technology reassessment in the Brazilian public health system: analysis of the current status. PLoS One, [San Franscico], v. 14, n. 7, p. 1-19, Jul. 2019.
1932-6203
10.1371/journal.pone.0220131
url https://www.arca.fiocruz.br/handle/icict/41600
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
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