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Una inmersión profunda en la evaluación de la tecnología de salud brasileña: estructura, políticas y procesos
Mohammed Alkhaldi1,2,3,4,5, Márcia Matos1,2,3,6, Ali Sweid7
1Faculty of Medicine and Health Sciences, School of Physical and Occupational Therapy, McGill University, Montreal, Canada.
PLOS global public health
|February 11, 2026
Resumen
El Brasil es Brasil.
Área de la Ciencia:
- Políticas y Sistemas de Salud Investigación de Sistemas de Salud.
- Evaluación de Tecnología de la Salud (HTA, por sus siglas en inglés)
- Cobertura universal de salud (UHC, por sus siglas en inglés)
Sus antecedentes:
- Los sistemas globales de salud se enfrentan a crecientes presiones financieras y demográficas.
- La Evaluación de la Tecnología de la Salud (HTA, por sus siglas en inglés) es crucial para una asignación de recursos eficiente y basada en la evidencia.
- En Brasil, HTA apoya la Cobertura Universal de Salud (UHC) a través del Comité Nacional para la Incorporación de Tecnología de la Salud (CONITEC).
Objetivo del estudio:
- Para analizar la estructura del sistema nacional de HTA de Brasil.
- Identificar las barreras y desafíos dentro del panorama brasileño de HTA.
- Proponer estrategias para fortalecer los procesos e integración de HTA.
Principales métodos:
- Se utilizó un enfoque de métodos mixtos desde 2021-2023.
- La recopilación de datos incluyó trece encuestas institucionales electrónicas y nueve entrevistas virtuales en profundidad.
- Los participantes incluyeron organizaciones de HTA y expertos en varios sectores de la salud.
Principales resultados:
- El sistema de HTA de Brasil se caracteriza por una fuerte participación pública y académica, con CONITEC desempeñando un papel central.
- Valor reconocido de HTA en la formulación de políticas para la eficacia clínica, el costo y el valor económico.
- Los desafíos identificados incluyen posibles conflictos de intereses, la dependencia de la financiación gubernamental y la capacidad institucional insuficiente.
Conclusiones:
- El sistema de HTA de Brasil demuestra fortalezas en la fuerza laboral multidisciplinaria y la participación de la comunidad.
- Necesidad de diversificar la financiación, mejorar la capacidad institucional y fortalecer las habilidades y la coordinación de HTA.
- El estudio proporciona evidencia para informar la política futura y la investigación para una integración robusta de HTA que apoye la UHC.
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