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

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 could be translated into greater care, and the way the system's inefficiencies hinder potent overall healthiness care supply. This ebook additionally deals profiles of 20 agencies concerned with clinical expertise overview, and proposes how you can manage US efforts and create a countrywide approach for comparing scientific remedies.

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Financing The estimate that public and private spending on medical technology assessment totals over $1 billion yearly makes it seem like a big and costly enterprise. Yet this is a generous estimate for a broadly defined category that embraces controlled and uncontrolled clinical trials, health services research, and a wide variety of synthesis activities. 3 percent of the money that is spent for health care. The committee believes that the importance of better assessment is sufficiently great to warrant expending on it a bigger share of the health care dollar.

Originally the study design proposed was to vaccinate children in grade 2 and compare them with children not vaccinated in grades 1 and 3. Some state health department officials objected that such a loose design might leave uncertainty no matter how the study results came out. They would not let their states participate without a randomized controlled study. In the end, both studies were carried out, and the results show the wisdom of having the tighter control. The placebo controlled experiment had 201,000 children in the placebo and in the vaccinated groups and 339,000 who were not inoculated.

8. Ethical questions are inherent and include equity of access to new technology, reasonableness of allocation of scarce medical resources, and mistreatment of some patients because of incorrectly established indications, etc. These eight issues constitute problems that are addressed by technology assessment, a term that we now can treat more specifically. The term assessment of a medical technology is used here to denote any process of examining and reporting properties of a medical technology used in health care, such as safety; efficacy; feasibility; indications for use; cost and costeffectiveness; and social, economic, and ethical consequences, intended and unintended.

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