Skip to main content Accessibility help

Distributing and Transferring Medical Technology: A View from Latin America and the Caribbean

  • Jorge Peña-Mohr (a1)


Great variation exists in the health care delivery systems throughout Latin America and the Caribbean. In general, medical technology is concentrated in large cities at private hospitals that serve a small, elite segment of the population. What is missing in most of these countries is a clearly defined social policy guaranteeing distribution of medical technology to all segments of society. While data is scarce, it appears that political and economic concerns, rather than medical concerns, determine what and how much technology will be available to all segments of the society. Products are sometimes imported that compete with domestically produced ones. Moreover, transfers of technology often fail to include the necessary knowledge to make imported technology truly useful. However, current economic crises throughout the region are forcing changes in policies; as a result, there is a new emphasis on domestic production of technology over imports and the evaluation of medical technology for its appropriate use in Latin America and the Caribbean.



Hide All
1Banta, H. D.Medical technology and the developing countries; The case of Brazil. International Journal of Health Services, 1986, 16(3), 363–73.
2Biazzi, L. A., & Furtado, A.Polaíticas tecnológicas em saúde. Dinâmica socio-ecônomica. CEBRAP, Paulo, Sāo; Washington, DC: OPS/OMS, 1986.
3Binsang, R., Boucai, V., Canitrot, C., Perman, de Cossin M., Fernandez, Bussy J., & Slatopolasky, M.Informe preliminar sobre relevamiento básico en tecnología de equipamiento en Argentina. Washington, DC: PAHO/WHO, 1986.
4Boucai, V., & Fernández, Bussy J.Relevamiento básico en tecnología de equipamientos para la atencíon de la salud. Washington, DC: PAHO/WHO, 1986.
5Braga, J. C., & Goes de Paulo, J. C.Saúde e presidencia: Estudos de política social. Sāo Paulo: Cebes/Huciter, 1981.
6Canitrot, C., et al. Tecnología médica en Argentina. ICMDRA Conference. Washington, DC: WHO/PAHO/FDA, 1986.
7Conselho de Desenvolvimento Industrial. Estudo de oportunidade para o setor odonto-médico-hospitalar. Relatorio final. Volume I. Sintese. No. Doc. 00–05–2135-Cont. 284–01. de Janeiro, Rio, 10 1981.
8Cordeiro, H. de A.Empresas médicas. Rio de Janeiro, 1985.
9Dingle, J. H.The ills of man in life and death and medicine. San Francisco: Scientific America Book, W. H. Freeman, 1973.
10Frenk, J., & Pen¯a-Mohr, J.Evaluación de tecnología y calidad de la atencíon. PNSP/85/30/25 Washington, DC: PAHO/WHO, 1985.
11Hospitalario, Fondo. Estudio de funcionamiento de equipes importados. Colombia, (unpublished manuscript).
12Gomes, Temporao J.La propaganda de los medicamentos y el mito de la salud. Washington, DC: PAHO/WHO, 1986.
13Guerrero, M.Importación y exportación de tecnología médica en America Latina y el Caribe. ICMDRA Conference, Washington, DC: WHO/PAHO/FDA, 1986.
14Ribeiro, Herval Pina. “Esatisdicas ao tecnologica aumento custo dos servicos de saúde na América Latina.” O Estado de Sāo Paulo. 20/3/82 Sāo Paulo, Brasil.
15IDB. External debt and economie development in Latin America. Background and prospect. Washington, DC: IDB, 1984.
16Katz, J. Seminario sobre política tecnológica (unpublished manuscript). Washington, DC: OPS/OMS, 1986.
17Llanos, G.Experiencia de América Latina en evaluación de tecnología: Temas, métodos y tendencias. Washington, DC: PAHO/WHO, 1986.
18McKeown, T., The role of medicine: Dream, mirage, or nemesis? London: The Nuf-field Provincial Hospital Trust, 1976.
19Migues, Barón C., Barragán, A., Goye, G., & Vico, P. J.Situación de la tecnología médica en el Uruguay. Washington, D.C.: OPS/OMS, PNSP/86/20/40, 1986.
20OECD. External debt of developing countries. Paris: OECD, 1984.
21Oliva, Augusto M. H., Viana, Costa O., & Ferreira, Antunes J. L.Políticas governamentais de tecnología em saúde no Brasil. Sāo Paulo: OPS, 1986.
22OPS. Estrategía de salud para todos en el an¯o 2000. Washington, DC: OPS, 1980.
23OTA. Costo-efectividad del cuidado intensivo neonatal. PNSP/85/29/24, Washington, DC: PAHO/WHO, 1985.
24PAHO. Health Conditions in the Americas. 1981–1984. Washington, DC: Scientific Publication No. 500 Vol. I.
25PAHO. Informe de discusiones technicas sobre comercializacion y produccion de medicamentos esenciales. Washington, DC: PAHO/WHO, 1983.
26PAHO. Informe final del seminario sobre la industria de productos sanitarios. Madrid: PAHO/UNCTC, ICI/Ministerio Salud España, 1985.
27PAHO/WHO. Hospitals in the Americas. Washington, DC: Scientific Publication No. 416, 1981.
28Pannerai, R., & Pen¯a, Mohr J.Health technology assessment methodologies for developing countries. Washington, DC: PAHO, 1986.
29Pen¯a-Mohr, J., et al. Desarrollo tecnológico en salud. Seminario Internacional. Brasilia, 15–20 October 1985. Segunda parte. PNSP/85/32/27 Washington, DC, PAHO/WHO.
30Reiser, S. J., Medicine and the reign of technology. Cambridge: Cambridge University Press, 1978.
31Wang, B. Remarks from the floor, Conference on Assessment of Modern Technologies in the Americas. Pan American Health Organization, Brasilia, Brazil, November 1983.

Distributing and Transferring Medical Technology: A View from Latin America and the Caribbean

  • Jorge Peña-Mohr (a1)


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed