Health technologies assessment
Keywords:
EVALUATION OF BIOMEDICAL TECHNOLOGY, URUGUAYAbstract
Health technologies assessment is an increasingly important issue in health systems. This review looked at concepts, methods, components and trends related to this area. The main aim was to enhance results of assessments at diverse levels: policy making, health management and medical practice. Health technologies assessment has become a speciality in the health field.
The purpose of the assessment currently tends to integrate not only drugs and medical equipment but also prevention, procedures and health organization. Assessment involves new generation of advanced technology as well as the currently used since effectiveness and adverse effects may be evaluated.
References
1) Battista RN, Contandriopoulos A-P, Champagne F, Williams JI, Pineault R, Boyle P. An integrative framework for health-related research. J Clin Epidemiol 1989; 42(12): 1155-60.
2) Battista RN. Innovation and diffusion on health related technologies. Int J Technol Assess Health Care 1989; 5: 227-48.
3) Geljins A, Rosenberg N. The dynamics of technological change in medecine. Health Aff 1994; 13: 28-46.
4) Battista RN. Towards a paradigm for technology assessment. Scientific Basis of Health Services. London: BMJ Publishing Group, 1996: 11-8.
5) Battista RN, Jacob R. Evaluation and regulation of the health care system: the inescapable challenge. Ann R Coll Physicians Surg Can 1994; 27(8): 464-8.
6) Fuchs VR, Garber AM. The new technology assessment. N Engl J Med 1990; 323(10): 673-7.
7) Mc Pherson K, Strong PM, Epstein A, Jones L. Regional variations in the use of common surgical procedures: within and between England and Wales, Canada and the United States of America. Soc Sci Med 1981; 15: 273-88.
8) Blais R. Variations in surgical rates in Quebec: does access to teaching hospitals make a difference? Can Med Assoc J 1993; 148(10): 1729-36.
9) Greer Al. The state of the art versus the state of the science. Int J Technol Assess Health Care 1988; 4: 5-26.
10) Battista RN, Hodge M, Vineis P. Medecine, practice and guidelines: the uneasy juncture of science and art. J Clin Epidemiol 1995; 48(7): 875-80.
11) Grimshaw JM, Russell IT. Achieving health gain through clinical guidelines: ensuring guidelines change medical practice. Qual Health Care 1994; 3: 45-52.
12) Deber RB. Choices in methods of technology assessment and their impact on decision making. Symposioum on Health Care Technologies assessment, Quebec: 1989: 33-42.
13) L’Abbé KA, Detsky AS, O’Rourke K. Metaanalysis in clinical reserach. Ann Intern Med 1987; 107: 224-33.
14) Fletcher RH, Fletcher SW, Wagner EH. Epidemiología Clínica. 2a ed. Madrid: Masson-Williams & Wilkins, 1998: 141-70.
15) Laupacis A, Sackett D, Roberts R. An assessment of clinically useful measures of the consecuences of treatment. N Engl J Med 1988; 318: 1728-33.
16) Rothwell PM. Can overall results of clinical trials be applied to all patients? Lancet 1995; 345: 1616-19.
17) Jovell AJ, Navarro Rubio MD. Evaluación de la evidencia científica. Med Clín (Barcelona) 1995; 109: 740-3.
18) McPherson K. Cómo debería modificarse la política sanitaria ante la evidencia de variaciones en la práctica médica. Variaciones en la Práctica Médica (Instituto Valenciano de la Salud Pública) 1995; 7:9-17.
19) Glover JA, Kerr L. White. La incidencia de tonsilectomía en niños de edad escolar. In: White R. Investigaciones sobre Servicios de Salud: una Antología. Washington: OPS 1992: 18-31. (Publ Científica 534).
20) Chassin MR, Brook RH, Park RE, Fink JK, Kosecoff J, Solomon DH, et al. Variations in the use of medical and surgical services by the medicare population. N Engl J Med 1986; 314: 285-90.
21) Peiró S, Meneu R, Marqués Espí JA, Librero J, Ordiñana R. La variabilidad en la práctica médica: relevancia, estrategias de abordaje y política sanitaria. In: Valle Sánchez V. Papeles de Economía Española. Madrid, 1998: 165-75.
22) González-Vallejo C, Sorum PC, Stewart TR, Chessare JB, Mumpower JL. Physicians’ diagnostic judgments and treatment decisions for acute otitis media in children. Med Decis Making 1998; 18: 149-62.
23) Peiró S, Meneu R. Revisión de la utilización. Definición, concepto y métodos. Rev Calidad Asistencial 1997; 12: 122-36.
24) Jacob R, Battista RN. Assessing technology assessment: Early results of the Quebec Experience. Int J Technol Assess Health Care 1993; 4: 564-72.
25) Jacob R, Mc Gregor M. Assessing the impact of health technology assessment. Int J Technol Assess Health Care 1995; 11(2): 287-300.
26) Battista RN, Hodge MJ. The development of health technology assessment: Int J Technol Assess Health Care 1997; 13(1): 68-80.
27) Granados A, Asúa J, Conde J, Vázquez-Albertino R. Health Technology Assessment in Spain. Int J Technol Assess Health Care 2000; 16(2): 532-59.
28) Woolf S, Chirs H. Health Technology Assessment in the United Kingdom. Int J Technol Assess Health Care 2000; 16(2): 591-625.
29) Banta D, Oortwijn W. Health Technology Assessment and Health Care in the European Union. Int J Technol Assess Health Care 2000; 16(2): 626-35.
30) Lazarov L, Buglioli M. Fondo Nacional de Recursos. Montevideo: Sindicato Médico del Uruguay, 1997.
31) Pérez A, Buglioli M, Gianneo O, Berterretche R, Jones JM, Vainer C, et al. "Evaluación de la Tecnología Médica en el Uruguay". Proyecto de Investigación financiado por la Comisión Sectorial de Investigación Científica. Montevideo: Universidad de la República, 1997-1998.
2) Battista RN. Innovation and diffusion on health related technologies. Int J Technol Assess Health Care 1989; 5: 227-48.
3) Geljins A, Rosenberg N. The dynamics of technological change in medecine. Health Aff 1994; 13: 28-46.
4) Battista RN. Towards a paradigm for technology assessment. Scientific Basis of Health Services. London: BMJ Publishing Group, 1996: 11-8.
5) Battista RN, Jacob R. Evaluation and regulation of the health care system: the inescapable challenge. Ann R Coll Physicians Surg Can 1994; 27(8): 464-8.
6) Fuchs VR, Garber AM. The new technology assessment. N Engl J Med 1990; 323(10): 673-7.
7) Mc Pherson K, Strong PM, Epstein A, Jones L. Regional variations in the use of common surgical procedures: within and between England and Wales, Canada and the United States of America. Soc Sci Med 1981; 15: 273-88.
8) Blais R. Variations in surgical rates in Quebec: does access to teaching hospitals make a difference? Can Med Assoc J 1993; 148(10): 1729-36.
9) Greer Al. The state of the art versus the state of the science. Int J Technol Assess Health Care 1988; 4: 5-26.
10) Battista RN, Hodge M, Vineis P. Medecine, practice and guidelines: the uneasy juncture of science and art. J Clin Epidemiol 1995; 48(7): 875-80.
11) Grimshaw JM, Russell IT. Achieving health gain through clinical guidelines: ensuring guidelines change medical practice. Qual Health Care 1994; 3: 45-52.
12) Deber RB. Choices in methods of technology assessment and their impact on decision making. Symposioum on Health Care Technologies assessment, Quebec: 1989: 33-42.
13) L’Abbé KA, Detsky AS, O’Rourke K. Metaanalysis in clinical reserach. Ann Intern Med 1987; 107: 224-33.
14) Fletcher RH, Fletcher SW, Wagner EH. Epidemiología Clínica. 2a ed. Madrid: Masson-Williams & Wilkins, 1998: 141-70.
15) Laupacis A, Sackett D, Roberts R. An assessment of clinically useful measures of the consecuences of treatment. N Engl J Med 1988; 318: 1728-33.
16) Rothwell PM. Can overall results of clinical trials be applied to all patients? Lancet 1995; 345: 1616-19.
17) Jovell AJ, Navarro Rubio MD. Evaluación de la evidencia científica. Med Clín (Barcelona) 1995; 109: 740-3.
18) McPherson K. Cómo debería modificarse la política sanitaria ante la evidencia de variaciones en la práctica médica. Variaciones en la Práctica Médica (Instituto Valenciano de la Salud Pública) 1995; 7:9-17.
19) Glover JA, Kerr L. White. La incidencia de tonsilectomía en niños de edad escolar. In: White R. Investigaciones sobre Servicios de Salud: una Antología. Washington: OPS 1992: 18-31. (Publ Científica 534).
20) Chassin MR, Brook RH, Park RE, Fink JK, Kosecoff J, Solomon DH, et al. Variations in the use of medical and surgical services by the medicare population. N Engl J Med 1986; 314: 285-90.
21) Peiró S, Meneu R, Marqués Espí JA, Librero J, Ordiñana R. La variabilidad en la práctica médica: relevancia, estrategias de abordaje y política sanitaria. In: Valle Sánchez V. Papeles de Economía Española. Madrid, 1998: 165-75.
22) González-Vallejo C, Sorum PC, Stewart TR, Chessare JB, Mumpower JL. Physicians’ diagnostic judgments and treatment decisions for acute otitis media in children. Med Decis Making 1998; 18: 149-62.
23) Peiró S, Meneu R. Revisión de la utilización. Definición, concepto y métodos. Rev Calidad Asistencial 1997; 12: 122-36.
24) Jacob R, Battista RN. Assessing technology assessment: Early results of the Quebec Experience. Int J Technol Assess Health Care 1993; 4: 564-72.
25) Jacob R, Mc Gregor M. Assessing the impact of health technology assessment. Int J Technol Assess Health Care 1995; 11(2): 287-300.
26) Battista RN, Hodge MJ. The development of health technology assessment: Int J Technol Assess Health Care 1997; 13(1): 68-80.
27) Granados A, Asúa J, Conde J, Vázquez-Albertino R. Health Technology Assessment in Spain. Int J Technol Assess Health Care 2000; 16(2): 532-59.
28) Woolf S, Chirs H. Health Technology Assessment in the United Kingdom. Int J Technol Assess Health Care 2000; 16(2): 591-625.
29) Banta D, Oortwijn W. Health Technology Assessment and Health Care in the European Union. Int J Technol Assess Health Care 2000; 16(2): 626-35.
30) Lazarov L, Buglioli M. Fondo Nacional de Recursos. Montevideo: Sindicato Médico del Uruguay, 1997.
31) Pérez A, Buglioli M, Gianneo O, Berterretche R, Jones JM, Vainer C, et al. "Evaluación de la Tecnología Médica en el Uruguay". Proyecto de Investigación financiado por la Comisión Sectorial de Investigación Científica. Montevideo: Universidad de la República, 1997-1998.
Downloads
Published
2002-05-31
How to Cite
1.
Buglioli Bonilla M, Pérez Galán A. Health technologies assessment. Rev. Méd. Urug. [Internet]. 2002 May 31 [cited 2024 Nov. 21];18(1):27-35. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/999
Issue
Section
Review or Update and Updates
