Garber A M
Health Aff (Millwood). 1994 Summer;13(3):115-26. doi: 10.1377/hlthaff.13.3.115.
Because medical technology is the most important controllable component of health spending growth, the success of strategies for limiting spending growth depends upon their impact on technology dissemination. Technology assessment is fundamental to any strategy for controlling the adoption of medical technologies. Cost-effectiveness analysis holds particular promise as a method for evaluating alternative health care technologies because it explicitly incorporates costs. This paper describes how the widespread adoption of health insurance promoted the dissemination of medical technologies and how technology dissemination fueled spending growth. It then describes approaches to technology assessment and the ways in which technology assessment, in the form of cost-effectiveness analysis, can be applied to help control spending growth.
由于医疗技术是医疗支出增长中最重要的可控因素，限制支出增长策略的成功取决于其对技术传播的影响。技术评估是控制医疗技术采用的任何策略的基础。成本效益分析作为一种评估替代医疗技术的方法具有特别的前景，因为它明确纳入了成本。本文描述了医疗保险的广泛采用如何促进了医疗技术的传播，以及技术传播如何推动了支出增长。然后描述了技术评估的方法，以及成本效益分析形式的技术评估可用于帮助控制支出增长的方式。
