Siebzehner M, Balik H; International Society of Technology Assessment in Health Care. Meeting.
Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 1999; 15: 141.
Israeli Center for Technology Assessment in Health Care, the Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Hashomer, Israel.
The end of the 20th century is typified by: developing technologies the cost of which is very high, social concepts holding nations responsible for the health and welfare of their inhabitants, and limited resources. These features obligate governments to make decisions on the enlightened use of medical technologies for the benefit of their citizens. In developing countries, making such decisions is a thousand times more difficult and is influenced by the ever-increasing difference in the health standards of their populations compared to those in developed countries. Three questions may be raised by health ministries in developing countries: Should all available resources set aside for health issues be invested in promotion of the given health indicators? Should all resources be invested in the adoption of advanced technologies? Should resource be used in such a way as to ensure the promotion of health indicators alongside the "reasonable" technological development which will prevent them from lagging behind the developed countries? Developing nations who choose to tackle the last question, are obligated to consider the appropriate division of resources in achieving the two aims - namely: promoting health measures alongside the development of advanced medical technologies. In a review of the literature, a number of models were found describing the decision-making process relating to medical technologies. Some of them suggest a process of dissemination of new technologies while others suggest a process of crystallizing the medical technology management policy. These models do not offer a suitable answer for developing nations whose aim is to close the gaps in health indicators alongside technological development. This work proposes a dynamic model for taking decisions on technologies management policy in the health services in developing countries. At the same time, it will also look at the suitability of the model for developed countries.
Publication Types:
Keywords:
- Delivery of Health Care
- Developed Countries
- Developing Countries
- Health
- Health Expenditures
- Health Resources
- Health Services
- Public Policy
- Technology
- Technology, Medical
- World Health Organization
- economics
- hsrmtgs
Other ID:
UI: 102194208
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