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The NIH consensus development program

J H Ferguson1

  • 1Office of Medical Applications of Research (OMAR), National Institutes of Health, Bethesda, MD, USA.

The Joint Commission Journal on Quality Improvement
|July 1, 1995
PubMed
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This summary is machine-generated.

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The National Institutes of Health Consensus Development Conferences (CDCs) influence healthcare policy and physician behavior indirectly. Increased demand for CDC statements highlights their global impact on medical technology assessment.

Area of Science:

  • Health Services Research
  • Medical Technology Assessment
  • Public Health Policy

Background:

  • National Institutes of Health Consensus Development Conferences (CDCs) provide a public forum for evaluating controversial medical technologies.
  • CDC statements synthesize current medical science but are not intended as practice guidelines.
  • Assessing the direct impact of CDCs on physician practice is challenging due to multifactorial influences.

Purpose of the Study:

  • To evaluate the influence and impact of the NIH Consensus Development Conference program.
  • To understand the dissemination and reception of CDC statements.
  • To examine the program's role in shaping medical technology policy and practice.

Main Methods:

  • Analysis of the NIH CDC program's outputs and activities.

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  • Review of dissemination strategies and demand for CDC statements.
  • Examination of effects on reimbursement and specialty organization policies.
  • Tracking the international adoption of the consensus conference model.
  • Main Results:

    • CDC statements indirectly influence physician behavior by informing reimbursement and specialty organization policies.
    • Dissemination activities have significantly increased demand for CDC statements, necessitating expanded information services.
    • The NIH CDC model has been adopted internationally, leading to global consensus conferences.

    Conclusions:

    • The NIH CDC program exerts influence on medical technology adoption and policy, despite challenges in measuring direct practice changes.
    • Effective dissemination strategies have amplified the program's reach and impact.
    • The model's international replication underscores its perceived value in medical science synthesis and policy development.