Public health systems have the great challenge of meeting the population's health needs with limited financial resources. Thus, to incorporate new health technologies (HT) in their coverage plans, they use tools that allow them to inform their decisions based on scientific evidence, such as health technology assessments (HTAs). These are developed in a multidisciplinary way, under an explicit methodology, which estimates the value of a technology. With this information, the decision-maker can support his decision, anticipate the impact of its implementation, plan actions, and set goals, all of which promote efficient use of resources, transparency of processes, and facilitate accountability. The Peruvian Social Security healthcare system (EsSalud) implemented, through the Instituto de Evaluación de Tecnologías en Salud e Investigación (IETSI), a decision-making process based on HTAs t...

A health technology assessment (HTA) was carried out to critically analyze the evidence on the efficacy and safety of the surgical correction of spinal deformities using the coplanar technique, compared to the conventional derotation techniques, in children, adolescents and adults. A systematic search of the literature was carried out in the PubMed, Cochrane Library and LILACS databases. In addition, a manual search was carried out in the reference lists of the included studies, on Google and on the websites of specialized societies and groups that produce clinical practice guidelines (CPG) and HTA. In addition, we searched ClinicalTrials.gov and the International Clinical Trial Registry Platform (ICTRP) for clinical trial records in progress or not completed. Five documents were selected for evaluation, including two CPG, a randomized clinical trial, and two observational studies. After...

Background: Given the health emergency caused by COVID-19, the need for the use of medical devices was particularly relevant. Methodology: A non-systematic literature search was conducted to identify documents that address topics related to the development, implementation, evaluation and/or characteristics of technical datasheets for medical devices. In addition, the SAP System was reviewed for the collection and analysis of data related to pre-pandemic (2000-2019) and in-pandemic (2020-2021) procurement. Evidence: At the global level, the experiences of WHO, ECRI Institute and INAHTA were described. At the Latin American level, experiences were found in Ecuador, Colombia, Argentina, Brazil, Mexico and Panama. Finally, at the Peruvian level, the experience of EsSalud was reported, showing that, from March 6, 2020 to May 21, 2021, 47 technical specifications were prepared for medical devi...