Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.vhri.2023.04.002 http://hdl.handle.net/11449/248845 |
Resumo: | Objectives: This study aimed to evaluate the impact of the COVID-19 pandemic on Brazilian health technology assessment processes based on public reports from the National Committee for Health Technology Incorporation (CONITEC). Methods: This descriptive study analyzed CONITEC's official reports on Brazil available on its website between 2018 and 2021 that aimed to propose recommendations for technologies to be incorporated into its public healthcare system. We used descriptive statistics covering the number of technologies and number of reports about drugs per year, objective, type of technology, demanding sector, and outcome before 2018 to 2019 and during the COVID-19 pandemic (2020-2021). Furthermore, we used logistic regression to explore any association between the final decision labeled as “incorporated” and the emergence of the COVID-19 pandemic. Results: A total of 278 reports were analyzed. Approximately 85% (136 of 278), 79% (220 of 278), and 45% of the reports (125 of 278) were about drugs, for incorporation, and requested by the government, respectively. Moreover, 74 of 130 (57%) and 56 of 148 decisions (38%) were “incorporated” before and during the pandemic, respectively. No significant association was noted between incorporated decisions and the arrival of the COVID-19 pandemic for all technologies (odds ratio 1.43; 95% CI 0.84-2.46; P = .192) and for drugs (odds ratio 1.43; 95% confidence interval 0.81-2.53; P = .223) while adjusting for the type of technology and demandant. Conclusions: The COVID-19 pandemic has brought many challenges, but it does not seem to have had a significant impact on the health technology assessment approval decisions of CONITEC in Brazil. |
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Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health SystemBrazilCOVID-19health technology assessmentNational Committee for Health Technology IncorporationObjectives: This study aimed to evaluate the impact of the COVID-19 pandemic on Brazilian health technology assessment processes based on public reports from the National Committee for Health Technology Incorporation (CONITEC). Methods: This descriptive study analyzed CONITEC's official reports on Brazil available on its website between 2018 and 2021 that aimed to propose recommendations for technologies to be incorporated into its public healthcare system. We used descriptive statistics covering the number of technologies and number of reports about drugs per year, objective, type of technology, demanding sector, and outcome before 2018 to 2019 and during the COVID-19 pandemic (2020-2021). Furthermore, we used logistic regression to explore any association between the final decision labeled as “incorporated” and the emergence of the COVID-19 pandemic. Results: A total of 278 reports were analyzed. Approximately 85% (136 of 278), 79% (220 of 278), and 45% of the reports (125 of 278) were about drugs, for incorporation, and requested by the government, respectively. Moreover, 74 of 130 (57%) and 56 of 148 decisions (38%) were “incorporated” before and during the pandemic, respectively. No significant association was noted between incorporated decisions and the arrival of the COVID-19 pandemic for all technologies (odds ratio 1.43; 95% CI 0.84-2.46; P = .192) and for drugs (odds ratio 1.43; 95% confidence interval 0.81-2.53; P = .223) while adjusting for the type of technology and demandant. Conclusions: The COVID-19 pandemic has brought many challenges, but it does not seem to have had a significant impact on the health technology assessment approval decisions of CONITEC in Brazil.Health Technology Assessment Center Hospital das Clínicas of Medical School (HCFMB) BrazilGraduate Nursing Program São Paulo State University BrazilData Science and Predictive Analysis in Health Laboratory Hospital das Clínicas of Medical School (HCFMB) BrazilDepartment of Health Research Methods Evidence and Impact McMaster UniversityBiostatistics Unit St Joseph's Healthcare HamiltonFaculty of Health Sciences University of JohannesburgDepartment of Internal Medicine São Paulo State University BrazilDepartment of Management and Incorporation of Health Technologies Ministry of Health BrazilDepartment of Collective Health University of Campinas BrazilNursing Department São Paulo State University BrazilDepartment of Ophthalmology Otorhinolaryngology and Head & Neck Surgery São Paulo State University BrazilGraduate Nursing Program São Paulo State University BrazilDepartment of Internal Medicine São Paulo State University BrazilNursing Department São Paulo State University BrazilDepartment of Ophthalmology Otorhinolaryngology and Head & Neck Surgery São Paulo State University BrazilBrazilUniversidade Estadual Paulista (UNESP)McMaster UniversitySt Joseph's Healthcare HamiltonUniversity of JohannesburgUniversidade Estadual de Campinas (UNICAMP)Cardoso, Marilia Mastrocolla de Almeida [UNESP]Thabane, Lehana [UNESP]Andrade, Luis Gustavo Modelli de [UNESP]Curado, Daniel da Silva PereiraKomoda, Denis SatoshiMachado-Rugolo, JulianaLima, Silvana Andrea Molina [UNESP]Weber, Silke Anna Theresa [UNESP]2023-07-29T13:55:19Z2023-07-29T13:55:19Z2023-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article18-22http://dx.doi.org/10.1016/j.vhri.2023.04.002Value in Health Regional Issues, v. 37, p. 18-22.2212-11022212-1099http://hdl.handle.net/11449/24884510.1016/j.vhri.2023.04.0022-s2.0-85159614232Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengValue in Health Regional Issuesinfo:eu-repo/semantics/openAccess2023-07-29T13:55:19Zoai:repositorio.unesp.br:11449/248845Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-07-29T13:55:19Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
title |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
spellingShingle |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System Cardoso, Marilia Mastrocolla de Almeida [UNESP] Brazil COVID-19 health technology assessment National Committee for Health Technology Incorporation |
title_short |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
title_full |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
title_fullStr |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
title_full_unstemmed |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
title_sort |
Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System |
author |
Cardoso, Marilia Mastrocolla de Almeida [UNESP] |
author_facet |
Cardoso, Marilia Mastrocolla de Almeida [UNESP] Thabane, Lehana [UNESP] Andrade, Luis Gustavo Modelli de [UNESP] Curado, Daniel da Silva Pereira Komoda, Denis Satoshi Machado-Rugolo, Juliana Lima, Silvana Andrea Molina [UNESP] Weber, Silke Anna Theresa [UNESP] |
author_role |
author |
author2 |
Thabane, Lehana [UNESP] Andrade, Luis Gustavo Modelli de [UNESP] Curado, Daniel da Silva Pereira Komoda, Denis Satoshi Machado-Rugolo, Juliana Lima, Silvana Andrea Molina [UNESP] Weber, Silke Anna Theresa [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Brazil Universidade Estadual Paulista (UNESP) McMaster University St Joseph's Healthcare Hamilton University of Johannesburg Universidade Estadual de Campinas (UNICAMP) |
dc.contributor.author.fl_str_mv |
Cardoso, Marilia Mastrocolla de Almeida [UNESP] Thabane, Lehana [UNESP] Andrade, Luis Gustavo Modelli de [UNESP] Curado, Daniel da Silva Pereira Komoda, Denis Satoshi Machado-Rugolo, Juliana Lima, Silvana Andrea Molina [UNESP] Weber, Silke Anna Theresa [UNESP] |
dc.subject.por.fl_str_mv |
Brazil COVID-19 health technology assessment National Committee for Health Technology Incorporation |
topic |
Brazil COVID-19 health technology assessment National Committee for Health Technology Incorporation |
description |
Objectives: This study aimed to evaluate the impact of the COVID-19 pandemic on Brazilian health technology assessment processes based on public reports from the National Committee for Health Technology Incorporation (CONITEC). Methods: This descriptive study analyzed CONITEC's official reports on Brazil available on its website between 2018 and 2021 that aimed to propose recommendations for technologies to be incorporated into its public healthcare system. We used descriptive statistics covering the number of technologies and number of reports about drugs per year, objective, type of technology, demanding sector, and outcome before 2018 to 2019 and during the COVID-19 pandemic (2020-2021). Furthermore, we used logistic regression to explore any association between the final decision labeled as “incorporated” and the emergence of the COVID-19 pandemic. Results: A total of 278 reports were analyzed. Approximately 85% (136 of 278), 79% (220 of 278), and 45% of the reports (125 of 278) were about drugs, for incorporation, and requested by the government, respectively. Moreover, 74 of 130 (57%) and 56 of 148 decisions (38%) were “incorporated” before and during the pandemic, respectively. No significant association was noted between incorporated decisions and the arrival of the COVID-19 pandemic for all technologies (odds ratio 1.43; 95% CI 0.84-2.46; P = .192) and for drugs (odds ratio 1.43; 95% confidence interval 0.81-2.53; P = .223) while adjusting for the type of technology and demandant. Conclusions: The COVID-19 pandemic has brought many challenges, but it does not seem to have had a significant impact on the health technology assessment approval decisions of CONITEC in Brazil. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-29T13:55:19Z 2023-07-29T13:55:19Z 2023-09-01 |
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.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.vhri.2023.04.002 Value in Health Regional Issues, v. 37, p. 18-22. 2212-1102 2212-1099 http://hdl.handle.net/11449/248845 10.1016/j.vhri.2023.04.002 2-s2.0-85159614232 |
url |
http://dx.doi.org/10.1016/j.vhri.2023.04.002 http://hdl.handle.net/11449/248845 |
identifier_str_mv |
Value in Health Regional Issues, v. 37, p. 18-22. 2212-1102 2212-1099 10.1016/j.vhri.2023.04.002 2-s2.0-85159614232 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Value in Health Regional Issues |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
18-22 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
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Universidade Estadual Paulista (UNESP) |
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UNESP |
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UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
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1799964923170652160 |