Assessment of Diagnostic Technology in Health Care Rationale, Methods, Problems, and Directions (1989) / Chapter Skim
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Introduction
Introduction
Pages 1-7
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. While safety, cost, and patterns of diffusion are matters of profound concern, the most important and difficult aspect of technology assessment is the determination of efficacy (Abrams and McNeil 1978a, McNeil 1979, Adelstein 1982, Eddy 1982, Greer 1981, Yeaton and Wo run an 1984, Petitti 1986~.
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From the report, there ultimately emerged a congressional bill Public Law 98-551 which required that the already established National Center of Health Services Research add to its name and mission "Health Care Technology Assessment" and that a new Council on Health Care Technology be organized as an oversight group. This time, the Health Industry Manufacturers Association reversed itself and endorsed the technology assessment provisions of the law, realizing ~at, in an era of restricted resources, the ever more cautious hospitals and buyers would require better data on efficacy, safety, and cost (Pe~ry 1986~.
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mana~ement, and economics. Congress charged the council to serve as a clearinghouse for infonnation on health care technologies and health care technology assessment, to collect and analyze data, to identify needs in the assessment of specific technologies, to develop criteria and methods for assessment, and to stimulate assessments of technologies that were potentially important to the heady care of the nation.
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These problems are at least as formidable as the issues of study design dealt with in Chapter 3. Chapter 5 identifies the costs associated with diagnosis technology assessment.
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Although we have been helped by many comments and suggestions from council members, there has been no formal review or endorsement by the council, nor would we have considered that appropriate. A responsive and welD-developed system of technology assessment can provide a strong impetus to rapid application of essential technologies and prevent the wide diffusion of marginally useful methods.
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U.S. health care faulted in senate.
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The National Center for Health Care Technology. Journal of He American Medical Association 245:2510-2511, 1981.
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