Silva Hudson P, Petramale Clarice A, Elias Flavia T S
Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas, Limeira, SP, Brasil.
Rev Saude Publica. 2012 Dec;46 Suppl 1:83-90. doi: 10.1590/s0034-89102012005000060. Epub 2012 Dec 11.
The Brazilian Ministry of Health has institutionalized two articulated processes in the field of health technology management: (i) the production, systematization and dissemination of health technology assessment, and (ii) the adoption of a flow for the incorporation, exclusion or alteration of new technologies by the Brazilian National Health System. Several advances have been made, such as standardization of methods; production and promotion of studies; institutional development and international cooperation in the area of health technology assessment; definition of the necessary requirements for the presentation of proposals; definition of deadlines; and expansion of the segments that compose the committee that is responsible for the analysis and recommendation. However, some difficulties remain: health technology assessment activities concentrated in the Ministry; low sustainability of the activities of production and dissemination of the assessments; low penetration of health technology assessment in health care institutions; activities of assessment/incorporation with low participation of users; non-transparent decision-making processes; and low integration of the health policy with the scientific and technological policy.
（i）卫生技术评估的产生、系统化和传播，以及（ii）巴西国家卫生系统采用纳入、排除或更改新技术的流程。已经取得了一些进展，例如方法的标准化；研究的产生和推广；卫生技术评估领域的机构发展和国际合作；提案提交所需要求的定义；期限的定义；以及负责分析和建议的委员会组成部门的扩大。然而，仍存在一些困难：卫生技术评估活动集中在卫生部；评估的产生和传播活动可持续性低；卫生技术评估在医疗机构中的渗透率低；评估/纳入活动中用户参与度低；决策过程不透明；以及卫生政策与科技政策的整合度低。
