Assessing medical technologies by Institute of Medicine (U.S.). Committee for Evaluating

By Institute of Medicine (U.S.). Committee for Evaluating Medical Technologies in Clinical Use.; Institute of Medicine (U.S.). Division of Health Sciences Policy.; Institute of Medicine (U.S.). Division of Health Promotion and Disease Prevention.

Examines how numerous discoveries should be translated into higher care, and the way the system's inefficiencies hinder potent well-being care supply. This e-book additionally deals profiles of 20 enterprises focused on clinical know-how overview, and proposes how one can manage US efforts and create a countrywide process for comparing clinical remedies.

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Assessing medical technologies

Examines how a variety of discoveries will be translated into greater care, and the way the system's inefficiencies hinder powerful healthiness care supply. This e-book additionally deals profiles of 20 organisations serious about clinical know-how evaluate, and proposes how one can manage US efforts and create a countrywide approach for comparing clinical remedies.

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Side effects can be minimized by careful medical supervision, but it is doubtful whether such care is usually available. The practice of treatment of mild hypertension has been criticized as seeking the technological rather than the social solution to disease, because the incidence of high blood pressure is often associated with stressful life situations (National Institutes of Health, 1979). The drug industry's promotion of drug treatment for mild hypertension also has been criticized. In short, drug treatment for hypertension is one of the most important medical advances of this century.

Benefits—what are they? How large? How sure? (All five) 4. Insufficient evidence in the extant studies. (EFM, CT, Hx, DTH) 5. Rapidity and scope of diffusion into clinical use. ) 6. Cost, both to patient and as a social investment. (All five) Two further issues should be adduced here, although we do not undertake to measure their intensity in the examples: 7. Assessment of costs, risks, and benefits can be difficult, and requires information that is hard to get or lacks conceptual clarity about subtle matters such as quality of life.

Again, the advent of prospective payment, which includes diagnosis and characteristics of care in the information needed for claims, may possibly contribute to technology assessment. • Payment for medical technology assessment should be made through the system that pays for medical care. The prospective payment system already includes set-aside funding for technology, which could be earmarked for assessment. Another possibility is to pay for the use of experimental technology if the result would be the collection of data on safety, efficacy, and cost-effectiveness.

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