Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas

OBJECTIVE. Identify the most relevant, applicable, and priority good practice principles in health technology assessment (HTA) in Latin America, and potential barriers to implementing them in the region. METHODS. HTA good practice principles postulated worldwide were identified and then explored thr...

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Autores principales: Pichon-Riviere, Andrés, Soto, Natalie C, Augustovski, Federico Ariel, García Martí, Sebastián, Sampietro-Colom, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660880/
https://www.ncbi.nlm.nih.gov/pubmed/29466522
http://dx.doi.org/10.26633/RPSP.2017.138
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author Pichon-Riviere, Andrés
Soto, Natalie C
Augustovski, Federico Ariel
García Martí, Sebastián
Sampietro-Colom, Laura
author_facet Pichon-Riviere, Andrés
Soto, Natalie C
Augustovski, Federico Ariel
García Martí, Sebastián
Sampietro-Colom, Laura
author_sort Pichon-Riviere, Andrés
collection PubMed
description OBJECTIVE. Identify the most relevant, applicable, and priority good practice principles in health technology assessment (HTA) in Latin America, and potential barriers to implementing them in the region. METHODS. HTA good practice principles postulated worldwide were identified and then explored through a deliberative process in a forum of evaluators, funders, and technology producers. RESULTS. Forty-two representatives from ten Latin American countries participated in the forum. The good practice principles postulated at the international level were considered valid and potentially applicable in Latin America. Five principles were identified as priorities and as having greater potential to be expanded at this time: transparency in carrying out HTA; involvement of stakeholders in the HTA process; existence of mechanisms to appeal decisions; existence of clear mechanisms for HTA priority-setting; and existence of a clear link between assessment and decision-making. The main challenge identified was to find a balance between application of these principles and available resources, to prevent the planned improvements from jeopardizing report production times and failing to meet decision-makers’ needs. CONCLUSIONS. The main recommendation was to gradually advance in improving HTA and its link to decision-making by developing appropriate processes for each country, without attempting to impose, in the short term, standards taken from examples at the international level without adequate adaptation to the local context.
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spelling pubmed-66608802019-08-07 Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas Pichon-Riviere, Andrés Soto, Natalie C Augustovski, Federico Ariel García Martí, Sebastián Sampietro-Colom, Laura Rev Panam Salud Publica Informe Especial OBJECTIVE. Identify the most relevant, applicable, and priority good practice principles in health technology assessment (HTA) in Latin America, and potential barriers to implementing them in the region. METHODS. HTA good practice principles postulated worldwide were identified and then explored through a deliberative process in a forum of evaluators, funders, and technology producers. RESULTS. Forty-two representatives from ten Latin American countries participated in the forum. The good practice principles postulated at the international level were considered valid and potentially applicable in Latin America. Five principles were identified as priorities and as having greater potential to be expanded at this time: transparency in carrying out HTA; involvement of stakeholders in the HTA process; existence of mechanisms to appeal decisions; existence of clear mechanisms for HTA priority-setting; and existence of a clear link between assessment and decision-making. The main challenge identified was to find a balance between application of these principles and available resources, to prevent the planned improvements from jeopardizing report production times and failing to meet decision-makers’ needs. CONCLUSIONS. The main recommendation was to gradually advance in improving HTA and its link to decision-making by developing appropriate processes for each country, without attempting to impose, in the short term, standards taken from examples at the international level without adequate adaptation to the local context. Organización Panamericana de la Salud 2017-11-07 /pmc/articles/PMC6660880/ /pubmed/29466522 http://dx.doi.org/10.26633/RPSP.2017.138 Text en https://creativecommons.org/licenses/by/4.0/ Este es un artículo de acceso abierto distribuido bajo los términos de la licencia Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite su uso, distribución y reproducción en cualquier medio, siempre que el trabajo original se cite de la manera adecuada. No se permiten modificaciones a los artículos ni su uso comercial. Al reproducir un artículo no debe haber ningún indicio de que la OPS o el artículo avalan a una organización o un producto específico. El uso del logo de la OPS no está permitido. Esta leyenda debe conservarse, junto con la URL original del artículo.
spellingShingle Informe Especial
Pichon-Riviere, Andrés
Soto, Natalie C
Augustovski, Federico Ariel
García Martí, Sebastián
Sampietro-Colom, Laura
Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas
title Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas
title_full Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas
title_fullStr Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas
title_full_unstemmed Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas
title_short Evaluación de tecnologías sanitarias para la toma de decisiones en Latinoamérica: principios de buenas prácticas
title_sort evaluación de tecnologías sanitarias para la toma de decisiones en latinoamérica: principios de buenas prácticas
topic Informe Especial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660880/
https://www.ncbi.nlm.nih.gov/pubmed/29466522
http://dx.doi.org/10.26633/RPSP.2017.138
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