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Health promotion and disease prevention as a complement to community health indicators: Working group 1

TNO Preventie en Gezondheid (author), Banta, H.D. (author), Hatziandreu, E. (author), Dauben, H.P. (author), Førde, O.H. (author), Loud, M.L. (author), Isacsson, S.O. (author), Paccaud, F. (author), Sanchez, E. (author), Steiger, T.S. (author)

The aim of Working Group 1 has been to assess health promotion and disease prevention activities in terms of benefits, risks, and economic, social, and ethical implications as a complement to community health indicators. Objectives: The objectives delineated for Working Group 1 were: 1) to analyze current initiatives to assess health promotion...

article 2002

document

Health technology assessment and screening in Sweden

TNO Preventie en Gezondheid (author), Jonsson, E. (author), David Banta, H. (author), Scherstén, T. (author)

Objectives: To describe health technology assessment (HTA) and policies concerning three screening procedures in Sweden. Methods: The main source of information was reports from the Swedish Council for Technology Assessment in Health Care (SBU) and other governmental reports, supplemented by the professional literature. Results: Prevention is...

article 2001

document

Health policy, health technology assessment, and screening in Europe

TNO Preventie en Gezondheid (author), David Banta, H. (author), Oortwijn, W. (author), Cranovsky, R. (author)

Objective: To present a summary of the papers in this volume, illustrating the links between health technology assessment (HTA), health policies and specifically policies toward prevention and screening, and implementation of screening tests in the case of three screening methods: mammography screening for breast cancer, screening for prostate...

article 2001

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Introduction: Mass screening, health technology assessment, and health policy in some European countries

TNO Arbeid (author), Oortwijn, W. (author), David Banta, H. (author), Cranovsky, R. (author)

Objective: The series of papers in this issue was developed to examine the use of health technology assessment in policies toward prevention - specifically toward mass screening - in European countries. The papers actually examined three screening strategies: mammography screening for breast cancer, prostate-specific antigen screening for...

article 2001

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The ethics of assessing health technologies

van der Wilt, G.J. (author), Reuzel, R. (author), Banta, H.D. (author), TNO Preventie en Gezondheid (author)

Health technology assessment (HTA) consists of the systematic study of the consequences of the introduction or continued use of the technology in a particular context, with the explicit objective to arrive at a judgment of the value or merit of the technology. Ideally, it is aimed at assessing all aspects of a given technology or group of...

article 2000

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Introduction Health technology assessment and the European Union

TNO Arbeid (author), Banta, D. (author), Oortwijn, W. (author)

Health technology assessment (HTA) has become increasingly important in the European Union as an aid to decision making. As agencies and programs have been established, there is increasing attention to coordination of HTA at the European level, especially considering the growing role of the European Union in public health in Europe. This series...

article 2000

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Identification and priority setting for health technology assessment in The Netherlands: Actors and activities

Oortwijn, W. (author), Banta, D. (author), Vondeling, H. (author), Bouter, L. (author), TNO Preventie en Gezondheid (author)

This article describes the actual situation at the beginning of 1999 with regard to identification and priority setting for health technology assessment (HTA) on a national level in the Netherlands. For this purpose the literature on HTA published in 1980-1998, mainly national, was thoroughly reviewed. Many policy documents and other reports...

article 1999

document

IMIA Working Group 15: Technology assessment and quality development in health informatics

van Gennip, E.M.S.J. (author), TNO Preventie en Gezondheid (author)

The working group on technology assessment and quality development in health informatics was established as a follow-up to the recommendations made at the IMIA-ISTAHC working conference in 1990. The working group was approved by the IMIA General Assembly at Kyoto, September, 1993. The working group aims to further develop the field of technology...

article 1999

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Evaluation and diffusion of excimer laser treatment of myopia in the United States and in the Netherlands

Vondeling, H. (author), Rosendal, H. (author), Banta, D. (author), TNO Preventie en Gezondheid (author)

Excimer laser photorefractive keratectomy (PRK) is an experimental treatment to correct myopia (short-sightedness) that is diffusing into use without convincing evidence of safety and efficacy. It has been claimed that PRK may render conventional methods of correcting myopia, such as wearing glasses or contact lenses, obsolete. Since about 25%...

article 1995

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Strategies for successful evaluation and policy-making toward health care technology on the move: The case of medical lasers

Banta, H.D. (author), Vondeling, H. (author), TNO Preventie en Gezondheid (author)

Evaluating new health care technology that is rapidly diffusing is one of the greatest challenges to researchers and policy-makers. If no evaluation is done until the technology is mature, evaluation will not influence processes of diffusion. If evaluation is done early, it may be irrelevant when it is completed because of developments in the...

article 1994

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Health care technology in Sweden

Jonsson, E. (author), Banta, H.D. (author), TNO Preventie en Gezondheid (author)

Health care in Sweden is a public sector responsibility and equity in access to care is quite important. The Swedish system is organized into several levels, with the Federation of County Councils at the top, and with regional, county, and local levels. In theory, the four hospital tiers developed by these different levels provide a clear...

article 1994

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The future and health care technology: Implications of a system for early identification

Banta, H.D. (author), Gelijns, A.C. (author), TNO Preventie en Gezondheid (author)

Future and emerging health care technologies are increasingly high-impact events for society in terms of the quality and costs of health care. They raise issues of efficacy, safety, resource allocation, ethics, impact on the organization and delivery of care, and broad social effects. This article describes an analysis of future and emerging...

article 1994

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Lessons from the eight countries

Battista, R.N. (author), David Banta, H. (author), Jonnson, E. (author), Hodge, M. (author), Gelband, H. (author), TNO Preventie en Gezondheid (author)

While the eight countries presented in this issue differ considerably from each other, they have important similarities. All have faced the problem of increasing health care expenditures, and all are coming to recognize problems with health care technology such as inappropriate use and poor quality of care. Health reforms appear to be...

article 1994

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Health care technology as a policy issue

Banta, H.D. (author), TNO Preventie en Gezondheid (author)

Health care technology has become an increasingly visible issue in many countries, primarily because of the rising costs of health care. In addition, many questions concerning quality of care are being raised. Health care technology assessment has been seen as an aid in addressing questions concerning technology, including benefits and costs. A...

article 1994

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Introduction. Minimally invasive therapy in five European countries: Diffusion, effectiveness and cost-effectiveness.

Banta, H.D. (author), Instituut voor verouderings- en vaatziekten onderzoek TNO (author)

Minimally invasive therapy (MIT) is a field that has gained a great deal of attention since the mid-1980s. MIT is a new and rapidly growing area of medical treatment based on developments in endoscopy, vascular catheters, imaging devices, and related technologies. Although endoscopes have been in use for more than 100 years, it is relatively new...

article 1993

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Implications for hospitals, health workers, and patients

Banta, H.D. (author), TNO Preventie en Gezondheid (author)

Minimally invasive surgery is one of the great innovations of health care in the 20th century. It promises to revolutionise surgery by allowing many more operations to be performed with minimal hospitalisation. Pressure from patients has caused many techniques to spread rapidly before they have been adequately assessed. This must be resisted,...

article 1993

document

The cost-effectiveness of 10 selected applications in minimally invasive therapy

Banta, H.D. (author), Instituut voor verouderings- en vaatziekten onderzoek TNO (author)

In this article, evidence of effectiveness and cost-effectiveness of the following procedures is reviewed: (1) laser treatment of bladder tumors; (2) extracorporeal shock-wave lithotripsy and percutaneous nephrolithotomy; (3) laparoscopic treatment of endometriosis; (4) laparoscopic removal of ovarian cysts; (5) laparoscopic cholecystectomy; (6)...

article 1993

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Diffusion of minimally invasive therapy in Europe

Banta, H.D. (author), Vondeling, H. (author), Instituut voor verouderings- en vaatziekten onderzoek TNO (author)

This paper considers the diffusion of the 10 cases presented in this issue. Most of the cases have diffused relatively slowly. This slow diffusion can be explained by a number of factors, including budgetary restraints, financial incentives, physician conservatism, and lack of appropriate training. A consistent thread in the cases is the...

article 1993

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Implications of minimally invasive therapy

Banta, H.D. (author), Schersten, T. (author), Jonsson, E. (author), Instituut voor Verouderings- en Vaatziekten Onderzoek TNO (author)

The field of minimally invasive therapy (MIT) raises many important issues for the future of health care. It seems inevitable that MIT will replace much conventional surgery. This trend is good for society and good for patients. The health care system, however, may find the change disruptive. The need for hospital beds will shrink. Day surgery...

article 1993

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Health care technology transfer in Latin America and the Caribbean

Coe, G.A. (author), Banta, H.D. (author), Instituut voor verouderings- en vaatziekten onderzoek TNO (author)

The greatest problem concerning health care technology for developing countries is that they are dependent upon the industrialized world for technology. The only short-term solution to this problem is to improve the choices that are available to them. This goal will require changes in the structure and processes of policy making. A particular...

article 1992