Improving Consensus Development for Health Technology Assessment An International Perspective (1990) / Chapter Skim
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Sponsorship and Role of Consensus Development Programs within National Health Care Systems
Sponsorship and Role of Consensus Development Programs within National Health Care Systems
Pages 7-17
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From page 7... ...
Further impetus for developing the program came from rapidly escalating health care costs, which were linked by the public and policymakers to the uncontrolled diffusion of expensive, but not necessarily cost-effective, technologies. The program also fulfilled Dr.
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From page 8... ...
The process has its greatest effect in the resolution of controversies about technologies or issues on the cutting edge of medical practice, and therefore, it should be reserved for this purpose. Broad participation of multiple factions is necessary in sponsoring, planning, and implementing the conferences in order to increase the likelihood of proper selection of topics, encourage development of conclusions applicable to practice decisions and policy-making, and produce a significant impact on health care delivery.
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From page 9... ...
NIH recognized that further consensus development on the broader health care delivery issues should complement its technical consensus before a particular clinical modality is recommended for adoption. This second process was then referred to as interface consensus and was to deal not only with safety and efficacy, but also with cost; cost-effectiveness; and legal, ethical, and other societal issues (Perry, 1988~.
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From page 10... ...
Greater involvement of physician specialty societies and payer organizations, including health insurance groups and agencies such as the Health Care Financing Administration that reimburse providers and beneficiaries with government funds, might help to produce the most urgently needed consensus development information. When participation in NTH consensus development conferences extends beyond the biomedical research community, the benefits are clear.
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From page 11... ...
The likelihood of identifying motivation for change in a controversial area may be enhanced by seeking out the active participation of the potential users of consensus statements. An analysis of the topics selected for the NTH Consensus Development Program over the last eight years would suggest a shift away from controversial subjects accompanied by the production of conclusions that are not only less controversial but also more general and less helpful to the practicing health care professional community or patients.
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From page 12... ...
The influence, resources, and insight of the biomedical research community, combined with those of physician specialty societies, thirdparty payers, and individuals involved in health care policy and administration, would constitute a formidable force for change in health care. One additional change in the current procedure should also be considered.
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From page 13... ...
The program found a base in The King's Fund Centre for Service Development, an academic and philanthropic institution prominent in the British medical community for training health service managers. The organizers of the consensus development program nevertheless sought the participation of government agencies responsible for the National Health Service and participation of physicians' groups.
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From page 14... ...
Increased emphasis has been placed on the impact on the health care delivery system of adopting new technologies, as well as social, economic, and cultural implications, in an effort to make the consensus statements as useful as possible in the public policy arena. This broad scope was feasible because the sponsoring institution was an academic center rather than an active participant in the health delivery system.
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From page 15... ...
The conference concluded that, although PET has great scientific importance, it was clearly not ready for clinical applications. As is characteristic of a small country with a pluralistic health care system, the Israeli conference covered practical aspects of economic and human resources in addition to assessment of the science.
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From page 16... ...
International Journal of Technology Assessment in Health Care 4:75-88. Kanouse, D.E., R.H.
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From page 17... ...
International Journal of Technology Assessment in Health Care 4:481-484. Stocking, B
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