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MD, MSc, PhD. Director of the Brazilian Cochrane Center. Editor-in-chief of the Sao Paulo Medical Journal and the journal Diagnostico & Tratamento of the Associacao Paulista de Medicina. Titular professor of Evidence-Based Medicine and Emergency Medicine of Universidade Federal de Sao Paulo — Escola Paulista de Medicina (Unifesp-EPM). E-mail: atallahmbe@uol.com.br. To evaluate a type of technology either within medicine or within the broader field of healthcare, the best scientific evidence needs to be mapped out with regard to the efficacy (studies under ideal conditions), effectiveness (in the real world), efficiency (taking into account practicality and costs) and safety of each approach. These requirements are important for physicians’ decisions in relation to patients, for the clientele of private healthcare, for health ministries’ decisions on healthcare policies in major countries and for the World Health Organization. Such assessments require impartiality, seriousness, competence and respect for the quality criteria of scientific evidence, taken into account during decision-making processes. Recently, the members of the scientific committee of Health Technology Assessment International (HTAi) met in Rio de Janeiro to define the scientific content of the international congress that is to be held in Rio de Janeiro between June 25 and 29, 2011. The theme of the congress will be the use of “health technology assessments based on scientific evidence to enable sustainability of healthcare systems”. It is well known today that erroneous decisions to incorporate products or interventions without proving their efficiency and safety may lead to great harm to patients, bankruptcy of healthcare systems and tarnishing of the reputations of the healthcare professionals who risked their credibility by choosing approaches for which there was no evidence of greater efficacy. At the scientific committee’s meeting in Rio de Janeiro, in April 2010, supported by the Brazilian Ministry of Health, the preliminary guidelines for the 2011 event were defined, in accordance with the following text.

são paulo medical journal

Evidence-based assessment of new technologies: good for Barack Obama's healthcare plan and good for Brazil, and at everyone's reach through HTAi Rio 2011