Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/41198 |
Resumo: | Introduction: The hospital-based HTA nuclei in teaching hospitals and their interaction with the Drug and Therapeutics Committee (DTC), can be an important strategy for strengthening HTA in the hospital environment. However, this relationship is not well known. Objective: To analyse NATS and DTC work processes that has been established in Federal University Hospitals administrated by Empresa Brasileira de Serviços Hospitalares - Ebserh (The Brazilian Company of Hospital Services), identifying how they are organized, possible interfaces and difficulties and points of articulation between them. Methods: This is an exploratory qualitative research involving multiple-case study. Hospital units were selected by applying some inclusion criteria. The data were collected from document analysis and semi-structured interviews with key informants from both groups. Results: The results showed an overview about how the NATS and CFT are organized and structured, identificating different levels of articulation between them, with three of eight hospitals considered of high level. Among the challenges were pointed out the lack of human resources availability, administrative structure or physical space and training. Conclusion: This study contributes to the institutional knowledge for guiding actions to improve and strengthen the HTA culture at the hospital level. |
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Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulationNúcleos de Avaliação de Tecnologias em Saúde e Comissões de Farmácia e Terapêutica em hospitais universitários: organização e articulaçãoUniversity HospitalsBiomedical Technology AssessmentDrug and Therapeutics CommitteeHospitais universitáriosAvaliação da Tecnologia BiomédicaComitê de Farmácia e TerapêuticaIntroduction: The hospital-based HTA nuclei in teaching hospitals and their interaction with the Drug and Therapeutics Committee (DTC), can be an important strategy for strengthening HTA in the hospital environment. However, this relationship is not well known. Objective: To analyse NATS and DTC work processes that has been established in Federal University Hospitals administrated by Empresa Brasileira de Serviços Hospitalares - Ebserh (The Brazilian Company of Hospital Services), identifying how they are organized, possible interfaces and difficulties and points of articulation between them. Methods: This is an exploratory qualitative research involving multiple-case study. Hospital units were selected by applying some inclusion criteria. The data were collected from document analysis and semi-structured interviews with key informants from both groups. Results: The results showed an overview about how the NATS and CFT are organized and structured, identificating different levels of articulation between them, with three of eight hospitals considered of high level. Among the challenges were pointed out the lack of human resources availability, administrative structure or physical space and training. Conclusion: This study contributes to the institutional knowledge for guiding actions to improve and strengthen the HTA culture at the hospital level.Introdução: A atuação dos Núcleos de Avaliação de Tecnologias em Saúde (NATS) e das Comissões de Farmácia e Terapêutica (CFT) em hospitais de ensino pode ser potencializada para o fortalecimento da implementação da política de gestão de tecnologias em saúde no âmbito hospitalar. Entretanto, a organização e as formas como esses grupos se articulam é pouco conhecida. Objetivo: Analisar processos de trabalho de NATS e CFT instituídos em hospitais universitários federais sob a gestão da Empresa Brasileira de Serviços Hospitalares (Ebserh), identificando elementos organizacionais e níveis de articulações entre esses grupos, além das principais dificuldades enfrentadas. Métodos: Trata-se de uma pesquisa qualitativa exploratória, envolvendo estudo de casos múltiplos. As unidades hospitalares foram selecionadas após critério de inclusão. A coleta de dados empregou análise documental e entrevista semiestruturada com pessoas chaves dos processos. Resultados: Os resultados permitiram uma visão geral sobre como estão organizados e estruturados os NATS e as CFTs, bem como a identificação de diferentes níveis de articulação entre eles. Dos 8 hospitais estudados, 3 apresentaram nível alto de articulação, 4 apresentaram nível baixo e em um deles não foi observada a existência de articulação entre o NATS e a CFT. Entre os desafios enfrentados pelos grupos foram relatados a escassez de recursos humanos, incipiente estrutura administrativa ou espaço físico e necessidades de capacitação. Conclusão: Quatro dos hospitais apresentaram nível baixo de articulação entre o NATS e a CFT, indicando a necessidade de maior compreensão dos fatores intervenientes. Os resultados contribuem para o conhecimento institucional de cada grupo estudado e podem orientar ações de melhoria e fortalecimento da cultura da ATS para gestão de tecnologias nos ambientes hospitalares.Editora UFJF2023-08-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfimage/pngvideo/mp4https://periodicos.ufjf.br/index.php/hurevista/article/view/4119810.34019/1982-8047.2023.v49.41198HU Revista; v. 49 (2023); 1-101982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/41198/26199https://periodicos.ufjf.br/index.php/hurevista/article/view/41198/26774https://periodicos.ufjf.br/index.php/hurevista/article/view/41198/26775Copyright (c) 2023 Denise Heleno de Souza Stopatto, Flávia Tavares Silva Eliashttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessHeleno de Souza Stopatto, DeniseTavares Silva Elias, Flávia2023-06-01T11:49:54Zoai:periodicos.ufjf.br:article/41198Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2023-06-01T11:49:54HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation Núcleos de Avaliação de Tecnologias em Saúde e Comissões de Farmácia e Terapêutica em hospitais universitários: organização e articulação |
title |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation |
spellingShingle |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation Heleno de Souza Stopatto, Denise University Hospitals Biomedical Technology Assessment Drug and Therapeutics Committee Hospitais universitários Avaliação da Tecnologia Biomédica Comitê de Farmácia e Terapêutica |
title_short |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation |
title_full |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation |
title_fullStr |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation |
title_full_unstemmed |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation |
title_sort |
Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation |
author |
Heleno de Souza Stopatto, Denise |
author_facet |
Heleno de Souza Stopatto, Denise Tavares Silva Elias, Flávia |
author_role |
author |
author2 |
Tavares Silva Elias, Flávia |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Heleno de Souza Stopatto, Denise Tavares Silva Elias, Flávia |
dc.subject.por.fl_str_mv |
University Hospitals Biomedical Technology Assessment Drug and Therapeutics Committee Hospitais universitários Avaliação da Tecnologia Biomédica Comitê de Farmácia e Terapêutica |
topic |
University Hospitals Biomedical Technology Assessment Drug and Therapeutics Committee Hospitais universitários Avaliação da Tecnologia Biomédica Comitê de Farmácia e Terapêutica |
description |
Introduction: The hospital-based HTA nuclei in teaching hospitals and their interaction with the Drug and Therapeutics Committee (DTC), can be an important strategy for strengthening HTA in the hospital environment. However, this relationship is not well known. Objective: To analyse NATS and DTC work processes that has been established in Federal University Hospitals administrated by Empresa Brasileira de Serviços Hospitalares - Ebserh (The Brazilian Company of Hospital Services), identifying how they are organized, possible interfaces and difficulties and points of articulation between them. Methods: This is an exploratory qualitative research involving multiple-case study. Hospital units were selected by applying some inclusion criteria. The data were collected from document analysis and semi-structured interviews with key informants from both groups. Results: The results showed an overview about how the NATS and CFT are organized and structured, identificating different levels of articulation between them, with three of eight hospitals considered of high level. Among the challenges were pointed out the lack of human resources availability, administrative structure or physical space and training. Conclusion: This study contributes to the institutional knowledge for guiding actions to improve and strengthen the HTA culture at the hospital level. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/41198 10.34019/1982-8047.2023.v49.41198 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/41198 |
identifier_str_mv |
10.34019/1982-8047.2023.v49.41198 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/41198/26199 https://periodicos.ufjf.br/index.php/hurevista/article/view/41198/26774 https://periodicos.ufjf.br/index.php/hurevista/article/view/41198/26775 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Denise Heleno de Souza Stopatto, Flávia Tavares Silva Elias https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Denise Heleno de Souza Stopatto, Flávia Tavares Silva Elias https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf image/png video/mp4 |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 49 (2023); 1-10 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
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UFJF |
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UFJF |
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HU Revista (Online) |
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HU Revista (Online) |
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HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
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revista.hurevista@ufjf.edu.br |
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