We are thrilled to bring you the October Issue of News Across Latin America the quarterly publication for the ISPOR Latin America Consortium news.
We would like to thank you for attending the ISPOR Latin America 2019 in Bogota, Colombia and making of this conference another successful event for the Latin America Region. More than 1000 health professionals got together to discuss to key issues facing the healthcare community in the region surrounding the theme of “Data and Value in Healthcare: 2020 and Beyond.” Some of the highlights of the program were 10 cutting edge short courses, including 3 new courses: “Evaluation of Medical Devices: How to Manage HTAs,” “Introduction to Real-World Evidence: Between Epidemiology and Digital Tools,” and “Introduction to Machine Learning.” There were also 2 plenary sessions on “The Role of Data Supporting an Effective Decision-Making Process” and “Value Measurement in 2020: Moving Forward in Low- to Middle-Income Countries.” There were also 3 spotlight sessions, and many more presentations in different formats like podiums, posters, forums, panels, and the first student and new professional event in an ISPOR Latin America Conference. To catch up on any presentations, feel free to download PDFs from the conference Released Presentations web page and to learn more details about this conference. We invite you to read the section dedicated to the ISPOR Latin America 2019 in this issue.
This October issue is focused on the topic “Digital Health in Latin America.” We hope you enjoy it and read the three featured articles about this trending topic: “Telemedicina é um tema de debates no Brasil” available in Portuguese, “Salud Digital en México – En el umbral de Acceso Universal a través de una revolución digital.” Available in Spanish and “SOS (Telemedicina) Para Venezuela” available in Spanish. Special thanks to the Brazil, Mexico, and Venezuela chapters for sharing these articles with us!
This issue also includes updates from our chapters on health policy and HEOR, and updates from around the Latin America region as well as updates from the Working committees in the Latin America Consortium.
We hope you enjoy this edition. As always, we welcome your comments and thoughts. You can contact us by email at: email@example.com. Share this newsletter with your colleagues and contacts!
ISPOR News Across Latin America Team
Table of Contents:
| Regional News
| Featuring articles
- Telemedicina é um tema de debates no Brasil
- Salud Digital en México En el Umbral de Acceso Universal a través de una revolución digital
- SOS (Telemedicina) para Venezuela
| ISPOR Member News
| About ISPOR Global Networks
| Regional News:
¿Por qué la gestión de datos es importante para la toma de decisiones en salud?
Camilo Castañeda-Cardona MD. Esp
Dentro de la medicina basada en la evidencia, la utilización de datos en la toma de decisiones en salud se ha vuelto un tema relevante en la prestación adecuada de servicios de salud (1). De esta manera, los sistemas de información en salud, definidos como sistemas orientados a la recolección, procesamiento y diseminación de datos en salud, con el fin de mejorar los desenlaces en los pacientes (2), se vuelven herramientas muy valiosas para la gestión de riesgo en las cohortes de los diferentes aseguradores, debido a que informan sistemáticamente la necesidad e impacto de las intervenciones que hacemos con los pacientes.
Sin embargo, la asertividad y oportunidad de las decisiones tomadas con esta información dependen inevitablemente de su completitud, consistencia y relevancia (1). Así, las intervenciones basadas en información irrelevante (por ejemplo, información únicamente demográfica) o incoherente (distintos valores para una misma categoría) podrían no ser acertadas con respecto a las necesidades reales de la población y del sistema.
El éxito de la medicina basada en la evidencia radica en la solidez metodológica de los estudios utilizados para tomar las decisiones. De esta manera, debería esperarse la misma aproximación sistemática en la utilización de evidencia de vida real para informar la toma de decisiones en salud.
Nuestro país y Latinoamérica tienen un gran reto a la hora de generar, analizar y tomar decisiones acertadas con la información de vida real que producen sus diferentes instituciones. Hoy esa información tiene algunas ventajas y muchas falencias e impresiones. Sin embargo, hay que reconocer que existe un interés creciente y un espíritu genuino, por producir mejor información. Prueba de esto, es que el lema del congreso Ispor Latinoamérica sea “Datos y el valor del cuidado de la salud: más allá del 2020”.
Esperamos en este importante evento aprender de las experiencias de otros países, reconocer nuestras falencias y aciertos, y generar cambios que nos lleven a producir los datos correctos para la mejor toma decisiones.
IETS «Ayer, hoy y mañana»
El 25 de abril ISPOR Colombia realizó su primera cátedra en el IETS. Fue un gusto y un honor conocer en detalle la misión y visión de esta importante institución en estos años venideros. Su nueva directora, la Dra. Adriana Robayo, junto a su equipo técnico nos mostraron las líneas de trabajo y visión estratégica de la institución, los importantes retos que enfrentará y cómo va a hacerlo. Adicionalmente, nuestros afiliados pudieron hacer preguntas y discutir con el equipo técnico del IETS, sobre temas relevantes y cambiantes para nuestro sector. En conclusión, consideramos que este fue un importante encuentro que agrega valor a todos nuestros afiliados, permitiéndoles acercarse y conocer a los actores claves del sistema de salud Colombiano.
Construction of mathematical models for economic evaluations in the Colombian context.
El curso corto está compuesto por una serie de actividades teóricas y practicas dirigidas a presentar y fortalecer el planteamiento de modelos matemáticos en evaluaciones de tecnologías en salud. Analizando una patología caso base en diferentes puntos históricos con el fin de realizar tres talleres prácticos que permitirán desarrollar ejercicios de evaluación económica bajo diferentes contextos que permiten el desarrollo de diferentes modelos matemáticos (arboles de decisión, Márkov y modelos dinámicos) típicamente usados en evaluación de tecnologías de salud, cada taller se desarrollará desde el planteamiento del problema de decisión (PICOT de la evaluación económica) hasta la interpretación de resultados obtenidos de los modelos desarrollados. Los modelos de árbol de decisión y Márkov cuentan con una sección de análisis de sensibilidad univariado y probabilista que ayudaran a comprender la construcción de modelos dinámicos.
Curso “Manzanas bajitas”
Las publicaciones en revistas indexadas son la moneda con la que se cotizan hoy las universidades, los grupos de investigación o las hojas de vida, en el entorno académico. Sin “algo” que mencionar en la sección de “Publicaciones” en su currículo va ser más difícil optar por becas, pasantías, apoyo para proyectos de investigación, o empleos en universidades o centros de investigación. Aunque es cierto que el ideal es publicar “artículos originales” (de esos que incluyen introducción, material y métodos, etc.) en revistas de alto impacto, también es verdad que hay otras opciones, esas “manzanas bajitas” que nos evitan los esfuerzos de trepar a lo más alto del palo. Esos artículos sencillos, descripciones de casos, cartas al editor, revisiones de temas simples o análisis secundarios de bases de datos, son ideales para el investigador novato, o para engrosar la hoja de vida de los veteranos. En esta conferencia se describieron las múltiples opciones que existen en este campo.
ISPOR Colombia, como sociedad científica, promueve la excelencia en temas de farmacoeconomía e investigación de resultados en los sistemas de salud. Uno de los conceptos claves que trabajamos en nuestra sociedad es la eficiencia, y esta es la temática a la que queremos invitarlos a mostrar las experiencias prácticas en las realidades del sistema. Con ello, queremos trascender un poco la teoría y mostrar las buenas realidades generadas desde los diferentes agentes de nuestro sistema.
Nuestra sociedad científica busca estar más cerca de las regiones, entendiendo su gran importancia en la diversidad de la realidad colombiana y los aportes diferenciales que realizan a nuestro sistema de salud. En esta ocasión compartimos en la universidad Pontificia Bolivariana, con invitados del sector asegurador, que compartieron ponencias cortas de 15 minutos, entre los invitados estaban: Pablo Fernando Otero Ramón Gerente de Salud EPS Sura, Juan Guillermo Barrientos Gómez director científico Clínica Universitaria Bolivariana, Hannah Escobar Correa Consultora en gestión farmacéutica y política pública entre otros.
PRÓXIMOS EVENTOS del capítulo ISPOR Colombia
- Webinar: Taller de búsquedas de la literatura
- Webinar: Introducción a la farmacoeconomía
- Cátedra ISPOR -CO
- Curso-taller “Construcción de modelos matemáticos para evaluaciones económicas en el contexto Colombiano se realizará en Medellín
Espere VI Congreso ISPOR-Colombia – Septiembre 2020
Para más información de estas actividades y para ponerte en contacto con el capitulo de Colombia. Da clic en el siguiente enlace: https://isporcolombia.org/new/index.php/contacto-ispor
Mexico is making rapid progress in the development of digital Health, technology will play a leading role in the access to health of Mexican @ s. There are several examples of development among them: the electronic birth certificate that already operates in 21 of the 32 states of the country, the electronic vaccination card that works in 20 states and where there are more than one million children under 5 years, there is already a system of chronic diseases that operates in the 32 states of the country reaching 12 thousand health units, we have the platform for registration and payment of diseases that generate catastrophic expenses of popular insurance, likewise there are systems with electronic file in virtually every health institution in the country, big-data .
El inminente desarrollo de la tecnología incrementa la viabilidad del Digital Health envolvente en muy poco tiempo, con lo que un horizonte de más y mejor acceso a la salud es ya es una realidad presente en México.
Para participar en las actividades del capítulo ISPOR México los invitamos a escribir al correo: firstname.lastname@example.org para mas información.
We invite you to send us information on upcoming HEOR events in the region for inclusion in future issues of News Across Latin America at: email@example.com.
| Featured articles
- Stefani, S Telemedicina é um tema de debates no Brasil
- Figueroa, A & Cruz, C Salud Digital en México En el Umbral de Acceso Universal a través de una revolución digital
- Adesso, G SOS (Telemedicina) para Venezuela
| ISPOR Member News:
The ISPOR Latin America 2019 Conference concluded in Bogotá, Colombia early this month, and was the most successful and largest ISPOR Latin America Conference to date. The Conference had 1,076 delegates from 35 countries attending, which represents an 8% increase over the Sao Paulo conference just 2 short years ago. By every metric the conference was a great success, including having timely and innovative plenary sessions, dynamic spotlight sessions, stakeholder roundtables, forums, educational symposia, workshops and issue panels, and invitational meetings, and over 450 research poster presentations. You can check out participants’ interesting comments and experiences at the twitter handle #ISPORLA.
ISPOR’s first Latin America Regional Health Policy Summit focused on translating outcomes research into effective decisions. Held on 11 September prior to the Conference, the Summit was held in conjunction with the ISPOR Latin America 2019 conference and convened over 25 policymakers, payers, health technology assessment bodies, and ministry of health officers, researchers, technology producers, clinicians, and patient representatives from Latin America to discuss how to translate outcomes research into effective decisions to improve healthcare in the region. Discussion panel topics included HTA as a tool for prioritizing health resources, assessing the value of novel and innovative technologies versus disruptive innovators, price negotiation and risk sharing agreements, and value measurement beyond 2020.
The Conference began in earnest on 12 September 2019 with the Short Course program, which featured 10 short courses covering a range of key topics for professionals in health economics and outcomes research and had over 250 participants who learned from the expert faculty. There were 3 new courses to Bogotá, including Evaluation of Medical Devices: How to Manage HTAs, Introduction to Real-World Evidence: Between Epidemiology and Digital Tools, and Introduction to Machine Learning. For more information on the ISPOR Short Course program in Bogotá, visit here. We also welcome you to send us your recommendations and requests for new short courses by contacting firstname.lastname@example.org.
The ISPOR Health Technology Assessment (HTA) Roundtable and ISPOR Patient Representatives Roundtable were held on 12 September in conjunction with the Conference and drew participation from health technology assessment bodies, government healthcare payers, patient organization leaders and other stakeholders to discuss topics surrounding patient access for high cost drugs, management of national benefit packages, HTA in strategic drug purchasing and the current role of patient participation in HTA. Members of the ISPOR Patient Representatives Roundtable also presented on an Issue Panel session related to how healthcare systems in Latin America can become more patient-centered from a patient, clinician, industry, and global society perspectives.
The main conference program started on 13 September 2019 with the First plenary session. The session, entitled “The Role of Data Supporting an Effective Decision-Making Process” discussed how Real-World Data and cutting-edge practices such as machine learning will impact healthcare decisions and resource allocation in Latin America, both from the standpoint of research applications and evidence-generation as well as managing the deployment of health care services and clinical practice. The day was packed with numerous high impact sessions covering topics such as economic evaluation and budget impact of popular interventions for the region, biosimilars in Latin America, data management in health systems, and HTA deliberative processes, among many others. There were also notable spotlights sessions on value frameworks for Latin America, social preference studies for the region, and defining value in medical devices. For a festive atmosphere, the Exhibitor Reception provided rich delicacies and refreshments to welcome delegates while they networked and viewed research presentations and exhibits, capping off a full day.
The Conference concluded in a grand fashion on Saturday 14 September with a jam-packed day of sessions and the Second plenary session. The plenary session was on “Value Measurement in 2020: Moving Forward in Low- to Middle-Income Countries,” which tackled the key question of how should value in health be appropriately defined and measuring, taking into account multi-stakeholder perspectives, the costs and efficiency of the overall health system as well as patient access to critical therapies. During the session, it was announced by ISPOR Mexico Chapter President Dr. César Alberto Cruz Santiago that ISPOR Latin America 2021 will be held in Mexico City, Mexico to much applause and excitement by the ISPOR Mexico chapter colleagues as well as colleagues from around the region. We look forward to welcoming you to Mexico City in 2021 and welcome you to stay tuned for more information on abstract submission deadlines and how to get involved. We are certainly looking forward to working with the ISPOR Mexico Chapter on a very successful conference. Following the plenary, there were also many interesting sessions on gene therapies, value-based healthcare, healthcare prioritization, transferability of economic evaluation data, managed-entry agreements, health state utilities and many others.
The Conference included numerous opportunities for ISPOR regional group members to engage and connect. Apart from the main plenary and breakout sessions, there were several face-to-face meetings and roundtable discussions for key groups, including ISPOR Latin America Consortium committee meetings which provided a platform for members to update on ongoing research projects surrounding topics like value frameworks for healthcare in Latin America and value-based healthcare, as well as discuss strategic priorities for the region to support health economics and outcomes research (HEOR) development. The ISPOR Latin America Consortium Executive Committee convened to discuss opportunities and challenges for HEOR in the region and strategic priorities for the Consortium going forward. The ISPOR Latin America Consortium Industry Committee had a meeting that provided updates on their key projects surrounding value frameworks for healthcare in Latin America. Committee leaders also presented at a spotlight session surrounding that topic.
ISPOR regional chapters were very active at the conference, with regional chapters from Colombia, Mexico, Peru, Brazil, Argentina and Chile holding events that had over 300 members participate and learn about ongoing activities and capacity building that ISPOR Chapters are driving in Latin America. Additionally, ISPOR Colombia chapter was recognized not only as an important partner and contributor for the conference during the second plenary session but was also awarded the ISPOR Outstanding Chapter Award for a large sized chapter in 2019. This impressive achievement reflects the tireless efforts of the chapter in conducting education and publishing research to further the science. Even more impressively, this was the second year in a row for the chapter to be recognized by the award.
There was also the first ISPOR Student Event conducted in Latin America entitled “ISPOR Career Advice Across the Globe.” The ISPOR Student Travel Grant allowed 10 students to attend the meeting to participate in several short courses and present their research. Students and new professionals heavily interacted throughout the meeting, discussing their research and challenges they face, and networking during the informal student and new professional hangout that was organized by the ISPOR Student Network Meeting Planning committee.
During the ISPOR Student & New Professional Event “Career Advise Across the Globe: How to Advance Within Your Chosen Field”, three esteemed speakers from Latin America shared their career stories with over 50 attendees. The speakers represented career paths in academy, industry, government and consultancy. Arturo Figueroa, CEO & General Manager at Pharma Management EAS in Mexico City, Mexico, shared how ISPOR has allowed him to advance in his career in consultancy and how he became a board member of the ISPOR Mexico Chapter. According to Arturo: “HEOR has advanced a lot in recent years in Mexico… and this momentum is probably going to remain during the next years”. Rosa María Galindo Suarez who works at Centro de Investigación y Desarrollo en Ciencias de la Salud, Mexico, shared her experience in HEOR in the government field. She fulfilled her role as General Director of Prioritization in the Ministry of Health in Mexico from 2003-2004. Training was a key factor to stand out from peers during her career as well as in the case study example of one of her students. Diego Rosselli, Associate Professor of Health Economics at Pontificia Universidad Javeriana in Bogota, Colombia, shared how he got involved with ISPOR and how it led him to become ISPOR Latin America’s Consortium chair. He highlighted the vast amount of opportunities working in HEOR within the academy. Professor Rosselli said: “Starting your path in HEOR within the academia will allow you to have many opportunities in diverse fields and will even allow you to move to consultancy, government or the industry.” During the reception that followed the presentations, many attendees used the unique opportunity to ask for career advice from the experienced speakers, which resulted in interactive discussions.
Overall, the ISPOR Latin America 2019 meeting was a great success for students and new professionals. It is great to see how the ISPOR Student Travel Grants, tailored students and new professional events inspire members from all over the world, and truly foster the development of future leaders in health economics and outcomes research.
The ISPOR Student Network is composed of ~1800 students representing over 70 countries with 120 Student Chapters in 34 countries. The Network has a Chair, 7 Committees, and 3 Regional Leads that collaborate with ISPOR staff. If you have interest in forming a student chapter at your University, please email email@example.com.
The New Professionals Network is composed of ~900 recent graduates from HEOR related programs representing 70 countries. Membership in the Network is available to former ISPOR student members and any new members who join that possess 3 years or less of HEOR experience. Members will be eligible to renew for 2 additional years after they join before converting to Standard membership. If you have a question regarding eligibility, please email firstname.lastname@example.org.
These active and dynamic ISPOR groups and platforms are ensuring that ISPOR remains fully engaged with the members in Latin America and that HEOR continues to develop and thrive.
For more general information on the ISPOR Latin America 2019 Conference, please visit the ISPOR Latin America 2019 Conference webpage. You may also access released presentations here through ISPOR searchable database through keywords or by conference name – in this case ISPOR Latin America 2019.
Thanks again for your support of the conference and for making ISPOR Latin America stronger than ever!
Key Member Information
- ISPOR Travel Grants – the program supports attendance at the Society’s scientific conferences for eligible ISPOR members. Applications are now being accepted for the following ISPOR meetings in 2019:
Additional information on ISPOR Conference Travel Grants can be found at:
- Travel Grants
For members in countries classified by the World Bank list of economies as Low/Lower-Middle/Upper-Middle classification
- Student Travel Grants
For student members
- Patient Representatives Travel Grants
For patient representative members
Stay tune for the next opportunities to participate in this program!
- Congratulations to ISPOR Colombia , Russia St. Petersburg , and West China Chapterfor receiving ISPOR 2019 Outstanding Regional Chapter Award! The award program recognizes Chapters outstanding contribution and leadership in advancing ISPOR’s mission in global regions – Asia, Latin America, and Europe, Middle East, and Africa. The ISPOR Colombia and St. Petersburg Chapters have been recognized for the second time for their exemplary achievements in advancing HEOR in their countries. “This award encourages us to continue working hard and achieving more goals to our chapter and to ISPOR. Thank you very much for recognizing our work in Colombia and the region. ”- Camilo Ernesto Castañeda Cardona, MD, ISPOR Colombia Chapter President. The award is offered in small, medium, and large Chapter categories and follows a thorough review of Chapters compliance with ISPOR governance, input to ISPOR publications and contribution to ISPOR activities throughout the year reported in Annual Reports. The awarded Chapters will be recognized during a plenary session at ISPOR Europe 2019 in Copenhagen. For more information about the Award, please access here
- The ISPOR Regional Chapter Resource Center is a new online repository of information for Chapter leaders and members to assist them with Chapter development, eg, membership, governance, policies, available training, recognition opportunities, dissemination, and communication, etc.
- Webinar held on ISPOR Chapter Engagement in Local Health Policy Decision-making. ISPOR Global Networks recently hosted a webinar on September 30, 2019 that highlighted examples of ISPOR regional chapters supporting and informing healthcare decision-making in their respective countries, such as commenting on policy, formulating guidelines and even establishing government agencies with the support of ISPOR tools and resources. There were speakers representing chapters from all over the globe, and these presentations highlighted the impact ISPOR is making through its chapters and members globally. For more information on this interesting initiative please click here . To access the webinar recording, please click here.
- Contribute to Value in Health Regional Issues
- Submit to manuscript / revision
- Become a peer reviewer
- Check manuscript status
Cobertura Universal en Salud: Equidad y Acceso – Los trabajos sometidos antes del 1 de enero 2020 tendrán mayores oportunidades de ser publicados.
Somete tu manuscrito en: https://mc.manuscriptcentral.com/vihregionalissues y asegúrese de indicar que el articulo debe ser considerado para la sección titulada “Cobertura Universal en Salud”
Nota para los autores:
Sometimiento en Español son bienvenidas
Submissões em Português são bem-vindas
Submission in English are welcome
- ISPOR Board of Directors approves new Diversity and Inclusion Policy. The new Diversity and Inclusion Policy speaks to the commitment that the ISPOR’s Board of Directors and leadership have in reflecting the diversity of its membership in everything the Society does. As a global, multistakeholder, nonprofit organization, ISPOR focuses on a wide range of diversity dimensions that include (and not limited to) gender, career stage, ethnicity, race, education, sexual orientation, region / geographic location, physical disability, and religion . More about the policy is available here .
- Call for Updates to Pharmacoeconomic Guidelines Around the World. ISPOR’s Pharmacoeconomic Guidelines Around the World provide country-specific guidelines used by the healthcare agencies in the region to inform reimbursement decisions. If you would like your country Pharmacoeconomic Guidelines to be posted on the ISPOR website, please click here to see if your country is listed or email us for more information.
- Your assistance is needed! ISPOR is interested in having references to the regional documents / guidance / other evidence sources where our knowledge products are being utilized at the local and national decision-making levels. If you have any knowledge of the use of the ISPOR Good Practice Task Force reports by governmental / regulatory bodies in your countries, we kindly ask you to send this information to: email@example.com
- Please activate your ISPOR user profile in the new system to access ISPOR’s HEOR content and resources with a single sign-on, including Value in Health and Value in Health Regional Issues articles, Good Practices for Outcomes Research Reports, and other HEOR resources. To activate your user profile, please:
- Visit the new, redesigned ISPOR website at www.ispor.org.
- Click the green “Log in” button in the top right corner.
- Enter your email address and password
- You will be requested to change your password
- Please use ‘Forgot Your Password’ to reset your password if needed.
- Let us know about your Chapter’s proud accomplishments, past year’s activities, challenges and needs through submission of the ISPOR 2019 Regional Chapter Annual Report! It is a great opportunity to highlight your Chapter’s and members progress in the areas of local research, education, and policy developments. It provides information about your Chapter’s collaboration with local and international organizations, contributions to ISPOR conferences, and relevant non-ISPOR events. Completing the Report and submitting it by the indicated deadline is key to your Chapter’s consideration for the ISPOR Outstanding Regional Chapter Award. Information provided in the Reports is carefully reviewed for the eligibility assessment and against the specific criteria in the process of selecting the finalists. The communication to submit the Report will be sent to Chapters Presidents by the end of November 2019. Deadline to complete it via the Survey Monkey will be requested by January 31, 2020.
Upcoming ISPOR Meetings & Education:
May 16-20, 2020
Orlando, FL, USA
Submission Open Date: November 1, 2019
Submission Close Date: January 15, 2020
Author Notification: March 2, 2020
ISPOR Asia-Pacific 2020
12-15 September, 2020
Seoul, South Korea
Submission Open Date: 1 December, 2019
ISPOR Europe 2020
14-18 November, 2020
ISPOR Dubai 2020
29-30 September, 2020
Dubai, United Arab Emirates
New ISPOR Conference Hashtags – Starting for 2019 Conferences:
- #ISPORAnnual(for the annual ISPOR conference held in North America)
- #ISPOREurope(for ISPOR Europe)
- #ISPORAP(for ISPOR Asia Pacific)
- #ISPORLA(for ISPOR Latin America)
- #ISPORSummit(for ISPOR Summits)
- #ISPOR<<city name>> (for regional conferences, e.g., #ISPORDubai, #ISPORWarsaw)
We invite you to engage with us!
Are you involved with ISPOR Latin America Consortium activities but are not an ISPOR member yet?
Becoming a member of the professional society for health economics and outcomes research, (HEOR) has many advantages. Join ISPOR Now, and become part of a global collaborative HEOR community and contribute to improving health care decision making around the world!
Benefits of Membership:
- World-class, global scientific conferences
- MEDLINE®-indexed publications
- Knowledge products and online tools
- Awards and recognition
- Career development
ABOUT ISPOR LATIN AMERICA CONSORTIUM
The ISPOR Latin America Consortium is comprised of professionals interested in promoting health economics and outcomes research (HEOR) excellence to improve healthcare decision making in Latin America and globally. The Latin America consortium provides a platform for information-sharing and institutional collaboration on HEOR and health policy, facilitating professional networking opportunities through scientific activities and global ISPOR initiatives.
Have any questions or comments? firstname.lastname@example.org
ISPOR Latin America Working Committees:
The ISPOR Latin America Industry Committee has the objective to collaborate with academia, decision makers, providers and patients, in the common objective to improve decision making for health in the region. With this aim, the committee has three key initiatives: (1) improve the methods to assess the value of health technologies, (2) advance on the acceptability and use of real-world evidence in decision making, and, (3) contribute in the education of key stakeholders on topics related to health technology assessment.
On the first initiative the committee conducted an assessment of the value frameworks available in Latin America, the preliminary results were presented by Homero Monsanto (committee chair-elect) as a Podium at the ISPOR Latin America 2019 conference hold in Bogota, Colombia between September 12-14, 2019 (presentation available here). In addition, to share different perspectives on these value frameworks and the challenges faced by different stakeholders, the committee invited keynote representatives from Academia, Decision Makers, Patient Advocacy Groups and Industry. This issue panel was selected as a Spotlight Session during the ISPOR Latin America 2019 Conference. The Spotlight Session was attended by over 200 participants.
Jaime Caro (Professor McGill and LSE), provided the academic perspective highlighting that there are different definitions of value and several shortfalls in the methods used to assess it by all stakeholders. Aurelio Mejia (Director of Medicines at the Ministry of Health of Colombia and former Deputy Director of IETS), presented the methods used in Colombia by the Ministry of Health and the Health Technology Agency to define coverage decisions and the recent methodology -still under discussion- for price setting applicable to new active substances obtaining market authorization in Colombia. Eva Maria Ruiz de Castilla (Chair Latin American Patient Academy), addressed the opportunities to involve patients in the decision-making process and the efforts by patient advocacy groups to educate representatives on health technology assessment topics. Finally, Claudia Brabata (Chair – ISPOR Latin America Industry Committee) presented the industry perspective including the top line results of the Value Frameworks assessment conducted by the committee and posed two questions to the panelist on whether the current value frameworks in the region promote innovation and advance at the same pace as R&D.
A key takeaway of the discussion is that value frameworks in the region are heterogenous in terms of scope of health technologies, priority setting, assessment, appraisal, and implementation. However, all these frameworks ultimately impact patient access to new medical technologies. In addition, it was recognized that although these frameworks provide greater transparency in healthcare decision-making, its implementation requires a multi-stakeholder approach, ensuring opportunities to participate during the assessment for each interested party to increase the legitimacy of the decision-making process in each jurisdiction.
On the second initiative the committee had a workshop on the use of Real-World Evidence (RWE) in monitoring and managing health technologies. The workshop covered topics from the use of RWE to estimate burden of disease and inform priority setting and assess real life effectiveness and safety to the challenges and opportunities of RWE for decision makers, technology producers, data holders and consultants.
Finally, since 2018 the committee has been conducting webinars open to all ISPOR Latin America Consortium members and plans to enhance and expand these education efforts with webinars during the 4Q of 2019 and beyond. We invite you to be part of these efforts by participating in the following questionnaire to better understand the perspectives on topics for future educational activities to support the committee’s education objective. The questionnaire will take approximately 5 minutes to respond and is located in the following link: here
We greatly appreciate your input!
If you are interested in collaborating with the committee and would like to learn more about these workgroups, please email us at email@example.com for more information. We also invite you to participate.
News from the Latin America Consortium Publications Committee during ISPOR Latin America 2019, Bogota, Colombia.
ISPOR Latin America 2019 in Bogota, Colombia, last Sep 12 – 14th was a huge success and the Latin America Consortium Publications Committee presented the ISPOR FORUM entitled “Moving toward a Value based healthcare (VBHC) system: focusing on value versus volume”.
This initiative was chosen by the members of the Publication Committee during a poll last year, that selected the topic as a key one to be developed within the context of the Committee. Together with our chair elect, Herman Soto Molina, and strong commitment of ISPOR`s staff, Karla Eisenhart and Ramiro Gilardino, the volunteers selected: 1) Value Based Healthcare, 2) Measuring value, and, 3) Patient’s engagement in decision making; as hot topics to be researched and published in ISPOR`s Journals, such as Value in Health Regional Issues. We welcome all of you willing to join us and collaborate with the development of these topics at the Latin America Consortium Publications Committee.
Value based healthcare is an approach were the competition in the healthcare system is focused on the value for patients, according with Porter and colleagues, rather than focusing only on the costs of the healthcare system. However, it is clear that the question is what “Value” means for the various stakeholders who have a in the healthcare systems? This is even more complicated when we have a complex discussion including decision makers, health technology producers, services providers, patients and healthcare professionals, with different goals and performance metrics. Therefore, the goal of this forum was to bring some light on what the definitions of value are being used in the region, by the various stakeholders.
The ISPOR FORUM was led by Dr. Marcelo Nita, ISPOR Publications Committee chair, with the participation of the following panelists: Aline Silva, from CONITEC/MOH Brazil, representing the patient view, Rosa Maria Galindo, from Mexico, representing the Decision Maker view, Marcia Makdisse, from Carecyle, representing the Provider view, and Diego Guarin, from ISPOR Latin America Industry committee and FIFARMA, representing the Industry view. Dr. Nita briefly introduced the first results of a survey among ISPOR Latin America members, showing basically a large heterogeneity about the definition of value among the different stakeholders, considering that clinical outcomes focused on patients and improvement in the quality of medical care as the main benefits of VBHC. Aline brought the patient view, presenting the results of her projects by interviewing 25 stakeholders about Brazilian patient engagement process in the CONITEC HTA analyses showing that the words “society”, “patient” and “more” were the most frequent words used in the speeches of the interviewees, implying the need for more patient and society involvement in the process. Rosa Maria pointed out the recent The Economist Intelligence Unit / Medtronic´s Value-based healthcare research showing that only Chile and Colombia had by this interview some elements enabling VBHC such as bundled payment and quality standardization in the region, and concluded that there is a clear need for standardized information and process to linking payments to health outcomes for implementing these initiatives.
Marcia presented the view of providers and showed how understanding the VBHC enablers such as creating a value management office, measuring outcomes and costs at the condition level, redesigning care processes and partnering with different stakeholders to build new value-based payment models may foster value-based competition among providers. Finally, Diego focused more in the Value Frameworks that could promote value in patient care and outcomes and brought the recently done ISPOR Latin America Industry Committee`s research about value assessment frameworks in Latin America countries. His conclusion indicates that value assessment frameworks are being adopted and implemented throughout the region, but “when assessing the value of medicines, these frameworks based primarily in cost-effectiveness analysis (CEA) only account for the value of quality-adjusted life years (QALYs) and direct healthcare costs missing important elements of value that matter to patients and society”.
The ISPOR Latin America Publication committee survey with the discussions done at the ISPOR Forum in Bogota, both will serve as basis for the White Paper we intend to publish by the end of year to shed some light on the definitions of value for the various players of our region.
Again, the Latin America Consortium Publications Committee thanks all those committing to the development of our field in the region!
Reference: Porter, M. E. A Strategy for Health Care Reform — Toward a Value-Based System. N. Engl. J. Med. 361, 109–112 (2009).
The Consortium Publications Committee promotes the science of health economics and outcomes research in the region by working with ISPOR editors and staff in securing regional content for publication in Value in Health, Value in Health Regional Issues, and Value & Outcomes Spotlight. If you are interested in collaborating with these working groups, please email us at firstname.lastname@example.org for more information.
- ISPOR Latin America Consortium Education Committee -The role of the ISPOR Latin America Consortium Education Committee is to encourage, facilitate, and promote ISPOR educational programs in the region and support information sharing within ISPOR or the educational activities of the members.