INAHTA Workshop: How to Set up an HTA Agency

Transcription

1 INAHTA Workshop: How to Set up an HTA Agency Eduardo Coura Assis,MSc. Department of Science and Technology Secretariat of Science, Technology and Strategic Inputs Ministry of Health of Brazil Geneve, Switzerland, November 23th, 2013

2 Outline - Brazilian Health System s Context - HTA at the Ministry of Health - Knowledge Transfer Actions - Capacity-building for Policy-makers - Next Steps and Challenges

3 Brazil 192 Million inhabitants (IBGE, 2011) 27 Federative units (States and the Federal District) 5,564 Municipalities Territory: 8,547,000 km 2 Capital: Brasilia Official Language: Portuguese Life Expectancy (IBGE 2010) 73 years Health expenditure per capita (current US$, 2009) - US$ 734 Mortality rate, infant (2009) 17 per 1,000 live births Total expenditure on health as a percentage of gross domestic product 8.8% (2009)

4 Role of the Secretariat of Science, Technology and Strategic Inputs (SCTIE/Brazilian MoH) DECIIS Incentives for National Production Industrial Production SCTIE DECIT Production of HTA Studies Health Research and HTA Studies CONITEC (Law 12,401/2011) Adoption and Exclusion of technologies DAF Promotes Access to Drugs and Rational Use of Them Decision-making Pharmaceutical Care

5 HTA UNIT - DECIT Standardization of HTA methods Production of rapid reviews for the National Commission for Incorporation of Health Technologies CONITEC Prioritization and commitment of clinical studies, systematic reviews, economic evaluations and research in health services Management of the Brazilian Network for Health Technology Assessment REBRATS Capacity-building for technicians in the public health system International cooperation with INAHTA, HTAi, NICE, RedETSA and MERCOSUR.

6 Who Are the Brazilian Policy-makers? National Ministry of Health Technical areas (health-care, public programs) Regulatory agencies State Health Secretariats Hospitals Specialized centers for secundary care Terciary health care Municipal Health Secretariats Hospitals Primary care

7 Actions to Reduce Barriers to Knowledge Translation/Transfer A. Develop metodological guidelines B. Invest in eletronic databases C. Develop critical appraisal skill tools D. Capacity-building to improve research and critical appraisal Adappted: Grimshaw, J M et al. Implementation Science 2012

8 Actions for Promoting KT A. Conduct HTA and systematic reviews HTA Studies by type, DECIT/SCTIE, Brazil Types No. % Rapid Response Reports Systematic Reviews Rapid Reviews Economic Evaluations Technology Management Budget Impact Analyses Others (HTA & Health Systems 31 Research) 6.0 TOTAL US$ 12 million

9 HTA studies from Latin America CDR Database, Source: Centre for Reviews and Dissemination - ( ) Search by keywords

10 Approved scientific Abstracts by country ARGENTINA 2.02% OTHERS 39,77% BRAZIL 55.30% CUBA 0.13% MEXICO 0.51% URUGUAY 1.64% COLOMBIA 0.38% PARAGUAY 0.25% Source: n: 792 abstracts approved From the total of 823 submitted scientific abstracts, 792 were acepted as oral or poster presentations.

11 Actions for Promoting HTA in Brazil B. Development of methodological guidelines C. Electronic platform permitting access to abstracts and full texts of HTA studies

12 HTA Database: abstracts and full texts available in Portuguese.

13 Submitted Abstracts for HTAi 2012 major Brazilian participation

14 Partners

15 Next Steps and Challenges Survey among attendants to check area of action and evidence of learning. Establish a training program in partnership with the educational area of the Ministry of Health and the Coordination for the Improvement of Higher Education Personnel of the Ministry of Education. To intensify e-learning in order to extend HTA to policymakers at local levels; To keep promoting master s and doctoral courses; To strengthen the REBRATS database.

16 Thank you! Eduardo Coura Assis