Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review

Objective. To provide an overview of hospital-based health technology assessment (HB-HTA) activities in Latin America and the Caribbean, including the technologies assessed, resources utilized, evaluation methods employed, and challenges encountered. Methods. A scoping review focused on HB-HTA using...

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Main Authors: Alex Itaborahy, Vania Cristina Canuto Santos, Flávia Cristina Ribeiro Salomon, Caroline Bregman, Iandy Mateus, Marisa Santos
Format: Article
Language:English
Published: Pan American Health Organization 2025-01-01
Series:Revista Panamericana de Salud Pública
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Online Access:https://iris.paho.org/handle/10665.2/63768
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Summary:Objective. To provide an overview of hospital-based health technology assessment (HB-HTA) activities in Latin America and the Caribbean, including the technologies assessed, resources utilized, evaluation methods employed, and challenges encountered. Methods. A scoping review focused on HB-HTA using frameworks from the Joanna Briggs Institute was conducted across databases and gray literature. Results. Seventeen studies were identified, and another two documents were retrieved manually at a conference, totaling 19 files. Brazil emerged as a key player in HB-HTA activities in Latin America and the Caribbean, with public teaching hospitals leading the efforts. The primary focus of HB-HTA units was assessing medicines/pharmaceuticals and medical devices, using budget impact and cost-effectiveness/utility analyses as the main appraisal tools. The review also identified challenges such as limited human resources and financial support. Conclusions. The study highlights a growing interest in HB-HTA in Latin America and the Caribbean, driven primarily by public institutions. The findings underscore the need for tailored approaches to strengthen evidence-based decision-making in healthcare settings and address the challenges of the region’s limited resources and financial constraints.
ISSN:1020-4989
1680-5348