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Related Experiment Videos

The assessment process: a microscopic view.

J R Murphy1

  • 1University of Colorado, Health Sciences Center, Denver.

Medical Progress Through Technology
|January 1, 1991
PubMed
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Medical technologies progress through distinct stages, requiring evaluation at each step. Electronic fetal monitoring (EFM) illustrates how ongoing assessment can refine clinical use and impact healthcare quality.

Area of Science:

  • Medical technology assessment
  • Health economics
  • Clinical innovation

Background:

  • Medical technologies undergo a lifecycle from invention to obsolescence.
  • Evaluating health technology impact on quality and cost is crucial at each stage.
  • Electronic fetal monitoring (EFM) serves as a case study for technology evolution.

Purpose of the Study:

  • To outline the stages of medical technology development and assessment.
  • To demonstrate the importance of continuous evaluation using EFM as an example.
  • To highlight how technology assessment influences clinical practice and guidelines.

Main Methods:

  • Descriptive analysis of medical technology lifecycle stages.
  • Case study methodology using electronic fetal monitoring (EFM).

Related Experiment Videos

  • Review of EFM's introduction, assessment, and impact on clinical guidelines.

    • Main Results:

    • Medical technologies progress through defined stages: invention, evaluation, implementation, marketing, and replacement.
    • Continuous assessment of EFM revealed its limited utility in low-risk pregnancies.
    • Guidelines evolved, recommending against routine EFM in low-risk cases, impacting delivery practices.

    Conclusions:

    • A structured approach to evaluating medical technologies at each developmental stage is essential.
    • Ongoing assessment, exemplified by EFM, can lead to evidence-based practice changes and improved healthcare.
    • The lifecycle of medical technology necessitates adaptive strategies for optimal quality and cost-effectiveness.