HTA reshaping
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/120913 |
Resumo: | Funding Information: MEA and MIP. These methods might be a relevant mechanism to improve access. However, they should be supported by an improved registry database. Participants identified the possibility of these databases being (partially) funded by the pharmaceutical industry. MIP implementation must be assured by accurate prescription tracking. Publisher Copyright: © 2021 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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HTA reshapingReformulação da ATSrepensando o quadro da avaliação de tecnologias da saúde em Portugalrethinking the health technology assessment framework in PortugalEconomic evaluationHealth financingHealth technology assessmentInnovative medicinesMarket accessHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: MEA and MIP. These methods might be a relevant mechanism to improve access. However, they should be supported by an improved registry database. Participants identified the possibility of these databases being (partially) funded by the pharmaceutical industry. MIP implementation must be assured by accurate prescription tracking. Publisher Copyright: © 2021 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health.Introduction: Health technology assessment (HTA) aims to provide decision makers with relevant data to make informed choices. Recent changes in the Portuguese HTA framework have altered substantially the assessment methodology with regard to economic evaluation, with potential impacts on access and process efficiency. The HTA Reshaping Project had as its main objective informing the debate on HTA in Portugal, thereby identifying improvement opportunities and solutions to the HTA framework that address future challenges. Methods: The project comprised several phases, i.e., (1) mapping and evaluation of different HTA frameworks across Europe, identifying best practices and key variables to consider in future frameworks; (2) conduction of in-depth interviews with relevant stakeholders (n = 11); and (3) development of 2 workshops - one with young professionals (n = 12) and another with relevant HTA stakeholders (n = 19) - to consolidate and further explore vital elements of HTA, aimed at brainstorming ideas and developing solutions to improve some of the most critical points, with a view to addressing future challenges. Results: The comparison of HTA frameworks showed that their purpose and sophistication vary across European countries. For example, the need for economic evidence is not unanimous, and reimbursement agreements vary considerably. Among the stakeholders interviewed there was a high level of agreement on priorities that should be addressed, e.g., expanding and creating national level registries and assuring patient participation throughout the HTA process. The possibility of using managed entry agreements to enhance patients' access, applying multi-indication pricing for medicines with different therapeutic values per indication, and improvement of registry/system interoperability gathered a moderate level of agreement. Conclusions: The Portuguese HTA framework might be further adapted to upcoming challenges and should evolve to improve access to innovative therapies. There is still a long path towards the convergence of HTA frameworks in EU member states.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNPereira, JoãoAlves, JoanaRodrigues, BernardoCaetano, RicardoBrito-Cruz, PedroSousa, JoanaBarata, Branca2021-07-12T22:17:50Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/1209132504-3145PURE: 32121589https://doi.org/10.1159/000516501info:eu-repo/semantics/openAccessporreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T17:54:33Zoai:run.unl.pt:10362/120913Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T17:54:33Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
HTA reshaping Reformulação da ATSrepensando o quadro da avaliação de tecnologias da saúde em Portugal rethinking the health technology assessment framework in Portugal |
| title |
HTA reshaping |
| spellingShingle |
HTA reshaping Pereira, João Economic evaluation Health financing Health technology assessment Innovative medicines Market access Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
| title_short |
HTA reshaping |
| title_full |
HTA reshaping |
| title_fullStr |
HTA reshaping |
| title_full_unstemmed |
HTA reshaping |
| title_sort |
HTA reshaping |
| author |
Pereira, João |
| author_facet |
Pereira, João Alves, Joana Rodrigues, Bernardo Caetano, Ricardo Brito-Cruz, Pedro Sousa, Joana Barata, Branca |
| author_role |
author |
| author2 |
Alves, Joana Rodrigues, Bernardo Caetano, Ricardo Brito-Cruz, Pedro Sousa, Joana Barata, Branca |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) RUN |
| dc.contributor.author.fl_str_mv |
Pereira, João Alves, Joana Rodrigues, Bernardo Caetano, Ricardo Brito-Cruz, Pedro Sousa, Joana Barata, Branca |
| dc.subject.por.fl_str_mv |
Economic evaluation Health financing Health technology assessment Innovative medicines Market access Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
| topic |
Economic evaluation Health financing Health technology assessment Innovative medicines Market access Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
| description |
Funding Information: MEA and MIP. These methods might be a relevant mechanism to improve access. However, they should be supported by an improved registry database. Participants identified the possibility of these databases being (partially) funded by the pharmaceutical industry. MIP implementation must be assured by accurate prescription tracking. Publisher Copyright: © 2021 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-07-12T22:17:50Z 2021 2021-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/120913 |
| url |
http://hdl.handle.net/10362/120913 |
| dc.language.iso.fl_str_mv |
por |
| language |
por |
| dc.relation.none.fl_str_mv |
2504-3145 PURE: 32121589 https://doi.org/10.1159/000516501 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817545810067324928 |