Improving Consensus Development for Health Technology Assessment An International Perspective (1990) / Chapter Skim
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Profile of a Consensus Development Program in The Netherlands: National Organization for Quality Assurance in Hospitals
Profile of a Consensus Development Program in The Netherlands: National Organization for Quality Assurance in Hospitals
Pages 110-117
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From page 110... ...
consensus development process lies in the quality assurance activities of medical specialists in hospitals (Klazinga et al., 19881. In the early 1980s, it became evident that it was difficult to develop criteria for audit studies at the hospital level for several controversial medical topics.
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From page 111... ...
Technologies for discrete stages of intervention are discussed for different clinical conditions; for example, prevention of bedsores, diagnosis of deep venous thrombosis, and treatment for osteoporosis (van Everdingen and Caspar~e, 19XX; van Everdingen et al., 1988~. Table ~ lists the CBO consensus development programs that have taken place over the years.
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From page 112... ...
112 CONSENSUS DEVELOPMENT TABLE ~ CBO Consensus Development Program Year Program 1982 Blood transfusion therapy 1983 Traumatic lesions of the back Mammography policy 1984 Severe brain damage Melanoma of the skin Thrombocyte transfusion policy 1985 Solitary thyroid nodules Prevention of bedsores Osteoporosis Foot problems of diabetic patients 1986 Diagnosis of deep venous thrombosis Nonscrotal testis Treatment of bedsores Drug addicts in prison Hypercholesterolemia 1987 Prevention of herpes neonatorum Hemophilia Follow-up colon polyps Cholesterol Suspect lymph nodules in the neck Diagnosis of atopic syndrome Total hip joint replacement Follow-up of colorectal cancer 1988 Diagnosis of dementia Sports and cardiac pathologies 1989 Prevention of deep venous thrombosis Prevention of hospital infections 1990 Diagnostics for lung carcinoma Hypertension Acute otitis media Nutrition and allergy 1991 Cerebrovascular accident Diabetic retinopathy Treatment of deep venous thrombosis
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From page 113... ...
During the following 12 months, the working group meets six to ten times to develop a syllabus with background information and to draft consensus statements. The consensus development conference takes place after completion of the draft statements by the working group.
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From page 114... ...
Scientif~c associations that cosponsor the consensus development conference sometimes send the consensus results to their members. The text can be purchased from CBO, and the CBO staff is also active in disseminating the consensus reports to hospital practitioners who are involved in quality assurance.
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From page 115... ...
The CBO consensus development program has been evaluated in terms of both process and effect (van Everdingen, 1988~. Evaluations have addressed: · the consensus meeting process and the activities in the working groups · impact of awareness of consensus guidelines among medical practitioners · impact of consensus guidelines by practitioners (formulation of protocols and criteria setting for audit studies in hospitals)
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From page 116... ...
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From page 117... ...
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