Challenges to decision-making processes in the national HTA agency in Brazil: operational procedures, evidence use and recommendations

Health Research Policy and Systems
Tania Yuka YubaP C De Soárez

Abstract

The quality of the evidence used in health technology assessment (HTA) agency reports has been considered essential for decision-making processes and their legitimacy. In Brazil, CONITEC is the agency responsible for defining data mandatory for the submission of proposals for the incorporation of new technologies. The objective of this study was to analyse CONITEC recommendation reports, the type of scientific evidence used in them and their compliance with operational procedures. This is a descriptive study based on CONITEC official reports from July 2012 through December 2016. Data were collected with a specific extraction form and analysed using descriptive statistics. We evaluated 199 CONITEC recommendation reports. The annual number of reports increased during the study period. The absolute annual number of new technologies incorporated in 2013 (n = 24) was similar to that observed for 2014 (n = 24) and 2015 (n = 22), decreasing in 2016 (n = 13). The type of technology most frequently evaluated was 'drugs' (68.3%), followed by 'procedures' (20.1%). Overall, 117 (58.8%) reports were internal demands, 75 (37.7%) were external demands and 7 (3.5%) were mixed demands. There were differences between internal and external demand...Continue Reading

References

Feb 24, 2006·Health Economics·Mark J SculpherChris McCabe
Dec 12, 2012·Revista de saúde pública·Hudson P SilvaFlavia T S Elias
Oct 15, 2013·Lancet·James Raftery, John Powell
Jul 16, 2014·Health Research Policy and Systems·Kathryn OliverSimon Innvær
Nov 15, 2014·International Journal of Technology Assessment in Health Care·Tracy MerlinUNKNOWN INAHTA Quality Assurance Group
Nov 10, 2016·Cadernos de saúde pública·Hillegonda Maria Dutilh Novaes, Patrícia Coelho de Soárez
May 26, 2017·Cadernos de saúde pública·Patricia Coelho De Soarez, Hillegonda Maria Dutilh Novaes
Aug 10, 2017·Ciência & saúde coletiva·Rosângela CaetanoPamela Santana
Mar 16, 2018·Frontiers in Public Health·Tassia Cristina DecimoniPatrícia Coelho de Soárez

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Citations

Jul 30, 2019·PloS One·Viviane Cássia PereiraFrancisco Assis da Rocha Neves
Aug 23, 2019·Cadernos de saúde pública·Hudson Pacifico da Silva, Flavia Tavares Silva Elias
Jun 20, 2020·Health Research Policy and Systems·Verônica ColpaniHolger Jens Schünemann
Sep 10, 2020·Cadernos de saúde pública·Hillegonda Maria Dutilh Novaes, Patricia Coelho De Soárez
Jun 17, 2020·Applied Health Economics and Health Policy·Julia Simoes Correa-GalendiDirk Müller

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Software Mentioned

CONITEC

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