Escola Nacional de Saúde Pública,
INI,Fiocruz.
Int J Technol Assess Health Care. 2017 Jan;33(2):227-231. doi: 10.1017/S0266462317000459. Epub 2017 Jun 23.
Hospital-based health technology assessment (HTA) has become increasingly important in Brazil due to its strategic importance to promote adoption, incorporation, dissemination, and disinvestment of technologies. A strategy to foster hospital-based HTA was implemented in 2009 by creating hospital-based HTA nuclei (NATS) at university hospitals and other strategic hospitals.
Between 2011 and 2012, we interviewed board members in twenty-three NATS located in all geographic regions of Brazil to assess their general characteristics, scientific output, and challenges.
Of the total, 65 percent of the NATS belonged to teaching institutions, with 44 percent associated with federal universities. The bulk of their output was in the form of mini-HTA reports. Centers in the Southeast and South of Brazil had the highest production compared with other regions. Lack of expertise and low levels of advanced training were identified as limiting factors in the majority of centers.
The experience of the initial twenty-three NATS could be considered positive and has led to the creation of new ones around Brazil. Regional disparities in workload, production, and technical training should be targeted by new policies toward hospital-based HTA in Brazil. The limits and possibilities for intensifying the strategy relate to continuous investment in priority studies, which simultaneously, allow professionals who work in hospitals to receive continued education and produce relevant HTA work in a timely manner.
由于医院为评估卫生技术（HTA）在促进技术的采用、融入、传播和撤资方面具有战略意义，因此其在巴西变得越来越重要。2009 年，通过在大学医院和其他战略医院建立医院 HTA 核心（NATS），实施了一项促进医院 HTA 的策略。
2011 年至 2012 年间，我们对位于巴西所有地理区域的 23 个 NATS 的董事会成员进行了访谈，以评估其一般特征、科学产出和挑战。
在 NATS 中，65%属于教学机构，其中 44%与联邦大学有关。他们的大部分产出是迷你 HTA 报告的形式。与其他地区相比，巴西南部和东南部的中心产出最高。缺乏专业知识和低水平的高级培训被认为是大多数中心的限制因素。
最初 23 个 NATS 的经验可以被认为是积极的，并导致巴西各地建立了新的 NATS。巴西应针对医院 HTA 制定新政策，以解决工作量、产出和技术培训方面的地区差异。加强该策略的限制和可能性与持续投资优先研究有关，这同时允许在医院工作的专业人员接受继续教育，并及时提供相关的 HTA 工作。
