Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation
ABSTRACT The steady increase in the number of health technologies and advances in associated research generate management challenges in the choice of technologies to be made available to the public. From 2011, the process of inclusion, exclusion and alteration of technologies to the Brazilian Unifie...
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doaj-ed42081d03be4d7a8908ee757a46b3312020-11-24T20:48:19ZengUniversidade de São PauloBrazilian Journal of Pharmaceutical Sciences2175-97902017-06-0153210.1590/s2175-97902017000216073S1984-82502017000200625Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology IncorporationLuciana Macatrão Nogueira NunesMarta Maria de França FontelesAna Cláudia Brito PassosPaulo Sérgio Dourado ArraisABSTRACT The steady increase in the number of health technologies and advances in associated research generate management challenges in the choice of technologies to be made available to the public. From 2011, the process of inclusion, exclusion and alteration of technologies to the Brazilian Unified Health System (SUS) has undergone major transformations, such as the creation of the National Committee on Technology Incorporation (CONITEC). This study analyzed the decisions of CONITEC since its inception until July 2015. The analyzed variables were: type of technology, reason for application, name of the technology, indication, claimant and CONITEC decision status. We found that the Government was the main claimant, accounting for 58.1% of the 420 cases. The most frequent request was inclusion (93.8%) and the technology type was medicine (61.4%). Of the incorporated medicines, the classes of antineoplastic/immunomodulatory were the most frequent (39.47%). Society's desire for inclusion of an increasing amount of health technology contrasts with the limited resources available to management, which causes budget concerns. Using Health Technology Assessment (HTA), advances resulting from these innovations in the process were highlighted, and challenges were identified for the management and the academic community.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502017000200625&lng=en&tlng=enBrazilian Unified Health System/evaluationBrazilian Unified Health System/technologyHealth Technology AssessmentHealth TechnologyNational Committee on Technology Incorporation/Brazil |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Luciana Macatrão Nogueira Nunes Marta Maria de França Fonteles Ana Cláudia Brito Passos Paulo Sérgio Dourado Arrais |
spellingShingle |
Luciana Macatrão Nogueira Nunes Marta Maria de França Fonteles Ana Cláudia Brito Passos Paulo Sérgio Dourado Arrais Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation Brazilian Journal of Pharmaceutical Sciences Brazilian Unified Health System/evaluation Brazilian Unified Health System/technology Health Technology Assessment Health Technology National Committee on Technology Incorporation/Brazil |
author_facet |
Luciana Macatrão Nogueira Nunes Marta Maria de França Fonteles Ana Cláudia Brito Passos Paulo Sérgio Dourado Arrais |
author_sort |
Luciana Macatrão Nogueira Nunes |
title |
Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation |
title_short |
Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation |
title_full |
Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation |
title_fullStr |
Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation |
title_full_unstemmed |
Evaluation of demands of inclusion, exclusion and alteration of technologies in the Brazilian Health System submitted to the National Committee on Technology Incorporation |
title_sort |
evaluation of demands of inclusion, exclusion and alteration of technologies in the brazilian health system submitted to the national committee on technology incorporation |
publisher |
Universidade de São Paulo |
series |
Brazilian Journal of Pharmaceutical Sciences |
issn |
2175-9790 |
publishDate |
2017-06-01 |
description |
ABSTRACT The steady increase in the number of health technologies and advances in associated research generate management challenges in the choice of technologies to be made available to the public. From 2011, the process of inclusion, exclusion and alteration of technologies to the Brazilian Unified Health System (SUS) has undergone major transformations, such as the creation of the National Committee on Technology Incorporation (CONITEC). This study analyzed the decisions of CONITEC since its inception until July 2015. The analyzed variables were: type of technology, reason for application, name of the technology, indication, claimant and CONITEC decision status. We found that the Government was the main claimant, accounting for 58.1% of the 420 cases. The most frequent request was inclusion (93.8%) and the technology type was medicine (61.4%). Of the incorporated medicines, the classes of antineoplastic/immunomodulatory were the most frequent (39.47%). Society's desire for inclusion of an increasing amount of health technology contrasts with the limited resources available to management, which causes budget concerns. Using Health Technology Assessment (HTA), advances resulting from these innovations in the process were highlighted, and challenges were identified for the management and the academic community. |
topic |
Brazilian Unified Health System/evaluation Brazilian Unified Health System/technology Health Technology Assessment Health Technology National Committee on Technology Incorporation/Brazil |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502017000200625&lng=en&tlng=en |
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