Healthcare technology and technology assessment

被引：0
作者：
James H. Herndon
Raymond Hwang
K. H. Bozic
机构：
[1] Massachusetts General Hospital,Department of Orthopaedic Surgery
[2] University of California,Department of Orthopaedic Surgery and Institute for Health Policy Studies, School of Medicine
来源：
European Spine Journal | 2007年 / 16卷
关键词：
Technology; Assessment; Costs; Clinical trials;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
New technology is one of the primary drivers for increased healthcare costs in the United States. Both physician and industry play important roles in the development, adoption, utilization and choice of new technologies. The Federal Drug Administration regulates new drugs and new medical devices, but healthcare technology assessment remains limited. Healthcare technology assessment originated in federal agencies; today it is decentralized with increasing private sector efforts. Innovation is left to free market forces, including direct to consumer marketing and consumer choice. But to be fair to the consumer, he/she must have free knowledge of all the risks and benefits of a new technology in order to make an informed choice. Physicians, institutions and industry need to work together by providing proven, safe, clinically effective and cost effective new technologies, which require valid pre-market clinical trials and post-market continued surveillance with national and international registries allowing full transparency of new products to the consumer—the patient.
引用
收藏
页码：1293 / 1302
页数：9
相关论文
共 79 条
[1]  
Bal BS(2005)Early complications of primary total hip replacement performed with a two-incision minimally invasive technique J Bone Jt Surg A 88A 221-233
[2]  
Haltom D(2005)The medical-legal aspects of informed consent in orthopaedic surgery J Bone Jt Surg A 87A 2395-2400
[3]  
Aleto E(2005)The medical-legal aspects of informed consent in orthopaedic surgery J Bone Jt Surg A 87A 2399-39
[4]  
Barrett M(2006)The impact of disruptive innovations in orthopaedic surgery Orthop J Harvard Med School 8 37-714
[5]  
Bhattacharyya T(2006)Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics. The case of alternative bearing surfaces in total hip arthroplasty J Bone Jt Surg A 88A 706-1314
[6]  
Yeon H(2004)Health care technology assessment J Bone Jt Surg A 86A 1305-376
[7]  
Harris MB(1991)Incidence of adverse events and negligence in hospitalized patients: results of the Harvard medical practice study I N Engl J Med 324 370-1158
[8]  
Bhattacharyya T(2005)Introducing technology into orthopaedic practice. How should it be done? J Bone Jt Surg A 87A 1146-1206
[9]  
Yeon H(1994)An international comparison of back surgery rates Spine 19 1201-1045
[10]  
Harris MB(1991)Fads in the treatment of low back pain N Engl J Med 325 1039-198
12345678