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Related Experiment Videos

Technology assessment policy: top down or bottom up?

J J Nobel

    Health Policy (Amsterdam, Netherlands)
    |December 11, 1987
    PubMed
    Summary

    Traditional top-down health policy making is contrasted with bottom-up approaches. Aggregated micro-decisions by health professionals can constructively shape macro-policy for technology adoption and healthcare innovation.

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    Area of Science:

    • Health Policy
    • Technology Adoption
    • Healthcare Management

    Background:

    • Traditional health policy formulation often follows a top-down approach.
    • The adoption, diffusion, or rejection of new health technologies is complex.
    • Existing policies may not fully capture the impact of individual professional decisions.

    Purpose of the Study:

    • To contrast top-down and bottom-up approaches to health policy.
    • To argue for the utility of bottom-up policy making in healthcare technology.
    • To demonstrate how aggregated micro-decisions can influence macro-policy.

    Main Methods:

    • Comparative analysis of policy formulation strategies.
    • Literature review on technology adoption in healthcare.
    • Conceptual framework for bottom-up policy influence.

    Main Results:

    • Bottom-up policy making, driven by aggregated professional decisions, can be highly effective.
    • Decisions of numerous health professionals and institutions can constructively form macro-policy.
    • This approach offers a valuable alternative or complement to traditional top-down methods.

    Conclusions:

    • Bottom-up policy making is a viable and constructive strategy for health technology.
    • Healthcare professionals' collective decisions significantly impact policy implementation and outcomes.
    • Future health policy should consider integrating bottom-up mechanisms for greater effectiveness.

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