[Guidelines for budget impact analysis of health technologies in Brazil].
Budget impact analysis (BIA) provides operational financial forecasts to implement new technologies in healthcare systems. There were no previous specific recommendations to conduct such analyses in Brazil. This paper reviews BIA methods for health technologies and proposes BIA guidelines for the public and private Brazilian healthcare system. The following recommendations were made: adopt the budget administrator's perspective; use a timeframe of 1 to 5 years; compare reference and alternative scenarios; consider the technology's rate of incorporation; estimate the target population by either an epidemiological approach or measured demand; consider restrictions on technologies' indication or factors that increase the demand for them; consider direct and averted costs; do not adjust for inflation or discounts; preferably, integrate information on a spreadsheet; calculate the incremental budget impact between scenarios; and summarize information in a budget impact report.
Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, Brasil. andre.ferreira@htanalyze.com
Andre Luis
AL
Ferreira-Da-Silva
Rodrigo Antonini
RA
Ribeiro
Vânia Cristina Canuto
VC
Santos
Flávia Tavares Silva
FT
Elias
Alexandre Lemgruber Portugal
AL
d'Oliveira
Carisi Anne
CA
Polanczyk
D020811:Biomedical Technology / Q000191:economics*; D001938:Brazil; D002017:Budgets / Q000379:methods* / Q000458:organization & administration; D003362:Cost-Benefit Analysis; D017048:Health Care Costs; D006287:Health Planning Guidelines; D006801:Humans