Table 5.

Stage in the life cycle of health technologies and obstacles

Stage of the lifecycle in health technologyObstacles
ResearchInadequate research funding: higher volumes of resources are needed
Fragile or non-existent strategies of universities and science and technology institutes for PM
InnovationRegulations
Gap in researcher skills to transform research into innovation
Inadequate funding for startups: mechanisms in Brazil are not sufficient and adequate for the challenges of PM
Open innovation in health care is still incipient. The corporate venture is in its initial phase
Large national pharmaceutical companies are shyly structuring themselves to work in PM
Initial diffusionDoctor’s culture
Lack of understanding of technologies by patients
Existence of few clinical protocols
IncorporationInadequacy of HTA methods
Insufficient epidemiological studies
No comparison between technologies
Widespread useInsufficient human resources and skills
Inadequate infrastructure
High cost of treatments
No integrated patient information system

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