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Front. Pharmacol. | doi: 10.3389/fphar.2019.00984

Administrative data linkage in Brazil: potentials for health technology assessment

 M Sanni Ali1, 2, 3*,  Maria Y. Ichihara3, 4, Luciane C. Lopes5,  George C. Barbosa3, Robespierre Pita3,  Roberto P. Carreiro3, Djanilson B. dos Santos3,  Dandara Ramos3, Nivea Bispo3,  Fabiana Raynal6, Vania Canuto6,  Bethania d. Almeida3,  Rosemeire L. Fiaccone3, 7, Marcos E. Barreto3, 8, 9, Liam Smeeth1 and  Mauricio L. Barreto3, 4
  • 1Department of Non-Communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom
  • 2Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Medical Sciences Division, University of Oxford, United Kingdom
  • 3Center for Data Integration and Knowledge for Health (CIDACS), Brazil
  • 4Institute of Public Health, Federal University of Bahia, Brazil
  • 5Universidade de Sorocaba, Brazil
  • 6Department of Management and Incorporation of Health Technology, Ministry of Health (Brazil), Brazil
  • 7Department of Statistics, Federal University of Bahia (UFBA), Brazil
  • 8Department of Computer Science, Federal University of Bahia (UFBA), Brazil
  • 9Farr Institute of Health Informatics Research, Great Ormond Street Institute of Child Health, University College London, United Kingdom

Health Technology Assessment (HTA) is the systematic evaluation of the properties and impacts of health technologies and interventions. In this article, we presented a discussion of health technology assessment and its evolution in Brazil, as well as a description of secondary data sources available in Brazil with potential applications to generate evidence for health technology assessment and policy decisions. Furthermore, we highlighted record linkage, ongoing record linkage initiatives in Brazil, and the main linkage tools developed and/or used in Brazilian data. Finally, we discussed the challenges and opportunities of using secondary data for research in the Brazilian context. In conclusion, we emphasized the availability of high quality data, an open, modern attitude towards the use of data for research and policy. This is supported by a rigorous but enabling legal framework that will allow the conduct of large scale observational studies to evaluate clinical, economical and social impacts of health technologies and social policies.

Keywords: Administrative data,, Brazil, data linkage, Epidemiological studies, Health Technology Assessment, record linkage, Secondary data

Received: 01 Mar 2019; Accepted: 31 Jul 2019.

Edited by:

Brian Godman, Karolinska Institute (KI), Sweden

Reviewed by:

Tanja Mueller, University of Strathclyde, United Kingdom
Gaurav Deshpande, Bristol Myers Squibb (United States), United States  

Copyright: © 2019 Ali, Ichihara, Lopes, Barbosa, Pita, Carreiro, dos Santos, Ramos, Bispo, Raynal, Canuto, Almeida, Fiaccone, Barreto, Smeeth and Barreto. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. M Sanni Ali, Department of Non-Communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, United Kingdom, sanni.ali@lshtm.ac.uk