National Priorities for the Assessment of Clinical Conditions and Medical Technologies Report of a Pilot Study (1990) / Chapter Skim
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1 Introduction
1 Introduction
Pages 9-14
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From page 9... ...
. However, Me term has been used to refer to "what works in the practice of medicine" and broadened to include the efficacy, effectiveness, and appropriateness of health services and their relationship to health care costs (Roper et al., 1988~.
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From page 10... ...
The Department of Health and Human Services, responding to this growing need for the assessment of medical practice, embarked on a national Medical Treatment Effectiveness Program in fiscal year 1990. This national program incorporated two preceding federal programs, the Patient Outcome Assessment Research Program of He National Center for Health Services Research2 and the Effectiveness Initiative of He Health Care Financing Administration (HCFA)
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From page 11... ...
Although individual patients, providers, payers, and others continue to set priorities based on their respective needs and resources, a national agenda may stimulate evaluations of broader interest or capture assessment topics of national importance Cat are not being addressed. The pnonty-seuing group that chose the 20 national assessment priority areas identified in this pilot study represents major health care constituencies, including academia, govemment, health care providers, industry, and third-parLy payers.
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From page 12... ...
The judgment of decision-makers with different roles in health care delivery may differ concerning which topics are of greater pnonty, what standards or criteria to use for selecting them, and what reladve importance to give these cntena. The pnma~y data for making these decisions are often not available or readily accessible.
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From page 13... ...
Recognizing the difficulties inherent in establishing national medical assessment pnonties, the council can provide a national focus for pnontyseeting through its ability to convene experts from Me pertinent health care sectors. The pilot study and proposal for future efforts described in this report may evolve into national pnonty-seuing mechanisms that are better and more efficient than the current ones.
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From page 14... ...
The set of 20 priority areas listed in Chapter 3 provides a starting point for the evaluation of medical practice. The hnstitute of Medicine and He Council on Health Care Technology look forward to continued cooperation with rep~senmives of pnv ate and public sector interests, in efforts ~ furler define He specific questions to be addressed about these general priority areas and to improve the methodology for sewing pnondes.
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