title: [Advances and challenges to the Brazilian policy of health technology management].
abstract: The Brazilian Ministry of Health has institutionalized two articulated processes in the field of health technology management: (i) the production, systematization and dissemination of health technology assessment, and (ii) the adoption of a flow for the incorporation, exclusion or alteration of new technologies by the Brazilian National Health System. Several advances have been made, such as standardization of methods; production and promotion of studies; institutional development and international cooperation in the area of health technology assessment; definition of the necessary requirements for the presentation of proposals; definition of deadlines; and expansion of the segments that compose the committee that is responsible for the analysis and recommendation. However, some difficulties remain: health technology assessment activities concentrated in the Ministry; low sustainability of the activities of production and dissemination of the assessments; low penetration of health technology assessment in health care institutions; activities of assessment/incorporation with low participation of users; non-transparent decision-making processes; and low integration of the health policy with the scientific and technological policy.
authors.affiliation: Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas, Limeira, SP, Brasil.
authors.forename: Hudson P
authors.initials: HP
authors.lastname: Silva
authors.forename: Clarice A
authors.initials: CA
authors.lastname: Petramale
authors.forename: Flavia T S
authors.initials: FT
authors.lastname: Elias
mesh_terms: D035843:Biomedical Research / Q000458:organization & administration*; D020811:Biomedical Technology / Q000458:organization & administration*; D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D006285:Health Planning / Q000458:organization & administration*; D006291:Health Policy; D006293:Health Promotion; D006302:Health Services Research; D006801:Humans; D009936:Organizational Innovation