Cargando…

Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil

BACKGROUND:  The aim of this work is to characterize the processes associated with patient and public involvement (PPI) in the form of public consultations (PC) during the first 10 years of operation of the National Committee for Health Technology Incorporation in the Unified Health System (Conitec)...

Descripción completa

Detalles Bibliográficos
Autores principales: De Freitas Lopes, Ana Carolina, Novaes, Hillegonda Maria Dutilh, De Soárez, Patrícia Coelho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339481/
https://www.ncbi.nlm.nih.gov/pubmed/37438823
http://dx.doi.org/10.1186/s12961-023-01018-1
_version_ 1785071853098762240
author De Freitas Lopes, Ana Carolina
Novaes, Hillegonda Maria Dutilh
De Soárez, Patrícia Coelho
author_facet De Freitas Lopes, Ana Carolina
Novaes, Hillegonda Maria Dutilh
De Soárez, Patrícia Coelho
author_sort De Freitas Lopes, Ana Carolina
collection PubMed
description BACKGROUND:  The aim of this work is to characterize the processes associated with patient and public involvement (PPI) in the form of public consultations (PC) during the first 10 years of operation of the National Committee for Health Technology Incorporation in the Unified Health System (Conitec) of Brazil, and to identify factors associated with changes in Conitec’s recommendations following these PC. METHODS:  This cross-sectional study analysed all processes related to the adoption of technologies that took place in Brazil between 2012 and 2021 based on technical reports and self-reported information collected from PC participants. A multiple logistic regression model identified factors associated with changes in Conitec’s recommendations following PC. RESULTS:  A total of 479 technical reports were published, of which 83% (n = 400) were submitted to PC. Demands were made mainly by applicants from the government (n = 262; 55%), regarding the adoption of medicines (n = 366; 76%), in which context neoplasms and infectious diseases were the most frequent indications (n = 66; 14% for each). A total of 264 (55%) processes resulted in a final recommendation in favour of introducing the technology. Over the period of 10 years, 196 483 contributions were received in response to PC. The largest volume of contributions was made by patients and their families or representatives (n = 99 082; 50%), females (122 895; 67%), white individuals (129 165; 71%) and individuals between the ages of 25 and 59 years (145 364; 80%). Alteration of the preliminary recommendation occurred in 13% (n = 53) of the PC, with a higher proportion of recommendations being altered from 2017 onwards. Increased participation by patients had a significant impact on the alteration of the preliminary recommendation (odds ratio 3.87, 95% CI 1.33–13.35, p = 0.02). CONCLUSIONS: Increased engagement of patients and their families and caregivers in PC was associated with changing the preliminary recommendation of Conitec about the adoption of technologies into the public health system in Brazil. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12961-023-01018-1.
format Online
Article
Text
id pubmed-10339481
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-103394812023-07-14 Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil De Freitas Lopes, Ana Carolina Novaes, Hillegonda Maria Dutilh De Soárez, Patrícia Coelho Health Res Policy Syst Research BACKGROUND:  The aim of this work is to characterize the processes associated with patient and public involvement (PPI) in the form of public consultations (PC) during the first 10 years of operation of the National Committee for Health Technology Incorporation in the Unified Health System (Conitec) of Brazil, and to identify factors associated with changes in Conitec’s recommendations following these PC. METHODS:  This cross-sectional study analysed all processes related to the adoption of technologies that took place in Brazil between 2012 and 2021 based on technical reports and self-reported information collected from PC participants. A multiple logistic regression model identified factors associated with changes in Conitec’s recommendations following PC. RESULTS:  A total of 479 technical reports were published, of which 83% (n = 400) were submitted to PC. Demands were made mainly by applicants from the government (n = 262; 55%), regarding the adoption of medicines (n = 366; 76%), in which context neoplasms and infectious diseases were the most frequent indications (n = 66; 14% for each). A total of 264 (55%) processes resulted in a final recommendation in favour of introducing the technology. Over the period of 10 years, 196 483 contributions were received in response to PC. The largest volume of contributions was made by patients and their families or representatives (n = 99 082; 50%), females (122 895; 67%), white individuals (129 165; 71%) and individuals between the ages of 25 and 59 years (145 364; 80%). Alteration of the preliminary recommendation occurred in 13% (n = 53) of the PC, with a higher proportion of recommendations being altered from 2017 onwards. Increased participation by patients had a significant impact on the alteration of the preliminary recommendation (odds ratio 3.87, 95% CI 1.33–13.35, p = 0.02). CONCLUSIONS: Increased engagement of patients and their families and caregivers in PC was associated with changing the preliminary recommendation of Conitec about the adoption of technologies into the public health system in Brazil. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12961-023-01018-1. BioMed Central 2023-07-12 /pmc/articles/PMC10339481/ /pubmed/37438823 http://dx.doi.org/10.1186/s12961-023-01018-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
De Freitas Lopes, Ana Carolina
Novaes, Hillegonda Maria Dutilh
De Soárez, Patrícia Coelho
Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil
title Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil
title_full Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil
title_fullStr Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil
title_full_unstemmed Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil
title_short Does patient and public involvement impact public health decision-making? A 10 year retrospective analysis of public consultation in Brazil
title_sort does patient and public involvement impact public health decision-making? a 10 year retrospective analysis of public consultation in brazil
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339481/
https://www.ncbi.nlm.nih.gov/pubmed/37438823
http://dx.doi.org/10.1186/s12961-023-01018-1
work_keys_str_mv AT defreitaslopesanacarolina doespatientandpublicinvolvementimpactpublichealthdecisionmakinga10yearretrospectiveanalysisofpublicconsultationinbrazil
AT novaeshillegondamariadutilh doespatientandpublicinvolvementimpactpublichealthdecisionmakinga10yearretrospectiveanalysisofpublicconsultationinbrazil
AT desoarezpatriciacoelho doespatientandpublicinvolvementimpactpublichealthdecisionmakinga10yearretrospectiveanalysisofpublicconsultationinbrazil