Article type
Abstract
Background: The assessment of health technologies (HTA) aims to support decision-makers regarding effectiveness, safety, costs, ethical and social impacts to optimize the allocation of health resources. The creation of Health Technology Assessment Centers (HTAC) was the Ministry of Health's first strategy to strengthen the HTA culture in Brazilian’s hospitals. The HTAC in the Army Forces Hospital, Brazil is the first center to be created in a Military Hospital in Brazil. The Army Forces Hospital is a Military Health Organization located in Brasilia, the capital of Brazil, that is part of the structure of the Ministry of Defense, which has been providing teaching and medical residency activities for 50 years and provides emergency and outpatient care and performs surgeries.
Purpose: Describe the difficulties and challenges in implementing and consolidating HTAC, Army Forces Hospital, Brazil.
Methods: Experience report on the creation of HTAC, Army Forces Hospital, Brazil.
Results: The main challenges for implementation were the lack of ATS culture, managers' lack of ATS knowledge and lack of local staff with necessary skills. The managers were convinced through lectures and presentation of evidence over the benefit of ATS in the hospital environment. Thus, HTAC, Army Forces Hospital, Brazil was created in 2020. Concern the strategies to promote ATS, an Evidence-Based Health Symposium was held at the hospital itself, attended by around 135 health professionals and there was the opportunity for discussion of public policies, artificial intelligence, databases and economic evaluation.
Results: After 3 years of creation, HTAC, Army Forces Hospital, Brazil is part of the request flow for drug standardization. A rapid review model has already been established to meet the hospital's demands and teaching activities are carried out frequently to improve hospital professionals' understanding of HTA.
Conclusion: The challenges for implementing HTAC-Army Forces Hospital were similar to those found in the literature, which shows that although health technology assessment began in 2004, when the National Science, Technology and Innovation in Health Policy was approved, the investment in promotion and training in ATS must be a continuous process so that decision-making is based on an updated methodology based on the best available evidence.
Purpose: Describe the difficulties and challenges in implementing and consolidating HTAC, Army Forces Hospital, Brazil.
Methods: Experience report on the creation of HTAC, Army Forces Hospital, Brazil.
Results: The main challenges for implementation were the lack of ATS culture, managers' lack of ATS knowledge and lack of local staff with necessary skills. The managers were convinced through lectures and presentation of evidence over the benefit of ATS in the hospital environment. Thus, HTAC, Army Forces Hospital, Brazil was created in 2020. Concern the strategies to promote ATS, an Evidence-Based Health Symposium was held at the hospital itself, attended by around 135 health professionals and there was the opportunity for discussion of public policies, artificial intelligence, databases and economic evaluation.
Results: After 3 years of creation, HTAC, Army Forces Hospital, Brazil is part of the request flow for drug standardization. A rapid review model has already been established to meet the hospital's demands and teaching activities are carried out frequently to improve hospital professionals' understanding of HTA.
Conclusion: The challenges for implementing HTAC-Army Forces Hospital were similar to those found in the literature, which shows that although health technology assessment began in 2004, when the National Science, Technology and Innovation in Health Policy was approved, the investment in promotion and training in ATS must be a continuous process so that decision-making is based on an updated methodology based on the best available evidence.