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医疗保健技术评估项目中的政治维度。

The political dimension in health care technology assessment programs.

作者信息

Banta H D, Andreasen P B

机构信息

University of Limburg.

出版信息

Int J Technol Assess Health Care. 1990;6(1):115-23. doi: 10.1017/s0266462300008977.

DOI:10.1017/s0266462300008977
PMID:2361816
Abstract

This article considers technology assessment (TA) to be a comprehensive form of policy research. Technology assessment must then have a relation to policy-making; in the area of health care, TA must relate to such political decisions as resource allocation. Since policies are determined politically, i.e., by factors such as power and influence, technology assessment is, or should be, part of a political process. Technology assessment seems to be developing predominantly as a technical and professional activity, carried out in centers with no relation to the policy-making process. While the impact of technology on health, as well as such broader impacts as those on financial costs, is a key concern, political considerations and political decision-making must always be an important dimension in health care TA.

摘要

本文认为技术评估(TA)是政策研究的一种综合形式。那么技术评估必然与政策制定相关;在医疗保健领域,技术评估必须与诸如资源分配等政治决策相关。由于政策是由政治因素决定的,即由权力和影响力等因素决定,技术评估是或应该是政治过程的一部分。技术评估似乎主要发展成为一种技术和专业活动,在与政策制定过程无关的中心进行。虽然技术对健康的影响以及对财务成本等更广泛的影响是关键关注点,但政治考量和政治决策在医疗保健技术评估中始终必须是一个重要方面。

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