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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La evaluaci&#243;n de tecnolog&#237;as sanitarias &#40;ETS&#41; es un instrumento basado en la evidencia cient&#237;fica para la toma de decisiones sobre la inclusi&#243;n de avances tecnol&#243;gicos en los sistemas sanitarios&#46; Ahora bien&#44; hay m&#250;ltiples condicionantes y elementos&#44; provenientes tanto de la propia ETS como de profesionales&#44; pol&#237;ticos y de la sociedad&#44; que influyen en que los resultados de la ETS se lleven a cabo&#46; El objetivo de este art&#237;culo es describir los principales elementos que condicionan la aplicaci&#243;n de la ETS en la pr&#225;ctica y su uso en el &#225;mbito cl&#237;nico y en la pol&#237;tica sanitaria&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha realizado una b&#250;squeda bibliogr&#225;fica en la base de datos biom&#233;dica PubMed&#46; Se revisaron las referencias seleccionadas&#44; as&#237; como la bibliograf&#237;a adicional y la literatura gris identificada a partir de las referencias&#44; que trataba de temas relacionados con la pr&#225;ctica de la ETS&#46; Los resultados se presentan de manera descriptiva&#44; haciendo un an&#225;lisis de los estudios agrupados por los distintos aspectos de la ETS&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Algunos elementos clave en los que hay posibilidades de mejora son la estandarizaci&#243;n del proceso de evaluaci&#243;n&#44; la descripci&#243;n de la misi&#243;n de la organizaci&#243;n&#44; la priorizaci&#243;n de tecnolog&#237;as a evaluar&#44; la claridad en la presentaci&#243;n de los resultados&#44; la inclusi&#243;n de valores sociales y de costeefectividad&#44; y el aumento de la coordinaci&#243;n internacional&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Para muchos&#44; la raz&#243;n de ser de la ETS es su funci&#243;n expl&#237;cita en la toma de decisiones&#44; aunque esto no est&#225; exento de problemas&#46; Todo parece indicar que el futuro inmediato de la ETS pasa por explicitar los procesos de evaluaci&#243;n y la clara inclusi&#243;n de la ETS en la toma de decisiones&#44; con todo lo que ello supone de priorizaci&#243;n de tecnolog&#237;as&#44; establecimiento de l&#237;mites en cuanto al consumo de recursos econ&#243;micos y vinculaci&#243;n con los procesos pol&#237;ticos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Health technology assessment &#40;HTA&#41; is a tool based on scientific evidence useful for making decisions about the introduction of technological advances in healthcare systems&#46; However&#44; there are multiple elements that influence the actual use of the results of HTA&#46; These elements are related both to the characteristics of HTA and to the stakeholders involved &#8211;health professionals&#44; politicians&#44; and society&#46; The aim of this article was to describe the main elements that influence the applicability of HTA in practice&#44; as well as the use of HTA in clinical practice and health policy&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A literature search was performed in PubMed&#46; The references retrieved&#44; as well as additional bibliography and gray literature dealing with different aspects of HTA practice identified from the references retrieved&#44; were reviewed&#46; The results are presented descriptively&#44; with analysis of the studies grouped according to the various HTA-related topics&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Key elements that could be improved are standardization of the evaluation process&#44; description of the organization&#8217;s mission&#44; prioritization of the technologies to be assessed&#44; the clarity of the presentation of results&#44; inclusion of values other than scientific evidence&#44; such as social and costeffectiveness values&#44; and increased international coordination&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">For many people&#44; the rationale for HTA is its explicit role in decision making&#44; despite its problems&#46; The immediate future of HTA would seem to include making the assessment process explicit&#44; and the inclusion of HTA in decision making&#46; This entails prioritization of technologies&#44; setting limits on resource allocation and interrelation with political processes&#46;</p>"
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