医療技術の再評価の必要性について. 一回だけでは不十分です
1The Netherlands Organization for Applied Scientific Research, The Hague.
JAMA
|July 11, 1990
まとめ
医療技術の評価には,一度のレビューではなく,継続的な評価が必要です. 電子胎児モニタリングなどの医療慣行の継続的な再評価は,効果的な医療に不可欠です.
科学分野:
- 医療サービス 研究 医療サービス
- 医療技術評価 医療技術評価について
背景:
- 医療技術評価は,繰り返し行われるプロセスというより,単一のイベントであることが多い.
- 産業,専門社会,政府機関を含む米国の多くの組織は,ますますテクノロジーの再評価を試みています.
- 例としては,医療的必要性プロジェクト,臨床有効性評価プロジェクト,米国予防サービスタスクフォースなどがある.
研究 の 目的:
- 既存の医療技術の継続的な再評価の必要性を強調する.
- 特定の臨床慣行を用いた継続的な評価の必要性を示すために.
主な方法:
- 電子胎児モニタリング,エピシオトミー,エレクトロエンセファログラフィー,子宮摘出手術の4つの臨床法を検討した.
- 米国保健医療の現状における技術評価と再評価の現状を分析した.
主要な成果:
- この研究は,確立された医療技術の継続的な再評価における惰性を強調しています.
- 選択された臨床実践は,継続的な評価の必要性を示すための例として役立つ.
結論:
- 医療技術評価は,繰り返し,継続的なプロセスでなければならない.
- 慣性に対処し,医療実践の有効性を向上させるために,継続的な再評価が不可欠です.
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