Hospital-based HTA nuclei and Drug and Therapeutics Committee in University Hospitals: organization and articulation

Detalhes bibliográficos
Autor(a) principal: Heleno de Souza Stopatto, Denise
Data de Publicação: 2023
Outros Autores: Tavares Silva Elias, Flávia
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.
id UFJF-8_525e840c80d8b00dec4e8e852c21c7b0
oai_identifier_str oai:periodicos.ufjf.br:article/41198
network_acronym_str UFJF-8
network_name_str HU Revista (Online)
repository_id_str
spelling 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)
instacron_str UFJF
institution UFJF
reponame_str HU Revista (Online)
collection HU Revista (Online)
repository.name.fl_str_mv HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)
repository.mail.fl_str_mv revista.hurevista@ufjf.edu.br
_version_ 1796798239195791360