Abstract

This article has two parts. The first discusses the relationship between industry and health interests based on three different but non-mutually exclusive "logics": (a) independent; (b) divergent; and (c) convergent. The second part describes the experience at the Brazilian National Institute of Traumatology and Orthopedics (INTO) with a technology management model. The accumulated expertise in orthopedics at INTO can favor Brazil's domestic medical equipment industry without jeopardizing the country's social health needs. This means directing the production of feasible technologies adapted to the national reality, with a focus on safety and quality, without burdening the public coffers and by overcoming the country's dependency on imported products. The proposal is to promote socioeconomic development through a virtuous circle by attracting reserves and fomenting national competitiveness in domestic and foreign markets while improving social conditions and access to health. Resumo: Este artigo está dividido em duas partes. Na primeira, discute-se como se relacionam os interesses produtivos e a saúde a partir de três "lógicas" ou perspectivas diferentes que não são mutuamente excludentes: (a) independente; (b) divergente e (c) convergente. Na segunda, descreve-se a experiência do Instituto Nacional de Traumatologia e Ortopedia (INTO) na montagem de um modelo de gestão de tecnologia. O conhecimento internalizado em ortopedia do INTO pode favorecer a indústria nacional de equipamentos médicos sem abandonar as necessidades sociais brasileiras de saúde. Isto é, direcionar a produção de tecnologias viáveis e adaptadas à realidade nacional, com foco em segurança e qualidade, sem onerar os cofres públicos e abandonando a dependência de produtos importados. A proposta é a de promover um desenvolvimento socioeconômico que construa um ciclo virtuoso, por atrair divisas e fomentar a competitividade nacional em mercados internos e externos, melhorando as condições sociais e de acesso à saúde.

Highlights

  • The living and working conditions of individuals and social groups are closely related to health

  • Research and development investments adjusted to social interests and health priorities remain at dismally inadequate levels, some 1 to 2% of total research and development (R&D) in global medical investment 4

  • The importance of the convergent model for health becomes clear, based on the premise that the institutional mission, vision, and values of any hospital involves the provision of effective, safe, and high-quality services aimed at health promotion. This model for linking industrial and social interests is clearly present in other countries around the world, since hospitals are famous as a leading sector in the production and innovation of health technologies

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Summary

Introduction

The living and working conditions of individuals and social groups are closely related to health. Brazil’s federal hospitals, especially the national institutes belonging to the medium and high-complexity healthcare network, play a fundamental role in the innovation dynamics of the HEIC 22, based on both the orientation of the installed domestic capacity of the health industry sectors and the possibility of formulating policies that link industry and social interests in health. The importance of the convergent model for health becomes clear, based on the premise that the institutional mission, vision, and values of any hospital involves the provision of effective, safe, and high-quality services aimed at health promotion This model for linking industrial and social interests is clearly present in other countries around the world, since hospitals are famous as a leading sector in the production and innovation of health technologies.

Conclusion
Rio de Janeiro
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