Health technology assessment for decision-making in Latin America: good practice principles/Evaluacion de tecnologias sanitarias para la toma de decisiones en Latinoamerica: principios de buenas practicas/Avaliacao de tecnologias em saude para a tomada de decisao na America Latina: principios de boas praticas

• Published in: Revista panamericana de salud pública 2017-12, Vol.41 (8)
• Main Authors: Marti, Sebastian Garcia, Augustovski, Federico Ariel, Pichon-Riviere, Andres, Soto, Natalie C, Sampietro-Colom, Laura
• Format: Article
• Language: Spanish
• ISSN: 1020-4989

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. Keywords Universal coverage; health economics; public health; technology assessment, biomedical; public health policy; health care rationing; health care economics and organizations; health priorities. Objetivo. Identificar los principios de buenas practicas en la Evaluacion de las Tecnologias Sanitarias (ETESA) mas relevantes, aplicables y prioritarios en Latinoamerica; y las potenciales barreras para implementarlos en la region. Metodos. Se identificaron los principios de buenas practicas en ETESA postulados a nivel mundial y luego se exploraron mediante un proceso deliberativo en un Foro de evaluadores, financiadores y productores de tecnologias. Resultados. El Foro conto con la participacion de 42 representantes de diez paises Latinoamericanos. Los principios de buenas practicas postulados a nivel internacional fueron considerados validos y potencialmente aplicables en Latinoamerica. Cinco principios fueron identificados como prioritarios y co