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

Published online by Cambridge University Press:  10 March 2009

Robert H. Brook ,
Mark R. Chassin ,
Arlene Fink ,
David H. Solomon ,
Jacqueline Kosecoff  and
R. E. Park
Robert H. Brook
Affiliation:
University of California, Los Angeles Rand Corporation
Mark R. Chassin
Affiliation:
University of California, Los Angeles Rand Corporation
Arlene Fink
Affiliation:
University of California, Los Angeles Rand Corporation
David H. Solomon
Affiliation:
University of California, Los Angeles Rand Corporation
Jacqueline Kosecoff
Affiliation:
University of California, Los Angeles
R. E. Park
Affiliation:
University of California, Los Angeles
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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.

Information

Type
Technology Assessment: Policy, Clinical, and Methodological Issues
Information
International Journal of Technology Assessment in Health Care , Volume 2 , Issue 1 , January 1986 , pp. 53 - 63
Copyright
Copyright © Cambridge University Press 1986

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References

REFERENCES

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