Weingart S N
University of Rochester Medical Center.
Int J Technol Assess Health Care. 1993 Fall;9(4):530-8. doi: 10.1017/s0266462300005456.
This study describes decision making regarding the acquisition of technology in 12 major medical centers. The financial impact of a project was the most widely cited criterion of decision, but financial considerations were less important than either the impact of a technology on the quality of clinical care or its contribution to teaching and research. Rarely were criteria set out explicitly or in advance. Although exemplary models exist, the technology assessment process at most institutions is described as "political," "informal," or "ad hoc."
本研究描述了12家主要医疗中心在技术购置方面的决策情况。项目的财务影响是最常被提及的决策标准，但财务考量不如技术对临床护理质量的影响或其对教学与研究的贡献那么重要。标准很少被明确或预先设定。尽管存在典范模式，但大多数机构的技术评估过程被描述为“政治性的”“非正式的”或“临时的”。
