Exploring the COVID-19 Pandemic's Impact on the Health Technology Assessment Process of the National Commission for the Incorporation of Technologies Into the Brazilian Health System.

Autor: Cardoso MMA; Health Technology Assessment Center, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu; Graduate Nursing Program, São Paulo State University, Brazil, São Paulo, Botucatu; Data Science and Predictive Analysis in Health Laboratory, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu. Electronic address: marilia.cardoso@unesp.br., Thabane L; Graduate Nursing Program, São Paulo State University, Brazil, São Paulo, Botucatu; Department of Health Research Methods, Evidence, and Impact, McMaster University, Canada, Ontario, Hamilton; Biostatistics Unit, St Joseph's Healthcare Hamilton, Canada, Ontario, Hamilton; Faculty of Health Sciences, University of Johannesburg, South Africa, Johannesburg., Andrade LGM; Data Science and Predictive Analysis in Health Laboratory, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu; Department of Internal Medicine, São Paulo State University, Brazil, São Paulo, Botucatu., Curado DDSP; Department of Management and Incorporation of Health Technologies, Ministry of Health, Brazil, Federal District, Brasilia., Komoda DS; Department of Collective Health, University of Campinas, Brazil, São Paulo, Campinas., Machado-Rugolo J; Health Technology Assessment Center, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu; Data Science and Predictive Analysis in Health Laboratory, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu., Lima SAM; Health Technology Assessment Center, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu; Nursing Department, São Paulo State University, Brazil, São Paulo, Botucatu., Weber SAT; Health Technology Assessment Center, Hospital das Clínicas of Medical School (HCFMB), Brazil, São Paulo, Botucatu; Department of Ophthalmology, Otorhinolaryngology and Head & Neck Surgery, São Paulo State University, Brazil, São Paulo, Botucatu.
Jazyk: angličtina
Zdroj: Value in health regional issues [Value Health Reg Issues] 2023 Sep; Vol. 37, pp. 18-22. Date of Electronic Publication: 2023 May 15.
DOI: 10.1016/j.vhri.2023.04.002
Abstrakt: Objectives: This study aimed to evaluate the impact of the COVID-19 pandemic on Brazilian health technology assessment processes based on public reports from the National Committee for Health Technology Incorporation (CONITEC).
Methods: This descriptive study analyzed CONITEC's official reports on Brazil available on its website between 2018 and 2021 that aimed to propose recommendations for technologies to be incorporated into its public healthcare system. We used descriptive statistics covering the number of technologies and number of reports about drugs per year, objective, type of technology, demanding sector, and outcome before 2018 to 2019 and during the COVID-19 pandemic (2020-2021). Furthermore, we used logistic regression to explore any association between the final decision labeled as "incorporated" and the emergence of the COVID-19 pandemic.
Results: A total of 278 reports were analyzed. Approximately 85% (136 of 278), 79% (220 of 278), and 45% of the reports (125 of 278) were about drugs, for incorporation, and requested by the government, respectively. Moreover, 74 of 130 (57%) and 56 of 148 decisions (38%) were "incorporated" before and during the pandemic, respectively. No significant association was noted between incorporated decisions and the arrival of the COVID-19 pandemic for all technologies (odds ratio 1.43; 95% CI 0.84-2.46; P = .192) and for drugs (odds ratio 1.43; 95% confidence interval 0.81-2.53; P = .223) while adjusting for the type of technology and demandant.
Conclusions: The COVID-19 pandemic has brought many challenges, but it does not seem to have had a significant impact on the health technology assessment approval decisions of CONITEC in Brazil.
(Copyright © 2023 International Society for Health Economics and Outcomes Research. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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