How does technology assessment differ among countries: a discussion of three countries with different styles of technology assessment

G. Goodman
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Abstract

To answer the question of how technology assessment differs among countries, two background issues must be examined. These are (1) How is health care in the country organized and financed? and (2) What are the country's cultural attitudes towards health care? The cultural influence on methods of technology assessment used in various countries can be seen through a comparison of three culturally diverse countries-Japan, England, and the United States. The focus of the comparison is as follows-an effective methodology of technology assessment should compliment the structure and culture of health care in the country under study. The mandate for the use of decision making tools such as technology assessment for guiding health care decisions is directly related to the degree of centralization inherent in the financing of health care in the country under study.
技术评估在各国之间有何不同:三个不同技术评估风格的国家的讨论
要回答各国技术评估如何不同的问题,必须审查两个背景问题。这些是(1)该国的卫生保健是如何组织和资助的?(2)这个国家对医疗保健的文化态度是什么?通过对日本、英国和美国这三个文化多样化的国家的比较,可以看出文化对各国技术评估方法的影响。比较的重点如下:一种有效的技术评估方法应与所研究国家的卫生保健结构和文化相辅相成。使用技术评估等决策工具来指导保健决策的任务授权与所研究国家保健筹资固有的集中化程度直接相关。
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