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Changing medical practice through technology assessment : an evaluation of the NIH Consensus Development Program

Author: David E Kanouse; Association for Health Services Research.; NIH Consensus Development Program.
Publisher: Washington, D.C. : Association for Health Services Research ; Ann Arbor, Mich. : Health Administration Press, 1989.
Series: Rand Corporation research study.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
Like other methods of medical technology assessment, consensus conferences are aimed at four broad objectives: (1) promoting the timely incorporation of beneficial medical innovations into clinical practice; (2) encouraging the abandonment of obsolete technologies in favor of ones that are safer or more efficacious; (3) discouraging the adoption of technologies that have little value; and (4) informing public policy  Read more...
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Document Type: Book
All Authors / Contributors: David E Kanouse; Association for Health Services Research.; NIH Consensus Development Program.
ISBN: 0910701385 9780910701389
OCLC Number: 19815439
Description: xxxvi, 295 pages : illustrations ; 28 cm.
Contents: Introduction and overview --
Content analysis of 24 consensus statements --
Consensus conferences in the biomedical literature --
Dissemination in the popular press --
Physicians' awareness of the program and of consensus recommendations --
Physicians' attitudes and information habits --
Physicians' conformity to consensus recommendations --
Design of the hospital-based study --
Conformity to recommendations on treatment of breast cancer --
Conformity to recommendations on coronary artery bypass surgery --
Exposure and conformity to recommendations among physicians in ten acute care hospitals --
Synthesis and conclusions.
Series Title: Rand Corporation research study.
Responsibility: edited by David E. Kanouse [and others].

Abstract:

Like other methods of medical technology assessment, consensus conferences are aimed at four broad objectives: (1) promoting the timely incorporation of beneficial medical innovations into clinical practice; (2) encouraging the abandonment of obsolete technologies in favor of ones that are safer or more efficacious; (3) discouraging the adoption of technologies that have little value; and (4) informing public policy choices that encourage or discourage certain medical technologies (e.g., choices about whether to provide third-party reimbursement for those technologies).This evaluation study examines the effects that the Consensus Development Program has had on physicians' knowledge, attitudes, and practices. It assesses how well the program has met its communication objectives and makes practical recommendations for how its effectiveness might be increased.

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