This presentation was made at the Technology and Outcomes Assessment Workshop of FRESH-Thinking, held in February 2007. Funded by the Robert Wood Johnson Foundation, the FRESH-Thinking project addresses operational, financing and regulatory issues that are generic to any and all health care reform plans. The project aims at clarifying long-term issues and proposing solutions to the implementation of comprehensive health care reform.
This paper noted that previous and current technology assessment in the United States is done poorly for four main reasons:
Examples of technology assessment, especially the National Institute for Clinical Excellence (NICE) in the United Kingdom were examined and shown to have important characteristics for a successful technology assessment initiative in the United States.
The study of past and existing efforts in the United States and experiences in foreign countries lead to five key recommendations: