Avaliação de Tecnologias de Saúde em Portugal: políticas de saúde, metodologias e desafios emergentes

Sónia  CALDEIRA; Daniella PINGRET-KIPMAN; Fernanda  FERRADOR; Sara A.  COUTO; Juliana A.  ORTIZ; Claudia  FURTADO

doi:10.30968/rbfhss.2022.133.0861

Autores

Sónia CALDEIRA https://orcid.org/0000-0001-5418-195X
Daniella PINGRET-KIPMAN https://orcid.org/0000-0001-7963-4994
Fernanda FERRADOR https://orcid.org/0000-0001-6421-7776
Sara A. COUTO https://orcid.org/0000-0002-4418-8493
Juliana A. ORTIZ https://orcid.org/0000-0003-1761-8037
Claudia FURTADO https://orcid.org/0000-0002-6754-9319

DOI:

https://doi.org/10.30968/rbfhss.2022.133.0861

Resumo

Portugal é um país europeu com elevado Índice de Desenvolvimento Humano (IDH) e um sistema de saúde com extensa cobertura. Alinhado com as recomendações da Organização Mundial da Saúde, Portugal pratica regulação de preços de medicamentos para garantir maior acesso mantendo a sustentabilidade financeira. Nesse ínterim, a avaliação de tecnologias em saúde é reconhecida como ferramenta fundamental para a tomada de decisão informada de financiamento. Em consonância com os desafios enfrentados por outros países nessa área nos últimos anos, as metodologias e critérios utilizados na avaliação de diferentes tecnologias de saúde tem sido colocados a prova. Esse artigo apresenta uma visão geral do sistema de saúde e do sistema de avaliação de tecnologias em Portugal quanto às políticas mais recentes adotadas também em regulação de preços, incluindo os mais recentes desafios que esta área tem confrontado.

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Referências

UNDP. Report of Human Development. 2020 Available in: https://hdr.undp.org/sites/default/files/hdr_2020_overview_portuguese.pdf. Accessed on: 12 Apr 2022.

National Institute of Statistics (INE). Population residing in Portugal by place of residence. Available in: https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_indicadores&contecto=pi&indOcorrCod=0011166&selTab=tab0. Accessed on: 26 Apr 2022.

National Institute of Statistics (INE). Territory and population density in Portugal. Available in: https://www.ine.pt/xportal/xmain?xpgid=ine_tema&xpid=INE&tema_cod=1211. Accessed on: 26 Apr 2022.

The World Bank. CountryProfile | World Development Indicators. 2020. Available in: https://databank.worldbank.org/views/reports/reportwidget.aspx?Report_Name=CountryProfile&Id=b450fd57&tbar=y&dd=y&inf=n&zm=n&country=PRT. Accessed on: 12 Apr 2022.

UNDP. Report of Human Development. 2020.

World Bank. Gini index (World Bank estimate) - United | Date. 2019. Available in: https://data.worldbank.org/indicator/SI.POV.GINI?locations=PT&view=chart. Accessed on: 2 Apr 2022.

Organization for Economic Cooperation and Development (OECD). Portugal: Country Health Profile 2021. Country Health Profile 2021. OECD; 2021; DOI: 10.1787/766C3111-EN.

OECD. Purchasing Power Parities (PPP). OECD; 2022 Available in: https://data.oecd.org/conversion/purchasing-power-parities-ppp.htm#indicator-chart.DOI: 10.1787/9789264189232-EN. Accessed on: 13 Apr 2022.

Kulesher RR, Elizabeth Forrestal E. International models of health systems financing. Journal of Hospital Administration. 2014;3(4):127–139. DOI: 10.5430/jha.v3n4p127.

Cantante AP da SR, Fernandes HIVM, Teixeira MJ, et al. Health Systems and Nursing Skills in Portugal. Science & Public Health. ABRASCO - Brazilian Association of Public Health; 2019;25(1):261–272. DOI: 10.1590/1413-81232020251.27682019.

Pricing P, Information R. PPRI Pharma Profile Portugal. 2008;(October).

Vogler S, Leopold C. Access to Essential Medicines in Portugal. Commissioned by the Health Action International Europe. 2009.

Decree-Law No. 152/2012 of July 12, Diário da República, 1. the N-series. 134, July 12, 2012.

Decree-Law No. 176/2006, Diário da República n. 167/2006, Series I of August 30, in its current writing.

Directive 2001/83/EC of the European Parliament and the Council of 6 November 2001 establishing a community code on medicinal products for human use. Official Journal n o L 311 of 28/11/2001 p 0067 - 0128.

Regulation (EC) No 726/2004 of the European Parliament and the Council of 31 March 2004 establishing Community procedures for the authorization and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency (Relevant Text for EEA purposes). Jornal Oficial no L 136 of 30/04/2004 p 0001 - 0033.

INFARMED. I.P., Infomed - Database of medicines for human use. Accessed on: 8 Apr 2022. Available in: https://extranet. infarmed.pt/INFOMED-fo/.

INFARMED, I.P., Market Monitoring Report. Available in: https://www.infarmed.pt/web/infarmed/entidades/medicamentos-uso-humano/monitorizacao-mercado. Accessed on: 8 Apr 2022.

WORLD HEALTH ORGANIZATION (WHO). Seventy-second world health assembly Geneva, 20-28 May 2019 Resolutions and Decisions Annexes.

Ordinance No. 548/88, Diário da República n. the 187, Series I, August 13, 1988.

Ordinance No. 29/90, Diário da República n. the 11, Series I, January 13, 1990.

Directive 89/105/EEC of 21 December 1988, Official Journal of the European Communities, N. L 40/8-11, 11.2.89.

Decree-Law No 65/2007, Diário da República, 1a series, No 52, 14 March 2007.

Decree-Law No. 134/2005, Diário da República n. o 154, Series I-A, August 16.

Ordinance No. 827/2005, Diário da República n. the 177, Series I-B, September 14, 2005.

Vogler S, Zimmermann N, Haasis MA, et al. Pharmaceutical pricing and reimbursement policies in 47 PPRI network member countries Authors. 2019.

Ordinance No. 280/2021, Diário da República, 1a série, N. 234, Page 48-50 of 3 December 2021.

Decree-Law No. 81/90, Diário da República - I Série N. 59, March 12, 1990.

Ordinance No. 195-C/2015, of June 30, 2015, in the essay conferred on it by Ordinance No. 290-A/2016, of November 15, Diário da República n. 219/2016, 1supplement, Series I of November 15.

Martins J, Cardoso F, Guerra L. How are drug prices formed? 1a. Focus, editor. 2017.

ODS. Ensure access to quality health and promote well-being for all, at all ages. 2022 Available in: https://www.ods.pt/objectivos/3-vida-saudavel/?portfolioCats=24. Accessed on: 13 Apr 2022.

Decree-Law No. 97/2015 of June 1, 2015, in the wording conferred on it by Decree-Law no. o 115/2017, of September 7, Diário da República n. o 173/2017, Series I 2017-09-07, pages 5316 - 5332.