López-Cervantes M, Tirado-Gómez L L, de Icaza-del Río E, Durán-Arenas L
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, (CISS-INSP).
Rev Invest Clin. 2000 Mar-Apr;52(2):203-10.
The present work pretend to describe the development achieved in the field of health technology assessment and to propose a set of criteria to evaluate them, with the intention that it will lead to the development of health programs and policy with a tendency to maximize effectiveness, efficiency and quality, within a frame of increasing needs and scarce technical and economic resources for health care. For this work, a comprehensive review was carried out about the background of health technology adoption in our country, and the context by which to evaluate the accessibility and utilization of the health technology. In the section for technology assessment, it is propose a method to evaluate based upon the natural history of disease, that is, the traditional form of health assessment is restricted to a cross section in time (vertical evaluation), and in this study the authors propose a model with a horizontal approach, that should offer as its main virtues the development of guidelines with regards to prevention, diagnosis and treatment, in addition to cost containment, in support to a more effective and higher quality medical practice.
本研究旨在描述卫生技术评估领域所取得的进展，并提出一套评估标准，以期在医疗保健需求不断增加而技术和经济资源稀缺的情况下，推动卫生项目和政策的发展，使其倾向于最大限度地提高有效性、效率和质量。为此，对我国卫生技术采用的背景以及评估卫生技术可及性和利用情况的背景进行了全面审查。在技术评估部分，提出了一种基于疾病自然史的评估方法，即传统的卫生评估形式局限于某一时刻的横断面（纵向评估），而在本研究中，作者提出了一种采用横向方法的模型，该模型除了控制成本外，在制定预防、诊断和治疗指南方面应具有主要优势，以支持更有效和更高质量的医疗实践。
