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A Method for the Detailed Assessment of the Appropriateness of Medical Technologies

  • Robert H. Brook (a1), Mark R. Chassin (a1), Arlene Fink (a1), David H. Solomon (a1), Jacqueline Kosecoff (a2) and R. E. Park (a2)...

Extract

The standard way to assess medical technologies is to conduct a randomized clinical trial. Patients are randomly assigned to groups receiving alternative treatments, and outcomes are monitored over a long period of time. For example, some victims of left main coronary artery disease may undergo coronary artery bypass surgery, and others may receive medical treatment with nitroglycerine and beta blockers. Comparison of five-year mortality and morbidity in the two groups helps to determine the relative appropriateness of the two procedures. In addition, information about quality of life and cost can also be collected and compared.

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2.Chassin, M. R., Brook, R. H., Park, R. E. et al. , Variations in the use of medical and surgical services by the Medicare population. R-3288-CWF/PMT/HF/RWJ, The Rand Corporation, Santa Monica, Cal., forthcoming.
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5.Park, R. E., Fink, A., Brook, R. H. et al. , Physician ratings of appropriate indications for six medical and surgical procedures. Series R-3280-CWF/PMT/HF/RWJ, The Rand Corporation, Sana Monica, Cal., forthcoming.
6.Shaffer, E. A.Gallstone formation and asymptomatic cholelithiasis, Annals RCPSC, 1985, 18, 309315.
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8.Wennberg, J. E., Gittelsohn, A., & Shapiro, N.Health care delivery in Maine I: Patterns of use of common surgical procedures. Maine Medical Association, 1975, 66, 123130.
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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