1. The Health Technology Assessment Division of the
IFMBE: The Crucial Role of Biomedical Engineers
Murilo Contó
Health Policy – Boston Scientific
IFMBE-HTAD

2. funding by Boston Scientific
Disclosure
Boston Scientific Corporation
(2018 – current) - Health Policy Manager
IFMBE-HTAD
(2018 – current) - Member-elected HTA-Division
PAHO-WHO
(2015–2018) - National Consultant in HTA & HTM
CONITEC - Brazilian National Committee for Health Technology Adoption
(2012–2015) - HTA Consultant - Medical Devices
Ministry of Health of Brazil – Investment Projects
( ) - Medical Equipment Division Manager
Atrial Equipamentos Médicos
( ) – General Coordinator
funding by Boston Scientific
Working to reach the universal health coverage, promoting the access for innovative medical devices to transform lives and improve the patient health.

3. Background Brazil Federal Republic with 27 states; 5570 cities
Population: 206 million
Health expenditure: 9.1% of GDP
Health Systems
Unified Health System - SUS (Public Sector – 75%)
Supplementary Health System (Private sector – 25%)
Ministry of Health established in 2010 the National Policy of Health Technology Management, having with the main tool the HTA activities during the whole lifecycle of the technology
Agencies responsible for HTA:
ANVISA – Trade authorization
CONITEC – Public Health System (SUS)
ANS – Private Health System
Brazil

4. Health Technology Incorporation in Brazil
National Health Surveillance Agency
Issue the trade authorization into Brazilian market after check evidences of safety and efficacy
National Agency of Supplementary Health
Evaluate technologies to the Private Health Insurance Companies adoption
Private Companies – Health Privates Plans
Reimburses the adopted technologies to the Healthcare Providers
National Committee for Health Technology Incorporation
Evaluate technologies to the Ministry of Health adopts into SUS
Ministry of Health
Reimbursement programs and funding of equipment incorporadas
Healthcare Providers
Acquisition and use of technologies

6. Lifecycle of the Technology
Others crucial roles of biomedical engineering

7. Conclusion
Biomedical engineering can support all steps of the medical devices access chain: from the R&D Innovation to Disinvestment and Replacement
During the top of use of the technology, is possible to capture a lot of information to support the best time to replace it
Biomedical Engineering in Brazil comprises several types of academic graduation, such as: Biomedical Engineer, Clinical Engineer, Health Technologist, Biomedical Systems Technologist and Biomedical Technician
Biomedical Engineering Professionals are majority assigned in HTM activities. HTA activities still have few professionals with expertise in medical devices assessment
Important to advance with HTA capacity building to increase the number of Biomedical Engineers in HTA activities

8. Thank you Murilo Contó Health Policy – Boston Scientific
Member Elected - IFMBE-HTAD