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Assessing medical technologies [[electronic resource] ] : report of a study / / by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention
Assessing medical technologies [[electronic resource] ] : report of a study / / by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention
Pubbl/distr/stampa Washington, D.C., : National Academy Press, c1985
Descrizione fisica 1 online resource (592 p.)
Disciplina 610/.28
Soggetto topico Medical care - United States
Technology assessment - United States
Medical technology - United States - Evaluation
Medical care
Technology assessment
Medical technology - Evaluation
Soggetto genere / forma Electronic books.
ISBN 1-280-22193-3
9786610221936
0-309-56306-2
0-585-14244-0
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto ""Assessing Medical Technologies""; ""Copyright""; ""Acknowledgments""; ""Preface""; ""PROCEDURE FOR THE STUDY""; ""AUDIENCE FOR THE STUDY""; ""Contents""; ""Summary""; ""THE SCOPE OF U.S. MEDICAL TECHNOLOGY ASSESSMENT""; ""Varieties and Expense of Assessment""; ""Federal Government""; ""Drug Industry""; ""Medical Device Industry""; ""Other Private Sector Assessment Activities""; ""Lags in Assessment""; ""Recommendations""; ""METHODS OF MEDICAL TECHNOLOGY ASSESSMENT""; ""EFFECTS OF EVALUATION ON DIFFUSION OF TECHNOLOGY""; ""Diffusion and Its Determinants""
""Types of Evaluation That Precede Accepted Medical Practice""""Recommendations""; ""REIMBURSEMENT AND TECHNOLOGY ASSESSMENT""; ""Assessment in the New Era of Cost Containment""; ""Paying for Technology Assessment""; ""Recommendations""; ""MEDICAL TECHNOLOGY ASSESSMENT ABROAD""; ""Recommendations""; ""CONCLUSIONS AND RECOMMENDATIONS""; ""The Challenge""; ""Key Functions for Assessment""; ""Building a System""; ""Financing""; ""Recommendations""; ""1 Introduction""; ""POLIO""; ""SURGICAL PROCEDURE""; ""EXAMPLES OF TECHNOLOGY ASSESSMENT""; ""Electronic Fetal Monitoring""
""Computed Tomography Scanning""""Drug Treatment for Hypertension""; ""Hysterectomy""; ""Medical Information System""; ""SOME LESSONS FROM THE EXAMPLES""; ""COMPREHENSIVE TECHNOLOGY ASSESSMENT""; ""DIFFERENT PARTIES, DIFFERENT AIMS IN ASSESSMENTS""; ""REFERENCES""; ""2 The Scope of U.S. Medical Technology Assessment""; ""AN OVERVIEW""; ""VARIETIES OF MEDICAL TECHNOLOGY ASSESSMENT""; ""NATIONAL EXPENDITURES FOR HEALTH RESEARCH AND DEVELOPMENT, CLINICAL TRIALS, AND TECHNOLOGY ASSESSMENT""; ""FEDERAL GOVERNMENT""; ""National Institutes of Health""; ""Office of Medical Applications of Research""
""Food and Drug Administration""""Office of Technology Assessment""; ""Prospective Payment Assessment Commission""; ""Health Care Financing Administration""; ""National Center for Health Services Research and Health Care Technology Assessment""; ""Office of Health Technology Assessment""; ""National Center for Health Statistics""; ""Veterans Administration""; ""Centers for Disease Control""; ""Department of Defense""; ""DRUG INDUSTRY""; ""Drug Industry Research and Development""; ""Assessment of Drugs""; ""Expenditures for Drug Assessment""; ""MEDICAL DEVICE INDUSTRY""
""Medical Device Industry Research and Development""""Assessment of Medical Devices""; ""Expenditures for Medical Device Assessment""; ""OTHER PRIVATE SECTOR ASSESSMENT ACTIVITIES""; ""Insurers""; ""Medical Associations""; ""Policy Research Groups""; ""Industry Associations""; ""Provider Institutions""; ""Academic Institutions""; ""Employers""; ""CONCLUSIONS""; ""RECOMMENDATIONS""; ""Assessment Concerns""; ""Coordination of Assessment Information""; ""Responsibility for Conduct of Assessments""; ""Evaluation of Assessment Programs""; ""Financial Support for Medical Technology Assessment""
""Amount of Support""
Record Nr. UNINA-9910455416503321
Washington, D.C., : National Academy Press, c1985
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Assessing medical technologies : report of a study / / by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention
Assessing medical technologies : report of a study / / by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention
Pubbl/distr/stampa Washington, D.C., : National Academy Press, c1985
Descrizione fisica 1 online resource (592 pages)
Disciplina 610/.28
Soggetto topico Medical care - United States
Technology assessment - United States
Medical technology - United States - Evaluation
Medical care
Technology assessment
Medical technology - Evaluation
ISBN 1-280-22193-3
9786610221936
0-309-56306-2
0-585-14244-0
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto ""Assessing Medical Technologies""; ""Copyright""; ""Acknowledgments""; ""Preface""; ""PROCEDURE FOR THE STUDY""; ""AUDIENCE FOR THE STUDY""; ""Contents""; ""Summary""; ""THE SCOPE OF U.S. MEDICAL TECHNOLOGY ASSESSMENT""; ""Varieties and Expense of Assessment""; ""Federal Government""; ""Drug Industry""; ""Medical Device Industry""; ""Other Private Sector Assessment Activities""; ""Lags in Assessment""; ""Recommendations""; ""METHODS OF MEDICAL TECHNOLOGY ASSESSMENT""; ""EFFECTS OF EVALUATION ON DIFFUSION OF TECHNOLOGY""; ""Diffusion and Its Determinants""
""Types of Evaluation That Precede Accepted Medical Practice"" ""Recommendations""; ""REIMBURSEMENT AND TECHNOLOGY ASSESSMENT""; ""Assessment in the New Era of Cost Containment""; ""Paying for Technology Assessment""; ""Recommendations""; ""MEDICAL TECHNOLOGY ASSESSMENT ABROAD""; ""Recommendations""; ""CONCLUSIONS AND RECOMMENDATIONS""; ""The Challenge""; ""Key Functions for Assessment""; ""Building a System""; ""Financing""; ""Recommendations""; ""1 Introduction""; ""POLIO""; ""SURGICAL PROCEDURE""; ""EXAMPLES OF TECHNOLOGY ASSESSMENT""; ""Electronic Fetal Monitoring""
""Computed Tomography Scanning"" ""Drug Treatment for Hypertension""; ""Hysterectomy""; ""Medical Information System""; ""SOME LESSONS FROM THE EXAMPLES""; ""COMPREHENSIVE TECHNOLOGY ASSESSMENT""; ""DIFFERENT PARTIES, DIFFERENT AIMS IN ASSESSMENTS""; ""REFERENCES""; ""2 The Scope of U.S. Medical Technology Assessment""; ""AN OVERVIEW""; ""VARIETIES OF MEDICAL TECHNOLOGY ASSESSMENT""; ""NATIONAL EXPENDITURES FOR HEALTH RESEARCH AND DEVELOPMENT, CLINICAL TRIALS, AND TECHNOLOGY ASSESSMENT""; ""FEDERAL GOVERNMENT""; ""National Institutes of Health""; ""Office of Medical Applications of Research""
""Food and Drug Administration"" ""Office of Technology Assessment""; ""Prospective Payment Assessment Commission""; ""Health Care Financing Administration""; ""National Center for Health Services Research and Health Care Technology Assessment""; ""Office of Health Technology Assessment""; ""National Center for Health Statistics""; ""Veterans Administration""; ""Centers for Disease Control""; ""Department of Defense""; ""DRUG INDUSTRY""; ""Drug Industry Research and Development""; ""Assessment of Drugs""; ""Expenditures for Drug Assessment""; ""MEDICAL DEVICE INDUSTRY""
""Medical Device Industry Research and Development"" ""Assessment of Medical Devices""; ""Expenditures for Medical Device Assessment""; ""OTHER PRIVATE SECTOR ASSESSMENT ACTIVITIES""; ""Insurers""; ""Medical Associations""; ""Policy Research Groups""; ""Industry Associations""; ""Provider Institutions""; ""Academic Institutions""; ""Employers""; ""CONCLUSIONS""; ""RECOMMENDATIONS""; ""Assessment Concerns""; ""Coordination of Assessment Information""; ""Responsibility for Conduct of Assessments""; ""Evaluation of Assessment Programs""; ""Financial Support for Medical Technology Assessment""; ""Amount of Support""
Record Nr. UNINA-9910778711403321
Washington, D.C., : National Academy Press, c1985
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Assessing medical technologies : report of a study / / by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention
Assessing medical technologies : report of a study / / by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention
Pubbl/distr/stampa Washington, D.C., : National Academy Press, c1985
Descrizione fisica 1 online resource (592 pages)
Disciplina 610/.28
Soggetto topico Medical care - United States
Technology assessment - United States
Medical technology - United States - Evaluation
Medical care
Technology assessment
Medical technology - Evaluation
ISBN 1-280-22193-3
9786610221936
0-309-56306-2
0-585-14244-0
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto ""Assessing Medical Technologies""; ""Copyright""; ""Acknowledgments""; ""Preface""; ""PROCEDURE FOR THE STUDY""; ""AUDIENCE FOR THE STUDY""; ""Contents""; ""Summary""; ""THE SCOPE OF U.S. MEDICAL TECHNOLOGY ASSESSMENT""; ""Varieties and Expense of Assessment""; ""Federal Government""; ""Drug Industry""; ""Medical Device Industry""; ""Other Private Sector Assessment Activities""; ""Lags in Assessment""; ""Recommendations""; ""METHODS OF MEDICAL TECHNOLOGY ASSESSMENT""; ""EFFECTS OF EVALUATION ON DIFFUSION OF TECHNOLOGY""; ""Diffusion and Its Determinants""
""Types of Evaluation That Precede Accepted Medical Practice"" ""Recommendations""; ""REIMBURSEMENT AND TECHNOLOGY ASSESSMENT""; ""Assessment in the New Era of Cost Containment""; ""Paying for Technology Assessment""; ""Recommendations""; ""MEDICAL TECHNOLOGY ASSESSMENT ABROAD""; ""Recommendations""; ""CONCLUSIONS AND RECOMMENDATIONS""; ""The Challenge""; ""Key Functions for Assessment""; ""Building a System""; ""Financing""; ""Recommendations""; ""1 Introduction""; ""POLIO""; ""SURGICAL PROCEDURE""; ""EXAMPLES OF TECHNOLOGY ASSESSMENT""; ""Electronic Fetal Monitoring""
""Computed Tomography Scanning"" ""Drug Treatment for Hypertension""; ""Hysterectomy""; ""Medical Information System""; ""SOME LESSONS FROM THE EXAMPLES""; ""COMPREHENSIVE TECHNOLOGY ASSESSMENT""; ""DIFFERENT PARTIES, DIFFERENT AIMS IN ASSESSMENTS""; ""REFERENCES""; ""2 The Scope of U.S. Medical Technology Assessment""; ""AN OVERVIEW""; ""VARIETIES OF MEDICAL TECHNOLOGY ASSESSMENT""; ""NATIONAL EXPENDITURES FOR HEALTH RESEARCH AND DEVELOPMENT, CLINICAL TRIALS, AND TECHNOLOGY ASSESSMENT""; ""FEDERAL GOVERNMENT""; ""National Institutes of Health""; ""Office of Medical Applications of Research""
""Food and Drug Administration"" ""Office of Technology Assessment""; ""Prospective Payment Assessment Commission""; ""Health Care Financing Administration""; ""National Center for Health Services Research and Health Care Technology Assessment""; ""Office of Health Technology Assessment""; ""National Center for Health Statistics""; ""Veterans Administration""; ""Centers for Disease Control""; ""Department of Defense""; ""DRUG INDUSTRY""; ""Drug Industry Research and Development""; ""Assessment of Drugs""; ""Expenditures for Drug Assessment""; ""MEDICAL DEVICE INDUSTRY""
""Medical Device Industry Research and Development"" ""Assessment of Medical Devices""; ""Expenditures for Medical Device Assessment""; ""OTHER PRIVATE SECTOR ASSESSMENT ACTIVITIES""; ""Insurers""; ""Medical Associations""; ""Policy Research Groups""; ""Industry Associations""; ""Provider Institutions""; ""Academic Institutions""; ""Employers""; ""CONCLUSIONS""; ""RECOMMENDATIONS""; ""Assessment Concerns""; ""Coordination of Assessment Information""; ""Responsibility for Conduct of Assessments""; ""Evaluation of Assessment Programs""; ""Financial Support for Medical Technology Assessment""; ""Amount of Support""
Record Nr. UNINA-9910817630703321
Washington, D.C., : National Academy Press, c1985
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Assessment of diagnostic technology in health care [[electronic resource] ] : rationale, methods, problems, and directions / / Harold Sox ... [et al.]
Assessment of diagnostic technology in health care [[electronic resource] ] : rationale, methods, problems, and directions / / Harold Sox ... [et al.]
Pubbl/distr/stampa Washington, D.C., : National Academy Press, 1989
Descrizione fisica 1 online resource (152 p.)
Disciplina 616.075
Altri autori (Persone) SoxHarold C
Collana Monograph of the Council on Health Care Technology
Soggetto topico Diagnosis - Methodology - Evaluation
Medical technology - Evaluation
Soggetto genere / forma Electronic books.
ISBN 1-280-21418-X
9786610214181
0-309-53588-3
0-585-00192-8
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto ""Assessment of Diagnostic Technology in Health Care""; ""Copyright""; ""Preface""; ""Contents""; ""Introduction""; ""REFERENCES""; ""1 Rationale for Assessment of Diagnostic Technology""; ""THE PATIENT'S PERSPECTIVE""; ""Safety""; ""Efficacy""; ""Economic Issues""; ""The Benefits of High-Quality Studies""; ""The Risks of Poor or Absent Assessment Data""; ""Summary: The Patient's Perspective""; ""SOCIETY'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""; ""Summary: Society's Perspective""; ""THE PHYSICIAN'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""
""Summary: The Physician's Perspective""""SUMMARY""; ""REFERENCES""; ""2 The Use of Diagnostic Tests: A Probabilistic Approach""; ""FIRST PRINCIPLES""; ""INTERPRETING TEST RESULTS: THE POSTTEST PROBABILITY""; ""Important Definitions""; ""The Assumptions of Bayes' Theorem""; ""THE PRETEST PROBABILITY OF DISEASE""; ""MEASURING THE PERFORMANCE CHARACTERISTICS OF DIAGNOSTIC TESTS""; ""Designing Studies of Test Performance""; ""EXPECTED-VALUE DECISIONMAKING""; ""Setting Up the Decision Tree""; ""Weighing the Outcomes for Quality of Life""
""Calculating the Expected Value of the Treatment Options""""THE CHOICE AMONG DOING NOTHING, TESTING, OR STARTING TREATMENT""; ""SUMMARY""; ""Glossary Of Terms""; ""REFERENCES""; ""3 Assessment: Problems and Proposed Solutions""; ""MEASURES OF CLINICAL EFFICACY""; ""Technical Capability""; ""Sensitivity and Specificity""; ""Diagnostic Impact""; ""Therapeutic Impact""; ""Impact on Clinical Outcomes""; ""THE SYSTEM OF TECHNOLOGY ASSESSMENT IN THE UNITED STATES""; ""The Pyramid""; ""PROBLEMS WITH THE CURRENT SYSTEM""; ""RANDOMIZED TRIALS OF DIAGNOSTIC TESTS""
""Limitations of Randomized Trials""""Trial Design""; """"OFF THE GOLD STANDARD""""; """"ON THE GOLD STANDARD""""; ""A PROPOSAL FOR MODEL-DRIVEN TECHNOLOGY ASSESSMENT""; ""A Technology Should Be Compared with a Competing Technology""; ""STUDIES SHOULD BE PLANNED BEFORE ENROLLING THE FIRST PATIENT""; ""ALL THE DATA THAT ARE NEEDED FOR CLINICAL DECISION MAKING SHOULD BE COLLECTED""; ""BIAS IN PATIENT SELECTION SHOULD BE AVOIDED""; ""PATIENTS SHOULD BE OBSERVED FOR ADVERSE EFFECTS OF THE INDEX TEST""; ""INTERPRETATION OF DATA SHOULD BE FREE OF BIAS""
""INTEROBSERVER DISAGREEMENT SHOULD BE MEASURED""""THERE SHOULD BE ENOUGH PATIENTS TO REPORT THE RESULTS IN CLINICALLY USEFUL SUBGROUPS OF PATIENTS""; ""SUMMARY""; ""REFERENCES""; ""4 Primary Assessment of Diagnostic Tests: Barriers to Implementation""; ""PLANNING AND PROTOCOL DEVELOPMENT""; ""Choosing a Clinical Condition""; ""Patient Population""; ""Endpoints and Study Design""; ""ACCURACY""; ""OUTCOME""; ""COMBINED STUDIES: ACCURACY AND OUTCOME""; ""SHORT-TERM OUTCOMES: A SYNTHETIC APPROACH""; ""Economic Analysis""; ""Efficacy Versus Effectiveness""; ""Comparative Assessment""
""Sample Size""
Record Nr. UNINA-9910455163803321
Washington, D.C., : National Academy Press, 1989
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Assessment of diagnostic technology in health care [[electronic resource] ] : rationale, methods, problems, and directions / / Harold Sox ... [et al.]
Assessment of diagnostic technology in health care [[electronic resource] ] : rationale, methods, problems, and directions / / Harold Sox ... [et al.]
Pubbl/distr/stampa Washington, D.C., : National Academy Press, 1989
Descrizione fisica 1 online resource (152 p.)
Disciplina 616.075
Altri autori (Persone) SoxHarold C
Collana Monograph of the Council on Health Care Technology
Soggetto topico Diagnosis - Methodology - Evaluation
Medical technology - Evaluation
ISBN 1-280-21418-X
9786610214181
0-309-53588-3
0-585-00192-8
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto ""Assessment of Diagnostic Technology in Health Care""; ""Copyright""; ""Preface""; ""Contents""; ""Introduction""; ""REFERENCES""; ""1 Rationale for Assessment of Diagnostic Technology""; ""THE PATIENT'S PERSPECTIVE""; ""Safety""; ""Efficacy""; ""Economic Issues""; ""The Benefits of High-Quality Studies""; ""The Risks of Poor or Absent Assessment Data""; ""Summary: The Patient's Perspective""; ""SOCIETY'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""; ""Summary: Society's Perspective""; ""THE PHYSICIAN'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""
""Summary: The Physician's Perspective""""SUMMARY""; ""REFERENCES""; ""2 The Use of Diagnostic Tests: A Probabilistic Approach""; ""FIRST PRINCIPLES""; ""INTERPRETING TEST RESULTS: THE POSTTEST PROBABILITY""; ""Important Definitions""; ""The Assumptions of Bayes' Theorem""; ""THE PRETEST PROBABILITY OF DISEASE""; ""MEASURING THE PERFORMANCE CHARACTERISTICS OF DIAGNOSTIC TESTS""; ""Designing Studies of Test Performance""; ""EXPECTED-VALUE DECISIONMAKING""; ""Setting Up the Decision Tree""; ""Weighing the Outcomes for Quality of Life""
""Calculating the Expected Value of the Treatment Options""""THE CHOICE AMONG DOING NOTHING, TESTING, OR STARTING TREATMENT""; ""SUMMARY""; ""Glossary Of Terms""; ""REFERENCES""; ""3 Assessment: Problems and Proposed Solutions""; ""MEASURES OF CLINICAL EFFICACY""; ""Technical Capability""; ""Sensitivity and Specificity""; ""Diagnostic Impact""; ""Therapeutic Impact""; ""Impact on Clinical Outcomes""; ""THE SYSTEM OF TECHNOLOGY ASSESSMENT IN THE UNITED STATES""; ""The Pyramid""; ""PROBLEMS WITH THE CURRENT SYSTEM""; ""RANDOMIZED TRIALS OF DIAGNOSTIC TESTS""
""Limitations of Randomized Trials""""Trial Design""; """"OFF THE GOLD STANDARD""""; """"ON THE GOLD STANDARD""""; ""A PROPOSAL FOR MODEL-DRIVEN TECHNOLOGY ASSESSMENT""; ""A Technology Should Be Compared with a Competing Technology""; ""STUDIES SHOULD BE PLANNED BEFORE ENROLLING THE FIRST PATIENT""; ""ALL THE DATA THAT ARE NEEDED FOR CLINICAL DECISION MAKING SHOULD BE COLLECTED""; ""BIAS IN PATIENT SELECTION SHOULD BE AVOIDED""; ""PATIENTS SHOULD BE OBSERVED FOR ADVERSE EFFECTS OF THE INDEX TEST""; ""INTERPRETATION OF DATA SHOULD BE FREE OF BIAS""
""INTEROBSERVER DISAGREEMENT SHOULD BE MEASURED""""THERE SHOULD BE ENOUGH PATIENTS TO REPORT THE RESULTS IN CLINICALLY USEFUL SUBGROUPS OF PATIENTS""; ""SUMMARY""; ""REFERENCES""; ""4 Primary Assessment of Diagnostic Tests: Barriers to Implementation""; ""PLANNING AND PROTOCOL DEVELOPMENT""; ""Choosing a Clinical Condition""; ""Patient Population""; ""Endpoints and Study Design""; ""ACCURACY""; ""OUTCOME""; ""COMBINED STUDIES: ACCURACY AND OUTCOME""; ""SHORT-TERM OUTCOMES: A SYNTHETIC APPROACH""; ""Economic Analysis""; ""Efficacy Versus Effectiveness""; ""Comparative Assessment""
""Sample Size""
Record Nr. UNINA-9910778706803321
Washington, D.C., : National Academy Press, 1989
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Assessment of diagnostic technology in health care : rationale, methods, problems, and directions / / Harold Sox ... [et al.]
Assessment of diagnostic technology in health care : rationale, methods, problems, and directions / / Harold Sox ... [et al.]
Edizione [1st ed.]
Pubbl/distr/stampa Washington, D.C., : National Academy Press, 1989
Descrizione fisica 1 online resource (152 p.)
Disciplina 616.075
Altri autori (Persone) SoxHarold C
Collana Monograph of the Council on Health Care Technology
Soggetto topico Diagnosis - Methodology - Evaluation
Medical technology - Evaluation
ISBN 1-280-21418-X
9786610214181
0-309-53588-3
0-585-00192-8
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto ""Assessment of Diagnostic Technology in Health Care""; ""Copyright""; ""Preface""; ""Contents""; ""Introduction""; ""REFERENCES""; ""1 Rationale for Assessment of Diagnostic Technology""; ""THE PATIENT'S PERSPECTIVE""; ""Safety""; ""Efficacy""; ""Economic Issues""; ""The Benefits of High-Quality Studies""; ""The Risks of Poor or Absent Assessment Data""; ""Summary: The Patient's Perspective""; ""SOCIETY'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""; ""Summary: Society's Perspective""; ""THE PHYSICIAN'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""
""Summary: The Physician's Perspective""""SUMMARY""; ""REFERENCES""; ""2 The Use of Diagnostic Tests: A Probabilistic Approach""; ""FIRST PRINCIPLES""; ""INTERPRETING TEST RESULTS: THE POSTTEST PROBABILITY""; ""Important Definitions""; ""The Assumptions of Bayes' Theorem""; ""THE PRETEST PROBABILITY OF DISEASE""; ""MEASURING THE PERFORMANCE CHARACTERISTICS OF DIAGNOSTIC TESTS""; ""Designing Studies of Test Performance""; ""EXPECTED-VALUE DECISIONMAKING""; ""Setting Up the Decision Tree""; ""Weighing the Outcomes for Quality of Life""
""Calculating the Expected Value of the Treatment Options""""THE CHOICE AMONG DOING NOTHING, TESTING, OR STARTING TREATMENT""; ""SUMMARY""; ""Glossary Of Terms""; ""REFERENCES""; ""3 Assessment: Problems and Proposed Solutions""; ""MEASURES OF CLINICAL EFFICACY""; ""Technical Capability""; ""Sensitivity and Specificity""; ""Diagnostic Impact""; ""Therapeutic Impact""; ""Impact on Clinical Outcomes""; ""THE SYSTEM OF TECHNOLOGY ASSESSMENT IN THE UNITED STATES""; ""The Pyramid""; ""PROBLEMS WITH THE CURRENT SYSTEM""; ""RANDOMIZED TRIALS OF DIAGNOSTIC TESTS""
""Limitations of Randomized Trials""""Trial Design""; """"OFF THE GOLD STANDARD""""; """"ON THE GOLD STANDARD""""; ""A PROPOSAL FOR MODEL-DRIVEN TECHNOLOGY ASSESSMENT""; ""A Technology Should Be Compared with a Competing Technology""; ""STUDIES SHOULD BE PLANNED BEFORE ENROLLING THE FIRST PATIENT""; ""ALL THE DATA THAT ARE NEEDED FOR CLINICAL DECISION MAKING SHOULD BE COLLECTED""; ""BIAS IN PATIENT SELECTION SHOULD BE AVOIDED""; ""PATIENTS SHOULD BE OBSERVED FOR ADVERSE EFFECTS OF THE INDEX TEST""; ""INTERPRETATION OF DATA SHOULD BE FREE OF BIAS""
""INTEROBSERVER DISAGREEMENT SHOULD BE MEASURED""""THERE SHOULD BE ENOUGH PATIENTS TO REPORT THE RESULTS IN CLINICALLY USEFUL SUBGROUPS OF PATIENTS""; ""SUMMARY""; ""REFERENCES""; ""4 Primary Assessment of Diagnostic Tests: Barriers to Implementation""; ""PLANNING AND PROTOCOL DEVELOPMENT""; ""Choosing a Clinical Condition""; ""Patient Population""; ""Endpoints and Study Design""; ""ACCURACY""; ""OUTCOME""; ""COMBINED STUDIES: ACCURACY AND OUTCOME""; ""SHORT-TERM OUTCOMES: A SYNTHETIC APPROACH""; ""Economic Analysis""; ""Efficacy Versus Effectiveness""; ""Comparative Assessment""
""Sample Size""
Record Nr. UNINA-9910817742503321
Washington, D.C., : National Academy Press, 1989
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
CADTH technology overviews
CADTH technology overviews
Pubbl/distr/stampa Ottawa, : Canadian Agency for Drugs and Technologies in Health, 2010-[2013]
Soggetto topico Pharmaceutical technology
Medical technology - Evaluation
Technology Assessment, Biomedical
Medical Laboratory Science
Technology, Pharmaceutical
Soggetto genere / forma Electronic journals.
Periodical
Fulltext
Internet Resources.
Periodicals.
Formato Materiale a stampa
Livello bibliografico Periodico
Lingua di pubblicazione eng
Altri titoli varianti Technology overviews
CADTH technol. overv
Record Nr. UNINA-9910139155703321
Ottawa, : Canadian Agency for Drugs and Technologies in Health, 2010-[2013]
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
CADTH technology overviews
CADTH technology overviews
Pubbl/distr/stampa Ottawa, : Canadian Agency for Drugs and Technologies in Health, 2010-[2013]
Soggetto topico Pharmaceutical technology
Medical technology - Evaluation
Technology Assessment, Biomedical
Medical Laboratory Science
Technology, Pharmaceutical
Soggetto genere / forma Fulltext
Internet Resources.
Periodicals.
Periodical
ISSN 1481-4501
Formato Materiale a stampa
Livello bibliografico Periodico
Lingua di pubblicazione eng
Altri titoli varianti Technology overviews
CADTH technol. overv
Record Nr. UNINA-9910514180303321
Ottawa, : Canadian Agency for Drugs and Technologies in Health, 2010-[2013]
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Development and implementation of health technology assessment : turning knowledge into action / / Valentina Beretta
Development and implementation of health technology assessment : turning knowledge into action / / Valentina Beretta
Autore Beretta Valentina
Pubbl/distr/stampa Cham, Switzerland : , : Springer, , [2021]
Descrizione fisica 1 online resource (v, 162 pages) : illustrations
Disciplina 610
Collana Contributions to Management Science
Soggetto topico Medical technology - Evaluation
ISBN 3-030-70308-8
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Intro -- Contents -- Chapter 1: Introduction -- 1.1 Brief Overview of the Book -- 1.2 Executive Summary -- References -- Chapter 2: Knowledge Transfer and Exchange in Healthcare: A Literature Review -- 2.1 Introduction -- 2.2 Knowledge Transfer and Exchange Literature -- 2.2.1 Knowledge Transfer and Exchange Definition -- 2.2.2 Knowledge Transfer and Exchange Strategies -- 2.2.3 Theoretical Development -- 2.3 Decision-Making Process in Healthcare -- 2.3.1 Knowledge to Action Gap -- 2.3.2 Health Technology Assessment for Bridging the Gap -- 2.4 Health Technology Assessment Literature -- 2.4.1 Technology and Health Technology Definition -- 2.4.2 Health Technology Assessment: Definition -- 2.4.3 Theoretical Background -- 2.4.4 Levels of Analysis -- 2.4.5 Factors Affecting Health Technology Assessment Development -- 2.5 Purpose of This Study -- 2.6 Conclusions -- References -- Chapter 3: Adopting Mixed Methods in Health Research: A Methodological Approach to Analyze HTA Development -- 3.1 Introduction -- 3.2 Mixed Methods Design -- 3.2.1 Mixed Methods Research: An Introduction -- 3.2.2 Mixed Methods in Health Sciences -- 3.2.3 Contextualization of Mixed Methods Research to this Study -- 3.3 Context of Analysis -- 3.4 Data Collection Methods -- 3.4.1 Quantitative Data Collection -- 3.4.1.1 Target Population and Sample -- 3.4.1.2 Survey Design -- 3.4.2 Qualitative Data Collection -- 3.4.2.1 Target Population and Sample -- 3.4.2.2 Interview Design -- Environment, Tone and Duration of the Interviews -- Instruments for Data Collection -- Interview Protocol -- 3.5 Data Analysis Methods -- 3.5.1 Quantitative Data Analysis -- 3.5.2 Qualitative Data Analysis -- 3.5.3 Integration of Quantitative and Qualitative Data -- 3.5.4 Theoretical Framework -- 3.6 Conclusions -- References.
Chapter 4: Knowledge, Experience and Perceptions of HTA: A Quantitative Analysis -- 4.1 Introduction -- 4.2 Descriptive Statistics -- 4.2.1 Demographic Characteristics -- 4.2.2 Knowledge of the Topic -- 4.2.3 Experience -- 4.2.4 Beliefs, Awareness, and Attitudes -- 4.3 Conclusion -- References -- Chapter 5: Outcomes for Implementation Research: A Qualitative Application in the Context of HTA -- 5.1 Introduction -- 5.2 The Process of Data Analysis -- 5.3 Results -- 5.3.1 Adoption -- 5.3.2 Acceptability -- 5.3.3 Appropriateness -- 5.3.4 Feasibility -- 5.3.5 Fidelity -- 5.3.5.1 Benefits -- 5.3.5.2 Limits -- 5.3.5.3 Future Directions -- 5.3.6 Cost -- 5.3.7 Penetration -- 5.3.7.1 Commission -- 5.3.7.2 Process -- 5.3.8 Sustainability -- 5.3.8.1 Training -- 5.3.8.2 Culture and Awareness -- 5.3.8.3 Resources -- 5.3.8.4 Process Features -- 5.3.8.5 Tools -- 5.4 Conclusions -- References -- Chapter 6: Using the Ottawa Model of Research Use to Discuss HTA Development -- 6.1 Introduction -- 6.2 The Ottawa Model of Research Use -- 6.2.1 Practice Environment -- 6.2.1.1 Inner Settings -- 6.2.1.2 Outer Settings -- 6.2.2 Potential Adopters -- 6.2.3 Evidence-Based Innovation -- 6.2.3.1 Acceptability -- 6.2.3.2 Requirements -- 6.2.4 Transfer Strategies -- 6.2.5 Adoption and Use -- 6.2.5.1 Individual Level -- 6.2.5.2 Organizational Level -- 6.2.6 Outcomes -- 6.2.7 Conclusions of the OMRU -- 6.3 Conclusion -- References -- Chapter 7: Conclusions -- 7.1 Introduction -- 7.2 Contributions -- 7.3 Implications -- 7.4 Limitations and Future Research -- References.
Record Nr. UNINA-9910484058403321
Beretta Valentina  
Cham, Switzerland : , : Springer, , [2021]
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Global & regional health technology assessment
Global & regional health technology assessment
Pubbl/distr/stampa [Italy] : , : Wichtig Publishing, , 2014-
Descrizione fisica 1 online resource
Soggetto topico Medical economics
Medical technology - Evaluation
Soggetto genere / forma Periodicals.
ISSN 2283-5733
Formato Materiale a stampa
Livello bibliografico Periodico
Lingua di pubblicazione eng
Altri titoli varianti Global and regional health technology assessment
GRHTA
Record Nr. UNISA-996290137803316
[Italy] : , : Wichtig Publishing, , 2014-
Materiale a stampa
Lo trovi qui: Univ. di Salerno
Opac: Controlla la disponibilità qui