Introduction:The Federal District in Brazil has about 2.9 million inhabitants and the public health system is focused on medical specialties, with one university hospital and twenty regional hospitals. This ecosystem is favorable for fostering health technology assessment (HTA) to improve the efficiency and effectiveness of health care. The objective was to identify institutions that could form a HTA network to support decision-oriented evidence in the public health system.Methods:Stakeholders from the hospitals and training/research institutions in the Federal District were surveyed. An online questionnaire (Google Docs) was developed to identify the potential and capacity of institutions to analyze or produce clinical and economic evidence. Two HTA seminars were held to spread knowledge about HTA and to encourage stakeholders to complete the survey.Results:The questionnaire response rate was thirty-five percent (25/70). Fifteen institutions were cited by the respondents as having the potential to build a HTA network. Twelve of the institutions produced rapid reviews and clinical guidelines, but only three of these had an organized priority setting process or produced assessments at the request of the hospital manager. The challenges identified were training and willingness of decision makers to organize HTA units in the hospitals.Conclusions:An executive group was created which defined a strategy to support the implementation of HTA units as part of the HTA National Network (REBRATS). A regulation proposal was also created to encourage decision makers to activate a HTA network in the Federal District.
Introdução: A Avaliação de Tecnologias em Saúde (ATS) auxilia gestores a tomarem decisões com o melhor embasamento científico para o uso apropriado de tecnologias nos sistemas de saúde. Objetivo: realizar um diagnóstico situacional no Distrito Federal (DF), identificando instituições que produziam ou que apresentavam potencial para produzirem ATS, tendo em vista subsidiar a criação de uma rede distrital sobre esse tema. Método: Foi realizado um estudo transversal usando questionário on-line desenvolvido para identificar o potencial e a capacidade das instituições de ensino e pesquisa e hospitais do Distrito Federal para analisar e/ou produzir evidências clínicas e econômicas. Paralelamente, foram realizados dois seminários envolvendo um total de 136 participantes, com o intuito de disseminar o conhecimento, aumentar as respostas do questionário. Resultados: Foram enviados 70 questionários, com taxa de resposta de 16,3%. Foram identificadas quinze instituições que podem iniciar a cooperação para ativação da rede no Distrito Federal. Como barreiras para implementar ações de ATS, foram destacados os seguintes fatores: baixa comprometimento político‑institucional, ausência de infraestrutura física e de pessoal capacitado. Conclusão: a ativação de uma rede distrital poderá potencializar tanto as capacidades locais de realizar avaliações de tecnologias em saúde, como aumentar as colaborações em projetos de natureza educacional de pesquisa aplicada, aumentando a capacidade de conexão para produção e disseminação dos estudos de ATS.
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