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Incorporation of technologies in the Unified Health System: the rationalities of the decision-making process of the National Committee for Health Technology Incorporation in the Unified Health System

ABSTRACT

This research is aimed at analyzing the decision-making process of the National Committee for Health Technology Incorporation in the Unified Health System regarding the recommendations for the incorporation or not of drugs into this system. This is a study that focused on the analysis of the decisions made in the period from 2010 to 2015. The following data production strategies were used: document analysis, interviews and non-participant observation of plenary meetings. The data analysis revealed three types of rationalities present in the decision-making process of the National Committee for Health Technology Incorporation in the Unified Health System: technical-sanitary rationality, economic rationality, and political rationality. In practice, the solid legislation that guides the evaluation of the demands of technology incorporation in the Unified Health System has determined the predominance of technical-sanitary rationality.

KEYWORDS
Biomedical technology; Decision making; Public health

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