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社会参与卫生技术纳入统一卫生系统的过程。

Social participation in the health technology incorporation process into Unified Health System.

机构信息

Universidade de Brasília. Faculdade de Ceilândia. Programa de Pós-Graduação em Ciências e Tecnologias da Saúde. Ceilândia, DF, Brasil.

Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos - SCTIE. Departamento de Gestão e Incorporação de Tecnologias e Inovação em Saúde - DGITIS. Brasília, DF, Brasil.

出版信息

Rev Saude Publica. 2019 Dec 20;53:109. doi: 10.11606/S1518-8787.2019053001420. eCollection 2019.

DOI:10.11606/S1518-8787.2019053001420
PMID:31859904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6919280/
Abstract

OBJECTIVE

To describe the current process of social participation in the incorporation of health technologies in Brazil, within the context of the Unified Health System (SUS).

METHODS

A descriptive study was conducted based on the analysis of official records of the actions of the National Committee for Health Technology Incorporation into Unified Health System and its website, from the beginning of its activities in January 2012 until December 2017.

RESULTS

The findings indicate that, in Brazil, there are legal instruments related to social participation in health, including the health technology assessment (HTA) field. However, its implementation is relatively recent and has been carried out gradually. In addition to the legal instruments (National Health Council representative, public consultation and public hearing forecast), other information and transparency strategies have been shown to be allied to social participation in the incorporation of health technologies. However, activities such as legally provided public hearings have not yet been carried out.

CONCLUSIONS

Several actions to foster social participation were developed over the analyzed period, but they need to be evaluated in order to maintain or improve them. In addition, there is a need for more qualified social participation in the various existing spaces, including those prescribed by law.

摘要

目的

描述巴西在统一卫生系统(SUS)背景下,将卫生技术纳入过程中的社会参与现状。

方法

本描述性研究基于对国家卫生技术纳入统一卫生系统委员会及其网站自 2012 年 1 月开始运作至 2017 年 12 月期间各项行动的官方记录进行分析。

结果

研究结果表明,巴西存在与卫生领域社会参与相关的法律文书,包括卫生技术评估(HTA)领域。然而,其实施相对较新,且是逐步进行的。除法律文书(国家卫生理事会代表、公众咨询和公众意见听证会预测)外,其他信息和透明度策略也被证明与卫生技术纳入的社会参与有关。但是,例如法律规定的公开听证会等活动尚未进行。

结论

在分析期间,制定了多项促进社会参与的措施,但需要对其进行评估,以维持或改进这些措施。此外,需要在各种现有空间(包括法律规定的空间)中实现更有质量的社会参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/ca0a37b1d850/1518-8787-rsp-53-109-gf03-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/6ada24d9b41c/1518-8787-rsp-53-109-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/74f58f06fb94/1518-8787-rsp-53-109-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/cb121f0f4cfc/1518-8787-rsp-53-109-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/fbbe2cbe196a/1518-8787-rsp-53-109-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/90d393dbbc41/1518-8787-rsp-53-109-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/ca0a37b1d850/1518-8787-rsp-53-109-gf03-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/6ada24d9b41c/1518-8787-rsp-53-109-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/74f58f06fb94/1518-8787-rsp-53-109-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/cb121f0f4cfc/1518-8787-rsp-53-109-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/fbbe2cbe196a/1518-8787-rsp-53-109-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/90d393dbbc41/1518-8787-rsp-53-109-gf02-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a5/6919280/ca0a37b1d850/1518-8787-rsp-53-109-gf03-pt.jpg

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An international survey of the public engagement practices of health technology assessment organizations.一项针对健康技术评估组织公众参与实践的国际调查。
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[Advances and challenges to the Brazilian policy of health technology management].
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