Hudson Pacifico Silva

Hudson Pacifico Silva
Université de Montréal | UdeM · Center for Public Health Research

PhD

About

67
Publications
10,997
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458
Citations
Citations since 2016
47 Research Items
426 Citations
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Introduction
I am a research professional with the In Fieri research program on Responsible Innovation in Health (RIH), based on the Center for Public Health Research (CReSP) of University of Montreal. Under the leadership of Pascale Lehoux, the goal of our research program is to generate and share new knowledge on the design, financing and commercialization of RIH. More info: http://infieri.umontreal.ca/en/home/
Additional affiliations
November 2015 - present
Université de Montréal
Position
  • Senior Researcher
March 2012 - February 2015
University of Campinas
Position
  • Professor (Assistant)
March 2012 - February 2015
University of Campinas
Position
  • Professor (Assistant)
Education
August 2014 - November 2017
University of São Paulo
Field of study
  • Public Health
March 2001 - December 2003
University of Campinas
Field of study
  • Social Economics
March 1993 - December 1996
University of Campinas
Field of study
  • Economics

Publications

Publications (67)
Article
Full-text available
With the recent changes in Brazil’s economy, marked by a substantial decline in economic growth (with forecasts for negative growth in 2015 and 2016) and rising inflation rates associated with fiscal adjustment policies, with substantial cuts in funding for the social field, the gains achieved in the last decade both in the labor market and in othe...
Chapter
With a grasp on the Responsible Innovation in Health (RIH) concepts and your design assumptions teased out with the Responsible Design Compass, you and your team are now ready to work with the RIH design brief covered in Chaps. 3, 4, and 5. After brief instructions on how to work with the design brief, we explain how to generate a responsible healt...
Chapter
This chapter describes how the Responsible Innovation in Health (RIH) Assessment Tool supports a rigorous assessment of a health innovation’s degree of responsibility. We begin by explaining why we developed this tool and how it differs from existing Responsible Research and Innovation (RRI) evaluation tools. We summarize the stepwise process of it...
Chapter
After covering the responsibility characteristics of your venture, you are now ready to design a responsible solution by integrating three Responsible Innovation in Health (RIH) attributes—Frugality; Eco-responsibility; and Ethical, legal, and social issues (ELSIs). We start this chapter by describing how frugality characteristics may increase the...
Chapter
This chapter reviews the ways in which “intermediating platforms” (innovation hubs, incubators, accelerators, living labs, and technology transfer offices) can orchestrate Responsible Innovation in Health (RIH) by working with the concepts and tools described in Parts I and II of the book. We turn our attention to the key role played by innovation...
Chapter
To get you and your team started to make Responsible Innovation in Health (RIH), this chapter clarifies the definition of RIH and presents the conceptual framework, which comprises the five value domains and nine responsibility attributes briefly introduced in Chap. 1. Then, we invite you and your team to work with our Responsible Design Compass, a...
Chapter
Wrapping up with the way the COVID-19 pandemic exemplifies why health innovators’ creativity and problem-solving skills are pivotal to making health and social care more equitable and sustainable, we summarize in this last chapter our aims of writing this book. We also invite health innovators to fully embrace their role as influential “care-makers...
Chapter
This chapter explains why increasing responsibility in the health innovation industry cannot rely solely on individual innovators’ shoulders. For Responsible Innovation in Health (RIH) to flourish, responsible innovators must be able to find and work with multiple allies. We thus review the drivers and obstacles that are found in the health and soc...
Chapter
This chapter describes innovation design tools and approaches to equip teams as they set out to make a responsible health innovation. We begin by explaining why and how, with the input of health innovation researchers and practitioners, we put together a toolbox that draws from different disciplines and areas of expertise. Then, we present 15 tools...
Chapter
After generating a responsible health innovation idea, you and your team can flesh out the responsibility characteristics of your venture. Toward this end, this chapter is organized around two Responsible Innovation in Health (RIH) attributes: Inclusiveness and Business model. We begin by describing the importance of mobilizing at an early stage re...
Chapter
After setting your nine responsibility objectives with the Responsible Innovation in Health (RIH) design brief (Chaps. 3, 4, and 5) and looking for tools and approaches that can help you meet them with the RIH toolbox (Chap. 6), the next step in the path to RIH is to bring it all together by making strategic design decisions. In this chapter, we he...
Chapter
Full-text available
Uma crise multidimensional, cujas consequências para a saúde das populações a médio e longo prazos são potencializadas pelas desigualdades e pelas situações de alta vulnerabilidade social. É dessa forma que três pesquisadores da Fiocruz, organizadores do e-book, classificam uma pandemia, com foco especial na emergência da Covid-19. A coletânea apre...
Article
Full-text available
Objectives While Incubators and Accelerators (I/As) may help startups grow and survive, the benefits incubatees derive from I/As remains under debate. This is especially true for ventures in the health sector that face specific challenges and responsibility issues. The aim of this study is to explore when and how I/As supported 16 Canadian and Braz...
Book
This book pursues two objectives. The first is to introduce the field of Responsible Innovation in Health (RIH) by clarifying its theoretical foundations and the practical approaches that enable the design and production of responsible medical devices, health and social care interventions, digital tools and solutions based on Artificial Intelligenc...
Article
Full-text available
Although healthcare managers make increasingly difficult decisions about health innovations, the way they may interact with innovators to foster health system sustainability remains underexplored. Drawing on the Responsible Innovation in Health (RIH) framework, this paper analyses interviews ( n=37) with Canadian and Brazilian innovators to identif...
Article
Full-text available
Responsible Research and Innovation (RRI) seeks to steer innovation towards important societal challenges and, by doing so, calls for entrepreneurial activities that create economic, social, and environmental value. Nonetheless, little is known about the way different types of organization can produce responsible products and services and the chall...
Article
Full-text available
Background: Responsible innovation in health (RIH) emphasizes the importance of developing technologies that are responsive to system-level challenges and support equitable and sustainable healthcare. To help decision-makers identify whether an innovation fulfills RIH requirements, we developed and validated an evidence-informed assessment tool co...
Article
Full-text available
Responsible Research and Innovation (RRI) scholars have explored how businesses perceive the goals and processes of RRI and have developed tools to enable entrepreneurs to integrate such principles into their practices. While these tools often adopt a formative approach and may include measurable self-assessment indicators, external assessment appr...
Article
Full-text available
Responsible Research and Innovation (RRI) scholars have explored how businesses perceive the goals and processes of RRI and have developed tools to enable entrepreneurs to integrate such principles into their practices. While these tools often adopt a formative approach and may include measurable self-assessment indicators, external assessment appr...
Article
Full-text available
Several solutions have been proposed to address Covid-19, including tests for screening and diagnostic confirmation, non-pharmacological interventions to reduce the speed of virus transmission, and technologies to treat patients. In addition to issues related to the effectiveness and safety of these solutions, the speed with which they have been de...
Poster
Full-text available
To identify the degree of responsibility of innovations at an early stage, we developed and validated The In Fieri Assessment Tool for RIH, which supports an evidence-informed judgment through a three-step process: screening, assessment and rating.
Technical Report
Full-text available
A policy brief for public decision-makers and developers of AI and digital solutions: "As de confinement begins, the potential for artificial intelligence (AI) and digital solutions to accelerate the fight against COVID-19 is increasingly debated. Despite promises and hopes, one may wonder whether the required conditions for innovating responsibl...
Technical Report
Full-text available
Note à l’intention des décideurs publics et développeurs de solutions fondées sur l’IA et le numérique : "Alors que le déconfinement s’amorce, le potentiel de l’intelligence artificielle (IA) et des outils numériques pour accélérer la lutte contre la COVID-19 est de plus en plus débattu. En dépit des promesses et des espoirs, une question urgente...
Article
Full-text available
Grutters et al show that economic assessments can inform the development of new health technologies at an early stage. This is an important contribution to health services and policy research, which implies a "shift away" from the more traditional forms of academic health economic modeling. Because transforming established disciplinary traditions i...
Article
Full-text available
We were very glad to read the six commentaries about our scoping review on the needs and challenges of health systems that Responsible Innovation in Health (RIH) could address. The commentators offered great suggestions to further research on RIH and health systems. We provide clarifications to their queries and explain why revisiting the relations...
Article
Full-text available
Garantir o acesso equitativo a tecnologias que têm qualidade, segurança, eficácia e custo-efetividade comprovados, bem como assegurar que sua utilização seja baseada em evidências científicas de qualidade, constitui um dos principais desafios dos modernos sistemas de saúde. A avaliação de tecnologias em saúde (ATS) é uma das estratégias mais usadas...
Article
Full-text available
Background: While responsible innovation in health (RIH) suggests that health innovations could be purposefully designed to better support health systems, little is known about the system-level challenges that it should address. The goal of this paper is thus to document what is known about health systems’ demand for innovations. Methods: We search...
Article
Full-text available
Responsible Innovation in Health (RIH) represents an emerging Science, Technology and Innovation (STI) approach that could support not only the Sustainable Development Goal (SDG) "Good health and well-being" but also other SDGs. Since few studies have conceptualized the relationships between RIH and the SDGs, our goal was to inductively develop a f...
Article
Full-text available
Objectives. The way new health technologies are being developed and brought to market undermines the sustainability of health systems around the world and limits the emergence of innovations that could generate greater system-level benefits. While Responsible Research and Innovation (RRI) offers relevant principles to address this policy problem, t...
Article
Full-text available
The scholarship on responsible research and innovation (RRI) aims to align the processes and outcomes of innovation with societal values by involving a broad range of stakeholders from a very early stage. Though this scholarship offers a new lens to consider the challenges new health technologies raise for health systems around the world, there is...
Article
Full-text available
There is inherent tension between the idea of health as a social right and of health as a private good. From the latter perspective, healthcare provision is brought closer to the logic of ownership, where access depends on ability to pay. The prioritization of markets (over governments), economic incentives (over social or cultural norms), and entr...
Article
Full-text available
O projeto Mais Médicos para o Brasil é uma ação do programa Mais Médicos, formulada pelo governo federal e implementada pelos municípios brasileiros a partir de 2013. Sua finalidade é levar médicos brasileiros e estrangeiros para regiões onde faltam esses profissionais. O estudo investiga se há associação político-partidária e influência da estrutu...
Article
Full-text available
O Brasil enfrenta uma crise econômica das mais profundas e duradouras de sua história recente, com efeitos negativos sobre o mercado de trabalho, a renda familiar e a mobilidade social. As medidas de austeridade fiscal implementadas pelo governo apresentam resultados igualmente negativos sobre a situação de saúde da população e o sistema de saúde....
Article
Full-text available
Introdução: O presente estudo busca compreender a atuação de advogados e organizações não governamentais no fenômeno da judicialização da saúde no Brasil, com base em um conjunto de ações judicias julgadas em primeira e segunda instância na Comarca de Campinas no ano de 2012. Métodos: Estudo descritivo e retrospectivo, com dados coletados por meio...
Chapter
Full-text available
This chapter explains the development of the Brazilian Unified Health System (SUS) within a hybrid development policy regime of neoliberal and new developmentalist policies. Focusing on three key dimensions for the development of health care in the Brazilian federative context— namely the regionalization of health care, stable and sufficient financ...
Article
Full-text available
Resumo: Estudos recentes sugerem que os governos da maioria dos países da América Latina e Caribe foram capazes de ampliar os investimentos sociais e introduzir inovações nas políticas de proteção social nas duas últimas décadas, com resultados positivos em termos de cobertura e impacto das ações. Entretanto, as restrições impostas pelo atual cenár...
Chapter
Full-text available
“Este livro reúne trabalhos desenvolvidos sobre os temas relacionados às projeções do perfil epidemiológico do país e a organização e gestão dos serviços de saúde, com o objetivo de apoiar o planejamento e a prospecção estratégica do sistema de saúde em âmbito nacional. A abordagem de prospecção estratégica adotada pela iniciativa Brasil Saúde Aman...
Poster
Full-text available
Many Latin American countries have made significant changes in their health care systems based on recommendations prescribed by the neoliberal agenda since the 1990’s – privatization, decentralization, fiscal discipline, financial liberalization, reduced role for the State in social protection etc. Such is the case of Colombia and its General Syste...
Article
Full-text available
A política de desenvolvimento produtivo da saúde e a capacitação dos laboratórios públicos nacionais La política de desarrollo productivo en salud en Brasil y la cualificación de los laboratorios públicos nacionales Abstract Technological innovations play a decisive role in societies' development by contributing to economic growth and the populatio...
Article
Full-text available
New medical technology challenges the sustainability of healthcare systems in several countries. Drawing on secondary sources of data, the aim of this article is to generate a better understanding of the historical Research & Development dynamics that have contributed to shape today's medical innovation ecosystem. We describe key technological achi...
Article
Full-text available
The so-called double entry door - one for the patients of the public system and another one for customers of private health plans - is a growing phenomenon in many public health care facilities, especially in the State of São Paulo, Brazil, where several university hospitals linked to public universities assign resources to attend private clientele...
Research
Full-text available
Que cenários podem ser prospectados para a política social brasileira nas próximas décadas, considerando as tendências que se delineiam na atual conjuntura, de crise econômica e adoção de políticas de ajuste fiscal, com recuo parcial do Estado nos investimentos públicos? Responder a esta pergunta é o objetivo desse trabalho, que está estruturado em...
Article
Full-text available
As Unidades de Pronto Atendimento (UPAs) são classificadas, segundo a Política Nacional de Atenção às Urgências, de acordo com a capacidade física instalada, o número de leitos disponíveis, gestão de pessoas e a capacidade diária de realizar os atendimentos médicos. Objetivou-se identificar as características estruturais e de planejamento do serviç...
Technical Report
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In 1988, the Brazilian Constitution established the Unified Health System (Sistema Único de Saúde, or SUS), based on universal access to health services, with health defined as a citizen’s right, and access to health services as an obligation of the state. Since then, Brazil has adopted a policy regime that combines both neoliberal and more interve...
Conference Paper
Full-text available
O Programa Saúde da Família – PSF é uma estratégia para fortalecer as ações de atenção primária em saúde, operacionalizada mediante a implantação de equipes multiprofissionais em unidades de saúde. Estas equipes são responsáveis pelo acompanhamento de um número definido de famílias, localizadas em uma área geográfica delimitada, executando ações de...
Chapter
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IntrODuçãO Apesar das recentes dificuldades relacionadas ao cenário do capitalismo mundial, diversos fatores sugerem que o Brasil desfruta de uma posição pri-vilegiada entre os países da América Latina para dar forma a um novo modelo de desenvolvimento, capaz de integrar as políticas econômicas e sociais, con-ferindo lugar de destaque às políticas...
Article
Full-text available
The Brazilian Ministry of Health has institutionalized two articulated processes in the field of health technology management: (i) the production, systematization and dissemination of health technology assessment, and (ii) the adoption of a flow for the incorporation, exclusion or alteration of new technologies by the Brazilian National Health Syst...
Article
Full-text available
The Brazilian Ministry of Health has institutionalized two articulated processes in the field of health technology management: (i) the production, systematization and dissemination of health technology assessment, and (ii) the adoption of a flow for the incorporation, exclusion or alteration of new technologies by the Brazilian National Health Syst...
Chapter
Full-text available
E m uma sociedade orientada para o progresso é possível elencar duas dimensões do conceito de desenvolvimento: 1 (a) a que diz respeito ao aumento da eficácia do sistema social de produção por meio da acumulação e do progresso tecnológico; e (b) a que remete à satisfação das necessidades humanas. As duas dimensões concorrem para a construção do des...
Article
Full-text available
OBJECTIVES: to analyze the determining factors underlying the extent to which positron emission tomography (PET) is used in a selected medical services provider covered by private health insurance plans in Brazil. METHODS: a qualitative case study was undertaken with data collected by means of in-depth interviews (N=9) with representatives of four...
Article
Full-text available
The development of products and services for health care systems is one of the most important phenomena to have occurred in the field of health care over the last 50 years. It generates significant commercial, medical and social results. Although much has been done to understand how health technologies are adopted and regulated in developed countri...
Chapter
Full-text available
A Residência Médica, entendida como modalidade de ensino de pós-graduação, destinada a médicos, sob a forma de cursos de especialização caracterizada por treinamento em serviço, enfrenta hoje, no Brasil e no mundo, desafios relacionados às mudanças que têm afetado os sistemas de atenção à saú-de e o mundo do trabalho, incluindo o mercado de trabalh...
Conference Paper
Full-text available
This work aims at studying the process of health technologies incorporation in developing countries. For this purpose, a case study regarding diagnostic imaging equipment incorporation in Brazilian health care system was conducted, with focus on variables that influence the decision-making process. The theoretical approach adopted is the one used b...
Conference Paper
Full-text available
The study aims to analyze the relations between public health service funding in Brazilian municipalities and primary health care (PHC) models adopted in these towns and cities. Using a model of statistical factor analysis that accounted for 81% of the variability data regarding basic outpatient throughput, coverage and kind of procedures, the muni...
Conference Paper
Full-text available
In Brazil, universal coverage, full services and management decentralization represent important guidelines of the Unified Health System, which is to be funded by all three governmental levels. Based on these guidelines, the study aims to analyze the effectiveness of the local health care systems as regards a full range of services and universal ac...
Article
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This paper aims at discussing the role of the health sector in the contemporary capitalist economies, considering some key concepts from the Political Economy and its integrated view of social, political and economic fields based on two theoretical approaches: the conventional or formalist approach, characteristic of the Health Economics, and the ‘...
Article
Full-text available
O trabalho procura identificar as razões do fortalecimento da função reguladora do Estado no âmbito das mudanças ocorridas a partir da década de 70 do século passado, procurando relacionar essas mudanças com a regulação do mercado de saúde suplementar. Para tanto, é feita uma sistematização das principais características da chamada Reforma do Estad...

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Projects (2)
Project
Emerging health technologies require complex skills to operate, often lead to inequity in access and their development is increasingly capital intensive. Our goal is to conduct programmatic research on the design, financing and commercialization of Responsible Innovation in Health(RIH). Responsible innovations are affordable, relevant and foster the sustainability of healthcare systems by addressing its key challenges, which include responding to the needs of a growing elderly population, supporting chronically ill patients and tackling health disparities. Our research streams rely on advanced qualitative methods to examine: 1) the design of RIH; 2) the emergence and contribution of RIH; and 3) the institutionalization of RIH