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 United States: The National Institutes of Health Office of Medical Applications of Research
Profile of a Consensus Development Program in the United States: The National Institutes of Health Office of Medical Applications of Research
Pages 137-146
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Following the initiation of the Consensus Development Program in 1977, the Office of Medical Applications of Research (OMAR) was formally established in the Office of the Director of the National Institutes of Health (NIH)
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" (OMAR, NIH, 1988~. The three main goals of the consensus development program are to: · provide a setting for the evaluation and review of the scientific soundness of health technologies for a particular clinical condition or for a particular health-related technology, with emphasis on safety and efficacy · aid in the diffusion of knowledge of advances in biomedical technology, through dissemination of the findings from the consensus development process to physicians and consumers · to facilitate the diffusion, adoption, and appropriate use of technologies found to be sound.
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FORMAT AND CONDUCT OF THE PROCESS Once a topic is chosen, a senior OMAR staff person works with a designated BID coordinator and other BID staff to organize the conference. OMAR's focus is on the consensus development process while the initiating BID's contribution concerns the scientific information required for the conference topic (Elliott, 1989~.
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According to OMAR, panels should include individuals involved in research in the field; health professionals who are users of the technology; methodologists or evaluators such as epidemiologists or biostatisticians; and public representatives such as ethicists, lawyers, theologians, economists, public interest groups or voluntary health association representatives, consumers, and patients. Panelists should be residents of the United States and should not be federal employees, to avoid the appearance of undue federal influence (OMAR, NIH, 1988~.
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members are responsible for writing specific portions of the consensus statement. All panelists remain responsible for the statement as a whole and are to follow all presentations and deliberations in the consensus development process.
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The chairperson directs and leads the discussion and consideration of evidence in a format acceptable to the panel. The final product of the consensus development process is the consensus statement.
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· The Journal of the American Medical Association routinely publishes most of the consensus statements. Consensus statements are also published by specialty journals in the topic area.
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In early 1990, the Institute of Medicine (IOM) completed an evaluation of the NTH Consensus Development Program, conducted at the request of NIH.
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1985. The consensus development program of the National Institutes of Health: Current practices and historical perspectives.
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