Access Barriers After The Incorporation Of Technologies Into The Unified Health System In Brazil - PP13

Sep 29, 2026

Uploaded by Riley

Access barriers to diabetes treatment in Brazil were investigated after health technologies were incorporated into the Unified Health System (SUS). A national study ran from 1 July to 22 August 2024, using online interviews with 1,843 Brazilians aged over 18 with diabetes. Findings show older age, limited education, low income, and high shares of type 2 diabetes and comorbidities. Medication availability was the leading factor in monitoring, with ongoing bottlenecks, medicine and provider shortages expected to intensify pressure on the public health system.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Introduction

Methods

Results

Conclusions

PP12 Government Agency For Health Technology Assessment In Mendoza, Argentina: Experience And Path Jorgelina Alvarez ([a.jorgelina@gmail.com](a.jorgelina@gmail.com)), Cristina Gatica and Rodolfo Montero Introduction: There are big challenges in Latin America and Argentina in terms of access to health. There is also consensus on the importance ofmanaging access, coverage ofhealth technology assessment (HTA), and the achievement of more efficient health expenditure. Our aim was to describe the creation and implementation of an Argentinian government HTA agency. Methods: Alocal HTA agency project was implemented in Mendoza, Argentina based on: (i) the experience of an active local government HTA committee; and (ii) local and national consultation with decision-makers, health funders, and providers. An institutionalization plan for HTA was implemented based on a set of interventions that included legal framework, resources, and institutional agreements. It was then submitted for legislative and citizen debate. Following achievement of the legal framework, HTA agency work began. Results: The Agencia de Evaluación de Tecnologías Sanitarias de Mendoza (AETS Mendoza) was created by Law 9547 (1 July 2024), regulatory decree (Dec.1777/24) . HTA good practice recommendations were achieved: autonomous body with legal and budgetary independence and functions to evaluate and issue recommendations on the value of technologies in key aspects of their life cycle (efficacy, clinical relevance, cost effectiveness, budgetary impact, equity) . A multidisciplinary technical team was constituted. Recommendations that emerged from the evaluations are mandatory for public sector and provincial social security funders. The HTA reports are planned through annual prioritization and published on the official website. Conclusions: HTA agencies are regulatory bodies that assess the value of health technologies and give local health systems responses to innovation, incremental spending, and equity. AETS Mendoza is the first government HTA agency in Argentina. This experience is innovative given the fragmentation and complexity of the Argentine health system. This model could be adopted by other health systems. PP13 Access Barriers After The Incorporation Of Technologies Into The Unified Health System In Brazil Vanessa Pirolo ([vanessapirolo1@gmail.com](vanessapirolo1@gmail.com)) Introduction: Diabetes is a condition that affects public health based on its increased incidence, prevalence, morbidity, and mortality. According to the latest Atlas ofthe International Diabetes Federation, it is estimated that there are 537 million adults with the condition; for Brazil, the estimate is 16 million. Investment in diabetes and its complications exceeds USD42 billion in Brazil. Methods: This national study was conducted from 1 July to 22 August 2024 . Interviews were conducted online with 1,843 Brazilians over 18 years of age with diabetes. The study’s objective was to identify barriers to diabetes treatment in Brazil after the incorporation of health technologies in the Unified Health System (SUS) aimed at diabetes. Data were processed according to the profile of reported diabetes diagnosis in the National Health Survey 2019, conducted by the Brazilian Institute of Geography and Statistics. Results: The preliminary study indicated that 56 percent of those diagnosed with diabetes are over 60 years of age, 58 percent have elementary education, 54 percent have a monthly family income of up to two minimum wages,75percent have type2diabetes,67percent say they have hypertension, and 63 percent have high cholesterol. Obesity was reported by 39 percent, 82 percent use oral medication, 67 percent undergo tests through the SUS, and 84 percent obtain free medication through the SUS. Ofthose interviewed,60percent cite the availability of medication as the main factor in monitoring the condition, followed by attention from doctors (53%) . Conclusions: The aging

FAQs

What was the study’s goal regarding diabetes care in Brazil?

To identify barriers to diabetes treatment in Brazil after the incorporation of health technologies into the Unified Health System (SUS) aimed at diabetes.

How was the study conducted and who participated?

A national study was conducted from 1 July to 22 August 2024 using online interviews with 1,843 Brazilians over 18 years old with diabetes.

What did the preliminary results suggest about monitoring and main barriers?

Medication availability was cited as the main factor in monitoring (60%), followed by attention from doctors (53%). Current barriers such as care bottlenecks and lack of medicines and doctors are expected to worsen.

Sep 29, 2026

Uploaded by Riley