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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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HTA Reshaping: Rethinking the Health Technology Assessment Framework in Portugal.

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Area of Science:

  • Health technology assessment (HTA) and health economics.
  • European healthcare policy and regulatory frameworks.

Background:

  • Recent modifications to Portugal's health technology assessment (HTA) framework have significantly impacted economic evaluation methods.
  • These changes may affect patient access to therapies and overall process efficiency.

Purpose of the Study:

  • To inform the ongoing debate surrounding HTA in Portugal.
  • To identify opportunities for improving the HTA framework and addressing future challenges.

Main Methods:

  • Comparative analysis of European HTA frameworks to identify best practices.
  • In-depth interviews with 11 key stakeholders.
  • Two workshops involving young professionals (n=12) and HTA stakeholders (n=19) to brainstorm solutions.

Main Results:

  • Significant variation exists in the purpose and sophistication of HTA frameworks across European countries.
  • Stakeholders reached high agreement on prioritizing national registries and patient involvement in HTA.
  • Moderate agreement was found for managed entry agreements, multi-indication pricing, and registry interoperability.

Conclusions:

  • The Portuguese HTA framework requires adaptation to meet future challenges and enhance access to innovative treatments.
  • Harmonization of HTA frameworks among EU member states remains a long-term objective.