[Achieving an evaluated health care system]

One approach to avoiding unfair rationalisations in a health care system is evaluation. Five main obstacles (tantamount to five points of criticism) that hamper the widespread evaluation of health technologies can be specified: 1. The limited number of clinical studies and overviews, 2. the unsystematic selection and alignment of studies, 3. the additional administrative and other demands made that do not relate to the treatment of patients, 4. methodological deficiencies (e.g. searches for evidence not carried through, undocumented criteria for the inclusion or exclusion of data), and 5. the unknown economic consequences of implementing evaluation results-based recommendations. The five points of criticism are met by specifying conclusions in these five areas of activity: the creation of an inventory of demands, the selection and prioritisation of studies, the standardisation of methodology, the dissemination and the implementation of educational measures.