Banta H D
Netherlands Organization for Applied Scientific Research.
Health Policy. 1994 Oct-Dec;30(1-3):1-21. doi: 10.1016/0168-8510(94)00683-6.
Health care technology has become an increasingly visible issue in many countries, primarily because of the rising costs of health care. In addition, many questions concerning quality of care are being raised. Health care technology assessment has been seen as an aid in addressing questions concerning technology, including benefits and costs. A number of industrialized countries have developed active programs of health care technology assessment during the past two decades. Eight countries at similar levels of socio-economic and health development--Australia, Canada, France, Germany, the Netherlands, Sweden, the United Kingdom and the United States--have been examined to gain insights into how they manage health care technology and what place technology assessment has in such management. In addition to seeking general information, specific cases--treatment for coronary artery disease, medical imaging, laparoscopic surgery, treatment of end-stage renal disease, neonatal intensive care, and breast cancer screening--were examined in each country.
医疗保健技术在许多国家已成为一个日益明显的问题，主要是因为医疗保健成本不断上升。此外，许多有关医疗质量的问题也不断被提出。医疗保健技术评估被视为解决有关技术问题（包括效益和成本）的一种辅助手段。在过去二十年中，一些工业化国家已制定了积极的医疗保健技术评估计划。对八个社会经济和健康发展水平相似的国家——澳大利亚、加拿大、法国、德国、荷兰、瑞典、英国和美国——进行了考察，以深入了解它们如何管理医疗保健技术以及技术评估在这种管理中所处的地位。除了获取一般信息外，还对每个国家的具体案例——冠状动脉疾病治疗、医学成像、腹腔镜手术、终末期肾病治疗、新生儿重症监护以及乳腺癌筛查——进行了考察。
