Proposta de ferramenta para apoio à tomada de decisão para aquisição de tecnologias em saúde - um estudo de caso: tomógrafo computadorizado

Abstract

Health costs are growing continuously and threaten the sustainability of health systems worldwide, as the budget is limited. Brazil is a country of continental dimensions and has the largest public health system on the planet and among the various procedures available, in the meantime, Computerized Tomography stands out, which is very useful for producing images of the soft tissues of the body, mainly the brain, being more costeffective for detection of stroke and the main method of image diagnosis for its treatment. However, in Brazil, the geographic distribution of the equipment is not very equitable, concentrating in the great population centers, a scenario that does not differ in the State from Rio Grande do Norte, since there is a great concentration of this equipment in the capital and absence of equipment in the 5th State Health Region. This technological gap in the region was the main motivator for choosing the technology to be evaluated, in addition to clinical, economic, and health care coverage factors. This work proposes to develop a tool to support decision-making for analyzing the feasibility of acquiring a CT scanner, with criteria and subcriteria based on the literature and validated by other professionals through an electronic seminar. The weights generated for each criterion/sub-criteria within the AHP methodology were based on decisions that considered scientific, technical, normative, and economic evidence. The nature of this study has qualitative, quantitative and exploratory aspects, aiming to provide greater familiarity with the methodological guidelines and their application in a case study at a federal university hospital of the Ebserh Network. The tool used showed the non-feasibility of acquiring a 64-channel CT scanner and 1.5 and 3 Tesla resonances, but it showed that there is not enough clarity for decision-making between purchasing a 16-channel CT scanner or not purchasing it for the hospital of this study based on all the data collected.