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首页> 外文期刊>Sao Paulo Medical Journal >Health technology assessment in Brazil: what do healthcare system players think about it?
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Health technology assessment in Brazil: what do healthcare system players think about it?

机译：巴西的卫生技术评估：卫生保健系统参与者对此有何看法？

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CONTEXT AND OBJECTIVES: The health technology assessment (HTA) process has been developed locally. The aim of this study was to describe, analyze and compare the opinions of participants in international health economics symposia about the HTA process used in Brazil. DESIGN AND SETTING: Observational cross-sectional study at the 2006 and 2008 International Health Economics Symposia, in S?o Paulo. METHODS: A structured questionnaire was applied. For the statistical analysis, the percentage distribution for each category was calculated, and variables were compared using tests for two-sample proportion hypotheses. RESULTS: Totals of 153 and 74 participants answered the 2006 and 2008 surveys, respectively. The response rate was better for the 2006 survey (67.1%) than for the 2008 survey (31.8%). Most interviewees were between the ages of 30 and 49 years and were managers in the healthcare system. Most of them considered that the current HTA process was incomplete and unable to meet the needs of the healthcare system. They mentioned the government, academia and experts as the three main groups of people who should be involved in the process, and selected efficiency/effectiveness, safety and disease relevance as the three main criteria to be considered in the HTA process. There is a trend towards developing decentralized regionalized HTA processes, with separate assessment and decision-making for the public and private systems. CONCLUSIONS: The HTA concept is well known. Healthcare system players feel that the process has methodological limitations. Additional surveys are needed to track the HTA process and its application in Brazil.
机译：背景与目标：卫生技术评估（HTA）流程已在本地开发。这项研究的目的是描述，分析和比较参加国际卫生经济学研讨会的与会者对巴西使用的HTA流程的看法。设计与环境：2006年和2008年在圣保罗举行的国际卫生经济学研讨会的观察性横断面研究。方法：采用结构化问卷。为了进行统计分析，计算了每个类别的百分比分布，并使用了两个样本比例假设的检验对变量进行了比较。结果：分别有153位和74位参与者回答了2006年和2008年的调查。 2006年的调查（67.1％）比2008年的调查（31.8％）更好。大多数受访者年龄在30到49岁之间，并且是医疗保健系统的经理。他们中的大多数人认为当前的HTA流程不完整，无法满足医疗保健系统的需求。他们提到政府，学术界和专家是应该参与该过程的三个主要人群，并选择了效率/效果，安全性和疾病相关性作为HTA过程中要考虑的三个主要标准。趋势是发展分散的区域化HTA流程，并对公共和私人系统进行单独的评估和决策。结论：HTA概念是众所周知的。医疗保健系统参与者认为该过程存在方法上的局限性。需要进行其他调查以追踪HTA流程及其在巴西的应用。

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