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Definiendo el valor de las tecnologías sanitarias en Latino-América: desarrollo de marcos de valor para informar la priorización de recursos sanitarios

Published online by Cambridge University Press:  02 April 2019

Andres Pichon-Riviere ,
Sebastian Garcia-Marti ,
Wija Oortwijn ,
Federico Augustovski  and
Laura Sampietro-Colom
Andres Pichon-Riviere*
Affiliation:
Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Sebastian Garcia-Marti
Affiliation:
Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Wija Oortwijn
Affiliation:
Radboud university medical centre, the Netherlands
Federico Augustovski
Affiliation:
Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Laura Sampietro-Colom
Affiliation:
Hospital Clinic de Barcelona, Barcelona, Spain
*
Author for correspondence: Andres Pichon-Riviere (IECS), E-mail: apichon@iecs.org.ar
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Resumen

Objetivos

El reciente desarrollo de marcos de valor responde a una demanda por hacer más explícito e inclusivo el proceso de toma de decisiones sobre asignación de recursos sanitarios. El objetivo del Foro de Políticas en Latino América 2018 de Health Technology Assessment International fue explorar las experiencias internacionales y discutir la potencial aplicación de marcos de valor en la región.

Métodos

Este manuscrito está basado en un documento base y en las presentaciones y discusiones mantenidas por los miembros del Foro (43 participantes, 12 países) durante el Foro del 2018.

Resultados

Los participantes coincidieron en que un proceso de evaluación y toma de decisión basado en marcos de valor más inclusivos y abarcativos podría mejorar la efectividad, eficiencia, sustentabilidad y equidad; promover la transparencia y una evaluación más completa de las tecnologías, mejorar la rendición de cuentas de las decisiones y la participación de actores. Se identificaron como criterios esenciales para ser incluidos en marcos de valor en la región a la carga de enfermedad y severidad de la condición, la efectividad y seguridad de la tecnología, la calidad de la evidencia, la costo-efectividad e impacto presupuestario. Los potenciales desafíos para su implementación identificados incluyeron la escasez de recursos humanos y las demoras en el proceso de evaluación que se podrían producir.

Conclusiones

Los participantes remarcaron que los próximos pasos deberían ser identificar procesos y metodologías apropiadas, adaptadas al contexto de cada país, para facilitar la aplicación de marcos de valor y mejorar el vínculo entre la evaluación y la toma de decisiones.

Type
Policy
Information
International Journal of Technology Assessment in Health Care , Volume 35 , Issue 1 , 2019 , pp. 69 - 74
Copyright
Copyright © Cambridge University Press 2019 

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Footnotes

Este documento es la version en español del manuscrito: “Defining the Value of Health Technologies in Latin America: Developments in Value Frameworks to Inform the Allocation of Health Care Resources.” The English translation of this article is available here: https://doi.org/10.1017/S0266462319000072

References

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