Abstract
ABSTRACTOBJECTIVE To describe the current process of social participation in the incorporation of health technologies in Brazil, within the context of the Unified Health System (SUS).METHODS A descriptive study was conducted based on the analysis of official records of the actions of the National Committee for Health Technology Incorporation into Unified Health System and its website, from the beginning of its activities in January 2012 until December 2017.RESULTS The findings indicate that, in Brazil, there are legal instruments related to social participation in health, including the health technology assessment (HTA) field. However, its implementation is relatively recent and has been carried out gradually. In addition to the legal instruments (National Health Council representative, public consultation and public hearing forecast), other information and transparency strategies have been shown to be allied to social participation in the incorporation of health technologies. However, activities such as legally provided public hearings have not yet been carried out.CONCLUSIONS Several actions to foster social participation were developed over the analyzed period, but they need to be evaluated in order to maintain or improve them. In addition, there is a need for more qualified social participation in the various existing spaces, including those prescribed by law.
Highlights
Health technology assessment (HTA) is a multidisciplinary field of public policy analysis that studies the clinical, social, ethical, and economic implications of health technology development, diffusion, and use, considering aspects such as efficiency, effectiveness, safety, costs, cost-effectiveness, among others[1,2]
This study aims to describe the current state of social participation in health technology incorporation processes developed by Conitec
This investigation is characterized as a case study on social participation in the technology incorporation process developed by Conitec in the context of SUS
Summary
Health technology assessment (HTA) is a multidisciplinary field of public policy analysis that studies the clinical, social, ethical, and economic implications of health technology development, diffusion, and use, considering aspects such as efficiency, effectiveness, safety, costs, cost-effectiveness, among others[1,2]. The ethical, legal, and social impacts directed to the social perspective are often disregarded due to clinical and economic findings[3]. Members of the Health Technology Assessment International Global Policy Forum reported that practitioners in this area had been focusing on reporting and internal processes for a few years, interacting in a limited way with society; nowadays, this perspective has changed. The goal is to focus on various aspects, not just clinical ones, and increasingly adapt HTA processes to the real contexts where these technologies are or will be used[5]
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