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National priorities for the assessment of clinical conditions and medical technologies : report of a pilot study / Maria Elena Lara and Clifford Goodman, editors ; priority-setting group, Council on Health Care Technology, Institute of Medicine.
- Format:
- Book
- Series:
- IOM publication ; 89-14.
- Publication IOM ; 89-14
- Language:
- English
- Subjects (All):
- Medical technology--United States.
- Medical technology.
- Clinical medicine--United States.
- Clinical medicine.
- Technology assessment--United States.
- Technology assessment.
- Medical policy--United States.
- Medical policy.
- Physical Description:
- 1 online resource (119 p.)
- Edition:
- 1st ed.
- Place of Publication:
- Washington, D.C. : National Academy Press, 1990.
- Language Note:
- English
- Contents:
- National Priorities for the Assessment of Clinical Conditions and Medical Technologies
- Copyright
- Acknowledgments
- Foreword
- Contents
- Summary
- ASSESSING MEDICAL PRACTICE
- A NATIONAL APPROACH
- PRIORITY-SETTING CRITERIA
- TWENTY ASSESSMENT PRIORITIES
- USING THE PRIORITIES
- ACCOMMODATING CLINICAL CONDITIONS AND TECHNOLOGIES
- NEXT STEPS
- 1 Introduction
- 2 A Pilot Process for Setting National Assessment Priorities
- ELEMENTS OF A NATIONAL APPROACH
- NATIONALLY APPLICABLE PRIORITY-SETTING CRITERIA
- Primary Criteria
- Potential (for an Assessment) to Improve Individual Patient Outcome
- Potential to Affect a Large Patient Population
- Potential to Reduce Unit or Aggregate Cost
- Potential to Reduce Unexplained Variations in Medical Practice
- Secondary Criteria
- Potential to Address Social and Ethical Implications
- Potential to Advance Medical Knowledge
- Potential to Affect Policy Decisions
- Potential to Enhance the National Capacity for Assessment
- Potential to Be Readily Conducted
- A CONCEPTUAL FRAMEWORK FOR PRIORITIES
- The Clinical Condition Approach
- The Technology Approach
- Integrating the Clinical Condition and Technology Approaches
- METHOD OF THIS PILOT STUDY
- Overview
- Round I of the Modified Delphi Process
- Round II of the Modified Delphi Process
- The Priority-Setting Group's Meeting
- Activities Following the Priority-Setting Meeting
- 3 Twenty Priority Assessment Areas
- CLINICAL CONDITIONS
- Breast Cancer
- Improve Individual Patient Outcome
- Affect a Large Patient Population
- Reduce Unit or Aggregate Cost
- Reduce Unexplained Variations in Medical Practice
- Advance Medical Knowledge
- Affect Policy Decisions
- Cataracts
- Reduce Unit or Aggregate Cost.
- Reduce Unexplained Variations in Medical Practice
- Enhance the national capacity for technology assessment
- Chronic Obstructive Pulmonary Disease
- Address Social and Ethical Implications
- Enhance the National Capacity for Technology Assessment
- Coronary Artery Disease
- Gallbladder Disease
- Gastrointestinal Bleeding
- Human Immunodeficiency Virus Infection
- Enhance the National Capacity for Assessment
- Joint Disease and Injury
- Low Back Pain
- Advance Medical Knowledge.
- Address Social and Ethical Implications
- Osteoporosis
- Pregnancy
- Reduce unexplained variations in medical practice
- Prostatism
- Advance medical knowledge
- Psychiatric Disorders
- Substance Abuse
- TECHNOLOGIES
- Diagnostic Imaging Technologies
- Diagnostic Laboratory Testing
- Erythropoietin
- Affect Policy Decisions
- Implantable Devices
- Intensive Care Units
- Organ Transplantation and Replacement
- 4 Next Steps
- 5 Conclusions and Recommendations
- Appendixes
- A Clinical Conditions and Medical Technologies Considered by the Priority-Setting Group
- B Comparison of Priority-Setting Criteria
- C Organizations Providing Background Information
- American College of Physicians (ACP)
- American Hospital Association (AHA)
- American Medical Association (AMA)
- Blue Cross and Blue Shield Association (BCBS)
- Ecri
- Hewlett-Packard Company
- Institute for Health Policy Analysis (IHPA), Georgetown University
- Institute of Medicine Committee on the Effectiveness Initiative of the Health Care Financing Adminis ...
- Metropolitan Life Insurance Company
- Office of Health Technology Assessment (OHTA), National Center for Health Services Research
- Office of Medical Applications of Research (OMAR), National Institutes of Health (NIH)
- Office of Technology Assessment (OTA), U.S. Congress
- Pfizer, Inc.
- Prospective Payment Assessment Commission (ProPAC)
- Bibliography
- Glossary.
- Notes:
- "Support for this project was provided by the National Center for Health Services Research and Health Care Technology Assessment, grant number HS 05526"--T.p. verso.
- Includes bibliographical references (p. 89-103).
- ISBN:
- 9786610212569
- 9781280212567
- 128021256X
- 9780309564786
- 0309564786
- 9780585149141
- 0585149143
- OCLC:
- 70772774
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