Consensus Development at the NIH Improving the Program (1990) / Chapter Skim
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2. Recommendations for Program Structure
2. Recommendations for Program Structure
Pages 9-17
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From page 9... ...
In practice, NTH consensus development conferences have addressed the management of clinical conditions, as well as biomedical technologies. Examples of clinical conditions that have been addressed by NTH consensus development conferences include osteoporosis 9
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From page 10... ...
The scope of inquiry of the NIH CDP should reflect its role in technology assessments and the intent that the program should have an impact on health care practice. As a prominent program of health technology assessment, the NTH CDP has the potential to influence decisions about clinical practice, health technology acquisition and use, insurance coverage and reimbursement, product development, MA complete list of conference topics is provided in Appendix B
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From page 11... ...
But, evaluation of safety and efficacy provides only part of the information needed by health care professionals, patients, third-party payers, and other decision makers. To be effective in improving health care practice, health technology assessments must also address relevant economic, social, and ethical consequences, such as cost, access, and quality of life.
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From page 12... ...
, AHCPR `'shall conduct alla support specific assessments of health care technologies" and in so doing "shall consider the safety, efficacy, and effectiveness, and, as appropriate, the cost-effectiveness, legal, social and ethical implications, and appropriate uses of such technologies, including consideration of geographic factors." Alternatively, other organizations in government or the private sector could be requested to provide assistance to NTH in addressing relevant economic, social, arid ethical issues. Program Purpose OMAR should expand the purpose of the NIH COP to acknowIedge explicitly that the ultimate goal of the program is to change behavior toward appropriate use of health practices and technology.
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From page 13... ...
Specif~cally, the statement of purpose should explicitly note the program objectives to promote me timely incorporation of beneficial medical innovations into clinical practice, encourage the abandonment of obsolete technologies in favor of ones that are more efficacious or safe, discourage the adoption of technologies that have little value, and inform public policy choices that encourage or discourage the use of certain medical technologies (Kanouse et al., 1989~. Each of these objectives seeks to influence behavior in order to improve health care practices, but is not given due weight in the current NTH CDP statement of purpose.
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From page 14... ...
Specifically, OMAR's reporting rela31~ese issues are referred to NIH and other Public Health Service agencies (e.g., the Food and Drug Administration) from the Health Care Financing Administration primarily via the Office of Health Technology Assessment (OHTA)
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From page 15... ...
Furthermore, OMAR's role in technology assessment and transfer, in particular, as coordinator of the CDP, offers opportunities for NIH to gain the insights of representatives of the broader health care system that may be useful to the agency in formulating its research agenda and related policies. To ensure that the functions of technology assessment and transfer remain integral aspects of NTH activity and that OMAR is able to adequately represent the concerns of those outside of NTH in the CDP, OMAR's organizational role should be strengthened.
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From page 16... ...
The council should be broadly constituted so that the views of health care professionals, provider organizations, industry, researchers, thirdl-party payers, and the general public can be heard(. In order to be effective in technology assessment and transfer, OMAR must have an understanding of the perspectives and priorities of the broader health care system.
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From page 17... ...
It is more important to conduct fewer conferences that address the full range of issues required by decision makers than to conduct a greater number of conferences that do not provide decision makers with adequate information to change behavior.
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