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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author Alex Itaborahy
Vania Cristina Canuto Santos
Flávia Cristina Ribeiro Salomon
Caroline Bregman
Iandy Mateus
Marisa Santos
author_facet Alex Itaborahy
Vania Cristina Canuto Santos
Flávia Cristina Ribeiro Salomon
Caroline Bregman
Iandy Mateus
Marisa Santos
author_sort Alex Itaborahy
collection DOAJ
description 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.
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spelling doaj-art-346213486402409da90c67c376d8aa682025-01-13T08:29:42ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482025-01-0149811110.26633/RPSP.2025.8rpspHospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping reviewAlex Itaborahy0Vania Cristina Canuto Santos1Flávia Cristina Ribeiro Salomon2Caroline Bregman3Iandy Mateus4Marisa Santos5Instituto Nacional de Cardiologia, Rio de Janeiro, BrazilPan American Health Organization, Washington, D.C., United States of AmericaPan American Health Organization, Washington, D.C., United States of AmericaPan American Health Organization, Washington, D.C., United States of AmericaInstituto Nacional de Cardiologia, Rio de Janeiro, BrazilInstituto Nacional de Cardiologia, Rio de Janeiro, BrazilObjective. 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.https://iris.paho.org/handle/10665.2/63768technology assessment, biomedicaldecision making, organizationallatin americacaribbean region
spellingShingle Alex Itaborahy
Vania Cristina Canuto Santos
Flávia Cristina Ribeiro Salomon
Caroline Bregman
Iandy Mateus
Marisa Santos
Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review
Revista Panamericana de Salud Pública
technology assessment, biomedical
decision making, organizational
latin america
caribbean region
title Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review
title_full Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review
title_fullStr Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review
title_full_unstemmed Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review
title_short Hospital-based health technology assessment (HTA) in Latin America and the Caribbean: a scoping review
title_sort hospital based health technology assessment hta in latin america and the caribbean a scoping review
topic technology assessment, biomedical
decision making, organizational
latin america
caribbean region
url https://iris.paho.org/handle/10665.2/63768
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