Investigation of cognitive needs of medical staffs for the Horizon Scanning System in public hospitals in eastern and western provinces / 中国卫生政策研究

Objective: To understand the cognition and needs of medical personnel for the Horizon Scanning System(HSS)for emerging health technology based on the survey conducted in two provinces(municipalities)in some general public hospitals in eastern and western China,to provide a reference for establishing a proper,new HSS for emerging health technology in China.Methods:A total of 10 general public hospitals in Shanghai and Gansu were selected by convenience sampling method.The self-designed anonymous questionnaire survey was conducted on medi-cal staff.Results:There were 837 respondents,59.95%of which considered it of great necessity to establish a HSS for emerging health technology in China and 91.53%of which would use this system.The most expected functions of the HSS were identifying innovations in the field of health technology,and providing reference for decision-making of the introduction/distribution/use of the technology.The most expected feature of the HSS was involving clinicians and technical experts,and maintaining independence and justice.Conclusions:Medical personnel had a great demand for the HSS.The HSS was expected to identify new technologies efficiently and timely,and provide relevant information for decision makers.

A gestão de tecnologias emergentes para a condição osteoporose: subsídios para a elaboração de um sistema de monitoramento do horizonte tecnológico no Brasil / The management of emerging technologies for the condition osteoporosis: subsidies for the development of a system for monitoring the technological horizon in Brazil

As atividades de rastreamento do horizonte tecnológico, uma forma de avaliação de tecnologia em saúde realizada no início do ciclo de vida das tecnologias, vêm sendo difundidas em países desenvolvidos desde a década de 90, visando tornar mais eficientes os processos de tomada de decisão relativos à incorporação de novas tecnologias. Trata-se de uma abordagem sistemática para a identificação e avaliação de tecnologias novas/emergentes, com o objetivo de alertar os tomadores de decisão quanto à sua existência e potenciais conseqüências de sua incorporação para o sistema de saúde, antes da difusão do seu uso. Considerando a relevância de operacionalizar as atividades de rastreamento do horizonte tecnológico para a atenção à saúde no Brasil, apresente dissertação teve o objetivo de produzir subsídios para a elaboração de diretrizes de um sistema de rastreamento do horizonte a ser criado no País. (...) A avaliação das experiências internacionais e o exercício acima referido indicam que, para o desenvolvimento e operacionalização de um SRH no Brasil, o intercâmbio e a colaboração institucional com as unidades governamentais de monitoramento do horizonte de países desenvolvidos será fundamental, tendo em vista o corpo qualificado e a longa experiência daquelas unidades nessas atividades e, ainda, a quantidade de trabalho e de tempo envolvidos na análise de cada tecnologia e a urgência inerente a essas atividades. Além disso, deverá haver uma articulação entre os atores-chave, especialmente os do âmbito governamental, com o objetivo de discutir e estabelecer as diretrizes para a criação do sistema. Com isso, espera-se que as informações produzidas pelo SRH brasileiro sejam adequadamente utilizadas no processo de tomada de decisão do sistema de saúde.

Activities related to horizon scanning of technologies for health care, a form of health technology assessment carried out at the beginning of the life cycle of those technologies, have been adopted in several developed countries since the 90s, with the purpose of improving the efficiency of decision making related to the incorporation of new technologies. Horizon scanning consists of a systematic approach to identify andassess new and emerging technologies in order to warn health care decision makers about the existence and potential consequences of their incorporation to individuals and to the health system, before the diffusion stage. Given the importance of developing horizon scanning activities for health care technologies in Brazil, the present work had the objective of producing subsidies for the elaboration of guidelines to develop a horizon scanning system in Brazil. (...) The review of the international experiences with horizon scanning of health caretechnologies, at central government level, along with the mentioned exercise, indicate that, for developing a horizon scanning system in Brazil, collaboration with developed countries’ units is essential, taking into account the qualified and experienced staff ofsuch units as well as the amount of work and time involved in the analysis of each technology and the inherent urgency of such activities. Finally, key actors, specially those at central government level, must be articulated for the discussion and elaboration of the guidelines towards the creation of such system. In this way, the chances of a successful effort, with an adequate utilization of produced information in the process of decision-making, are increased.