Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth

Detalhes bibliográficos
Autor(a) principal: Carvalho, Viviane Karoline da Silva
Data de Publicação: 2021
Outros Autores: Silva, Everton Nunes da, Barreto, Jorge Otávio Maia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/54918
Resumo: Pan American Health Organization (PAHO/WHO).
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spelling Carvalho, Viviane Karoline da SilvaSilva, Everton Nunes daBarreto, Jorge Otávio Maia2022-09-28T18:10:07Z2022-09-28T18:10:07Z2021CARVALHO, Viviane Karoline da Silva; SILVA, Everton Nunes da, BARRETO, Jorge Otávio Maia. Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth. BMC Public Health, [s. l.], v. 21, n. 1825, p. 1-12, 2021.1471-2458https://www.arca.fiocruz.br/handle/icict/5491810.1186/s12889-021-11855-wPan American Health Organization (PAHO/WHO).Universidade de Brasília. Campus Universitário Darcy Ribeiro. Brasília, DF, Brasil.Universidade de Brasília. Campus Universitário Darcy Ribeiro. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Background: There is a growing body of literature that recognizes the importance of public engagement in health technology assessment. However, there is still uncertainty regarding how the results should be recorded, analyzed, and used by decision makers. Objective: Synthesize the contributions of the Brazilian public (women, health professionals, managers, educational institutions, and companies) about the implementation of the National Clinical Guidelines for Care in Normal Birth from the public consultation carried out in Brazil. Method: IRaMuTeQ software was used to organize and summarize the corpus based on three types of analysis: descriptive statistics; descending hierarchical classification; and specificities analysis. The public consultation was conducted in 2016 by the National Committee for Health Technology Incorporation (CONITEC) in the Brazilian public health system as part of the guideline development process. Results: The corpus consisted of 303 texts, separated into 1233 text segments, 1081 of which were used, corresponding to retention of 87.67%. Five classes emerged from our analyses: mandatory presence of an obstetrician during labor and delivery in hospital settings; barriers and facilitators for guideline implementation; use of evidence—based practices by health professionals; progression of labor and delivery and women’s rights; and mobilization to promote the guideline For each class, the most frequent words and sentences with the highest chi-squared scores were presented. Barriers were associated with lack of financial resources, training and professional motivation, and facilitators with training to change the practices of health professionals. Obstetric nurses emerged as an alternative for supervising normal births as well as the mandatory presence of an obstetrician during childbirth in hospital settings. Conclusion: Our findings summarize the contributions provided by the Brazilian public and shed some light on the barriers and facilitators of clinical guidelines for care in normal birth. These topics are not typically explored by quantitative studies. Including this information in the decision-making process would not only increase public engagement, but provide greater evidence for implementing the clinical guidelines nationwide.engBMCPublic engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlePublic opinionSocial participationPublic consultationPublic engagementHealth technology assessment (HTA)Practice guidelineGuideline adherenceNatural childbirthPublic health policyAnalytical methodsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALve_Viviane_Carvalho_FiocruzBSB_2021.pdfve_Viviane_Carvalho_FiocruzBSB_2021.pdfapplication/pdf1129592https://www.arca.fiocruz.br/bitstream/icict/54918/1/ve_Viviane_Carvalho_FiocruzBSB_2021.pdf7000e01f0afd1d105b3002ada4ffab5dMD51icict/549182022-09-28 15:51:02.771oai:www.arca.fiocruz.br:icict/54918Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352022-09-28T18:51:02Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.en_US.fl_str_mv Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
title Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
spellingShingle Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
Carvalho, Viviane Karoline da Silva
Public opinion
Social participation
Public consultation
Public engagement
Health technology assessment (HTA)
Practice guideline
Guideline adherence
Natural childbirth
Public health policy
Analytical methods
title_short Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
title_full Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
title_fullStr Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
title_full_unstemmed Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
title_sort Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth
author Carvalho, Viviane Karoline da Silva
author_facet Carvalho, Viviane Karoline da Silva
Silva, Everton Nunes da
Barreto, Jorge Otávio Maia
author_role author
author2 Silva, Everton Nunes da
Barreto, Jorge Otávio Maia
author2_role author
author
dc.contributor.author.fl_str_mv Carvalho, Viviane Karoline da Silva
Silva, Everton Nunes da
Barreto, Jorge Otávio Maia
dc.subject.en.en_US.fl_str_mv Public opinion
Social participation
topic Public opinion
Social participation
Public consultation
Public engagement
Health technology assessment (HTA)
Practice guideline
Guideline adherence
Natural childbirth
Public health policy
Analytical methods
dc.subject.en.none.fl_str_mv Public consultation
Public engagement
Health technology assessment (HTA)
Practice guideline
Guideline adherence
Natural childbirth
Public health policy
Analytical methods
description Pan American Health Organization (PAHO/WHO).
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2022-09-28T18:10:07Z
dc.date.available.fl_str_mv 2022-09-28T18:10:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv CARVALHO, Viviane Karoline da Silva; SILVA, Everton Nunes da, BARRETO, Jorge Otávio Maia. Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth. BMC Public Health, [s. l.], v. 21, n. 1825, p. 1-12, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/54918
dc.identifier.issn.en_US.fl_str_mv 1471-2458
dc.identifier.doi.none.fl_str_mv 10.1186/s12889-021-11855-w
identifier_str_mv CARVALHO, Viviane Karoline da Silva; SILVA, Everton Nunes da, BARRETO, Jorge Otávio Maia. Public engagement in health technology assessment in Brazil: the case of the public consultation on National Clinical Guidelines for Care in Normal Birth. BMC Public Health, [s. l.], v. 21, n. 1825, p. 1-12, 2021.
1471-2458
10.1186/s12889-021-11855-w
url https://www.arca.fiocruz.br/handle/icict/54918
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/54918/1/ve_Viviane_Carvalho_FiocruzBSB_2021.pdf
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