Perry S, Thamer M
Medical Technology and Practice Patterns Institute, WHO Collaborating Center on Health Technology Assessment, Washington, DC 20007, USA.
Health Policy. 1997 Jun;40(3):177-98. doi: 10.1016/s0168-8510(97)00897-x.
This paper presents the results of the first comprehensive international survey to catalogue health technology assessment (HTA) activities. By 1995, there were formal HTA programs in 24 countries established mostly in the late 1980s and early 1990s. European countries generally have one or two federal or provincial HTA programs each, Canada has an extensive network of federal and regional organizations coordinated by a central body and the US has 53 HTA organizations, the vast majority of which are in the private sector. While the commitment of the US government to HTA has been erratic, the private sector has been witness to an expansion of HTA activities by insurance companies, hospitals, medical/device manufacturers, consulting firms and health professional societies. In contrast to other developed countries, the current state of technology assessment in the US is decentralized, fragmented and duplicative. We conclude by discussing the importance of a US HTA agency at the national level.
本文介绍了首次全面的国际健康技术评估（HTA）活动编目调查的结果。到1995年，24个国家设立了正式的HTA项目，大多是在20世纪80年代末和90年代初。欧洲国家通常每个国家有一两个联邦或省级HTA项目，加拿大有一个由中央机构协调的广泛的联邦和地区组织网络，美国有53个HTA组织，其中绝大多数在私营部门。虽然美国政府对HTA的支持一直不稳定，但私营部门见证了保险公司、医院、医疗/设备制造商、咨询公司和健康专业协会开展的HTA活动不断扩大。与其他发达国家不同，美国目前的技术评估状况分散、碎片化且重复。我们通过讨论美国国家层面HTA机构的重要性来结束本文。
