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Appendix C: Survey of Organizations with an Ongoing Medical Technology Assessment Program
Pages 645-662

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From page 645...
... Appendix C Survey of Organizations with an Ongoing Meclical Technology Assessment Program 645
From page 647...
... If you do append sheets, be sure that you have keyed them to the question, responded to all survey items, and completed structured items on the survey form. Please provide a current example of a medical technology assessment report published by your program.
From page 648...
... Check one: yes (If yes, please list the separate types of assessment below and complete a separate survey form for each one. You may copy survey formats or request additional copies from Pamela Simerly, 202/334-2319.)
From page 649...
... A For the parent organization to the assessment program, please describe the following.
From page 650...
... Other care givers Health product (drugs, devices, equipment) manufacturers Health/medical professional associations Health industry associations Consumer associations Employers Unions and other employee organizations Third party payers Government regulators Voluntary associations, organizations Biomedical researchers Financial analysts, consultants Reporters, writers, news media Information/computer industry Labs, blood banks, etc.
From page 651...
... Costs are usually expressed in monetary units, but benefits/ effectiveness are ordinarily expressed in such terms as lives saved, disability avoided, quality-adjusted life years or other similar measures. Service requirements: for using the technology in practice, such as its placement and distribution within a health care system, organizational arrangements within a facility, need for technologists or staff training.
From page 652...
... Included are such studies known as quasi-experiments, including those with historieal cohorts, series, ease studies, cohort studies, natural experiments, descriptive surveys and certain cross-sectional, ease control, and longitudinal methods. Clinical trials: prospective clinical experiments designed to test the safety and efficacy of a technology in which people are assigned to experimental or control groups and outcomes are compared.
From page 653...
... Other, specify: I What is your assessment program's approximate annual budget (excluding value of in-kind services)
From page 654...
... Should you require extra space for your answers or the requested citations, please append extra sheets, keying your answers to the item in the survey. Contact person and title: Address: Telephone: Telex: Telefax: Other access information (e.g., alternative contact persons, publications office, special inquiries)
From page 655...
... G Selection process for assessment topic Who can request that an assessment be conducted?
From page 656...
... 3. How and by whom are assessment topic priorities set?
From page 657...
... 4. What is the approximate (e.g., average or range aft turnaround time from selection of assessment topic to reporting of findings?
From page 658...
... 3. Please describe briefly any documented instances of use of your assessment reports and their impact, citing any pertinent published documents.
From page 659...
... Please briefly describe below any evaluations that have been made of your assessment program. If more than one evaluation has been conducted, please provide information separately for each one.
From page 660...
... 7. Please list citations to published documents about the evaluation or its findings.
From page 661...
... 2. For assessment reports produced using a method other than that indicated in step 1 above, as your usual method for assessing a technology, indicate the method used in the particular case by writing (in parenthesis following the report title)
From page 662...
... Please append a list of any medical technology assessments that your program is planning to conduct within the next three years. A planned study is one that is not being conducted presently, but that you have identified as needed and have or will set aside resources to conduct it, whether or not a starting date has been set.


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