Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System
Government agencies perform health technology assessment when evaluating requests to incorporate technologies in public health systems. To promote participation in this decision-making process, the National Commission for the Incorporation of Technologies in the Unified Health System (CONITEC) makes...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Brazilian Society of Geriatrics and Gerontology
2022-12-01
|
| Series: | Geriatrics, Gerontology and Aging |
| Subjects: | |
| Online Access: | https://ggaging.com/details/1752/en-US/risk-of-ageism-in-the-use-of-cost-effectiveness-thresholds-in-the-recommendations-of-the-national-commission-for-incorporation-of-technologies-in-the- |
| _version_ | 1811288840334213120 |
|---|---|
| author | Julia Simões Correa Galendi Patrick Alexander Wachholz Paulo José Fortes Villas Boas Vania dos Santos Nunes Nogueira |
| author_facet | Julia Simões Correa Galendi Patrick Alexander Wachholz Paulo José Fortes Villas Boas Vania dos Santos Nunes Nogueira |
| author_sort | Julia Simões Correa Galendi |
| collection | DOAJ |
| description | Government agencies perform health technology assessment when evaluating requests to incorporate technologies in public health systems. To promote participation in this decision-making process, the National Commission for the Incorporation of Technologies in the Unified Health System (CONITEC) makes its recommendations available for public consultation for 20 days, which may occasionally be reduced or extended. Recently, CONITEC published its recommendations about the use of cost-effectiveness thresholds in health care decision-making. When reviewing the criteria for alternative cost-effectiveness thresholds, given that they promote innovation and equity in the Brazilian Unified Health System, we realized that the criterion “diseases affecting individuals at the end of life” was excluded from the list. This viewpoint article is a request for CONITEC to reconsider this position. The report disregards technical aspects related to the use of quality-adjusted life years as a metric in patients with low life expectancy, indicating the potential to discriminate against older adults and ignore the practical considerations of international organizations on this topic. |
| first_indexed | 2024-04-13T03:44:23Z |
| format | Article |
| id | doaj.art-2b89233fd56341b1bac1572c3e2a0cae |
| institution | Directory Open Access Journal |
| issn | 2447-2123 |
| language | English |
| last_indexed | 2024-04-13T03:44:23Z |
| publishDate | 2022-12-01 |
| publisher | Brazilian Society of Geriatrics and Gerontology |
| record_format | Article |
| series | Geriatrics, Gerontology and Aging |
| spelling | doaj.art-2b89233fd56341b1bac1572c3e2a0cae2022-12-22T03:04:03ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232022-12-01161510.53886/gga.e0220029Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health SystemJulia Simões Correa Galendi0https://orcid.org/0000-0002-4832-7294Patrick Alexander Wachholz1https://orcid.org/0000-0002-4474-009XPaulo José Fortes Villas Boas2https://orcid.org/0000-0001-9876-3222Vania dos Santos Nunes Nogueira3https://orcid.org/0000-0001-9316-4167Núcleo de Avaliação de Tecnologias em Saúde, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - Botucatu (SP), Brazil.Núcleo de Avaliação de Tecnologias em Saúde, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - Botucatu (SP), Brazil.Núcleo de Avaliação de Tecnologias em Saúde, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - Botucatu (SP), Brazil.Núcleo de Avaliação de Tecnologias em Saúde, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista - Botucatu (SP), Brazil.Government agencies perform health technology assessment when evaluating requests to incorporate technologies in public health systems. To promote participation in this decision-making process, the National Commission for the Incorporation of Technologies in the Unified Health System (CONITEC) makes its recommendations available for public consultation for 20 days, which may occasionally be reduced or extended. Recently, CONITEC published its recommendations about the use of cost-effectiveness thresholds in health care decision-making. When reviewing the criteria for alternative cost-effectiveness thresholds, given that they promote innovation and equity in the Brazilian Unified Health System, we realized that the criterion “diseases affecting individuals at the end of life” was excluded from the list. This viewpoint article is a request for CONITEC to reconsider this position. The report disregards technical aspects related to the use of quality-adjusted life years as a metric in patients with low life expectancy, indicating the potential to discriminate against older adults and ignore the practical considerations of international organizations on this topic.https://ggaging.com/details/1752/en-US/risk-of-ageism-in-the-use-of-cost-effectiveness-thresholds-in-the-recommendations-of-the-national-commission-for-incorporation-of-technologies-in-the-health technology assessmentageismolder adults |
| spellingShingle | Julia Simões Correa Galendi Patrick Alexander Wachholz Paulo José Fortes Villas Boas Vania dos Santos Nunes Nogueira Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System Geriatrics, Gerontology and Aging health technology assessment ageism older adults |
| title | Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System |
| title_full | Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System |
| title_fullStr | Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System |
| title_full_unstemmed | Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System |
| title_short | Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System |
| title_sort | risk of ageism in the use of cost effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the brazilian unified health system |
| topic | health technology assessment ageism older adults |
| url | https://ggaging.com/details/1752/en-US/risk-of-ageism-in-the-use-of-cost-effectiveness-thresholds-in-the-recommendations-of-the-national-commission-for-incorporation-of-technologies-in-the- |
| work_keys_str_mv | AT juliasimoescorreagalendi riskofageismintheuseofcosteffectivenessthresholdsintherecommendationsofthenationalcommissionforincorporationoftechnologiesinthebrazilianunifiedhealthsystem AT patrickalexanderwachholz riskofageismintheuseofcosteffectivenessthresholdsintherecommendationsofthenationalcommissionforincorporationoftechnologiesinthebrazilianunifiedhealthsystem AT paulojosefortesvillasboas riskofageismintheuseofcosteffectivenessthresholdsintherecommendationsofthenationalcommissionforincorporationoftechnologiesinthebrazilianunifiedhealthsystem AT vaniadossantosnunesnogueira riskofageismintheuseofcosteffectivenessthresholdsintherecommendationsofthenationalcommissionforincorporationoftechnologiesinthebrazilianunifiedhealthsystem |