PHP87 - Health Technology Assessment In Brazil: A Technical Analysis

Abstract

The objective of this study was to evaluate the decisions provided by the National Commission for Health Technology Incorporation (CONITEC) from the Brazilian public health care system (SUS) submitted from January 2011 until September 2013. All the submissions to CONITEC were evaluated based on the data available at the Ministry of Health website. The submissions were categorized by the type of submission (inclusion or exclusion), type of applicant (public body or external) and type of technology (drug, health product or procedure). The status of each submission requesting the incorporation of a new technology was analyzed and the success rate of the submissions was calculated as the number of incorporations divided by the number of submissions. A total of 276 submissions were done to CONITEC and 261 of those (95%) required the incorporation of a new health technology. Among the incorporation submissions, 64% were related to drugs, 20% to procedures and 16% to health products. Forty six per cent of those submissions were done by public bodies. The status of the submissions in September 2013 was: 56 positive decisions for incorporation (22%), 39 negative decisions (15%), 99 submissions under evaluation (38%), 55 submissions denied for failure to comply with CONITEC requirements (21%), 5 submissions terminated at the request of the company (1.9%), 6 submissions considered outside the scope of CONITEC (2.3%) and 1 technology already incorporated by SUS (0.4%). The success rate of the submissions done by public bodies was 33% and 11% for external submissions. The rate of technologies incorporated by CONITEC was higher than the rate of negative decisions but the success rate is still limited. Most submissions are still under evaluation and the rate of submissions considered incompliant was high, showing that there’s a learning process to comply with the new CONITEC requirements.