Juzwishin D, Olmstead D, Menon D
World Hosp Health Serv. 1996;32(2):2-9.
Interest in Health Technology Assessment (HTA) has grown considerably in recent years. Organizations established specifically to conduct HTA and disseminate HTA results have sprung up in many countries. These have been, to a large extent, financed by governments. However, the relevance of HTA clearly goes beyond governments, and there are many sectors in health care that are potential consumers of HTA information. In particular, those running healthcare facilities are constantly faced with decisions on new equipment to purchase and new clinical procedures to offer. HTA is important not just to the senior administrators of such facilities but those in other levels of hospital management as well. In this paper, a brief review of Canadian and US studies on hospitals' technology assessment and acquisition is presented. Two specific examples of Canadian healthcare facilities and how HTA has been addressed in these institutions are discussed. Finally, this paper contains a discussion of some of the practical issues involved in introducing a formalized programme of HTA in hospitals.
近年来，对卫生技术评估（HTA）的关注显著增加。许多国家纷纷涌现出专门设立的进行卫生技术评估并传播评估结果的组织。这些组织在很大程度上由政府资助。然而，卫生技术评估的相关性显然不止于政府，医疗保健领域的许多部门都是卫生技术评估信息的潜在使用者。特别是，那些运营医疗设施的机构不断面临关于购买新设备和提供新临床程序的决策。卫生技术评估不仅对这些设施的高级管理人员很重要，对医院管理其他层面的人员也很重要。本文简要回顾了加拿大和美国关于医院技术评估与采购的研究。讨论了加拿大医疗设施的两个具体例子以及这些机构如何进行卫生技术评估。最后，本文讨论了在医院引入正式的卫生技术评估计划所涉及的一些实际问题。
