Norheim O F, Ekeberg O, Evensen S A, Halvorsen M, Kvernebo K
Department of Public Health and Primary Health Care, University of Bergen, Ulriksdal 8c, 5009, Bergen, Norway.
Health Policy. 2001 Apr;56(1):65-79. doi: 10.1016/s0168-8510(00)00135-4.
To identify health care services adopted in Norway in the period 1993-1997, and examine them according to proposed national guidelines for priority setting. These guidelines define core services.
Two-stage self-administered questionnaire.
The Norwegian public healthcare system.
Presidents of all relevant specialist and sub-specialist associations in the Norwegian Medical Association (n=56).
Number of adopted services satisfying the priority criteria of core services, according to physician's self-assessment. Number and type of interventions suited for the priority-setting criteria.
Thirty-two percent of new technologies satisfied the definition of core services according to specialists' own assessment. Of the 88 responses analysed for the second stage of our survey, fifteen answers (17%) indicated lack of applicability of the priority setting criteria. Loss of applicability was related to diagnostic and procedure-related technologies.
Less than one-half of the assessed technologies adopted in Norway in the period 1993-1997 satisfy proposed national criteria for priority setting. The guidelines are applicable for most interventions, but fail in most evaluations of diagnostic and procedure-related improvements. Independent and systematic evaluations of new technologies are needed within the context of priority setting.
确定1993年至1997年期间挪威采用的医疗保健服务，并根据提议的国家优先事项设定指南对其进行审查。这些指南定义了核心服务。
两阶段自填式问卷。
挪威公共医疗保健系统。
挪威医学协会所有相关专科和亚专科协会的主席（n = 56）。
根据医生的自我评估，符合核心服务优先标准的采用服务数量。适合优先事项设定标准的干预措施的数量和类型。
根据专家自己的评估，32%的新技术符合核心服务的定义。在我们调查的第二阶段分析的88份回复中，15份回答（17%）表明优先事项设定标准缺乏适用性。适用性的丧失与诊断和与程序相关的技术有关。
1993年至1997年期间挪威采用的评估技术中，不到一半符合提议的国家优先事项设定标准。这些指南适用于大多数干预措施，但在大多数诊断和与程序相关的改进评估中失败。在优先事项设定的背景下需要对新技术进行独立和系统的评估。
