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- Title
Evidence-Based Medicine and State Health Care Coverage: The Washington Health Technology Assessment Program.
- Authors
Rothman, David J.; Blackwood, Kristy L.; Adair, Whitney; Rothman, Sheila M.
- Abstract
<bold>Objective: </bold>To evaluate the Washington State Health Technology Assessment Program (WHTAP).<bold>Study Setting: </bold>Washington State Health Technology Assessment Program proceedings in Seattle, Washington.<bold>Data Collection and Study Design: </bold>We assessed the program through observation of its proceedings over a 5-year period, 2009-2014. We conducted detailed analyses of the documents it produced and reviewed relevant literature.<bold>Principal Findings: </bold>Washington State Health Technology Assessment Program is unique compared to other state and federal programs. It has successfully applied evidence-based medicine to health care decision making, limited by the strength of available data. It claims cost savings, but they are not substantiated.<bold>Conclusions: </bold>Washington State Health Technology Assessment Program is a useful model for other states considering implementation of technology assessment programs. We provide key lessons for improving WHTAP's process.
- Subjects
WASHINGTON (State); MEDICAL care; MEDICAL technology; STATE health plans; GOVERNMENT programs; TECHNOLOGY; COMPARATIVE studies; COST control; COST effectiveness; DECISION making; RESEARCH methodology; MEDICAL cooperation; QUALITY assurance; RESEARCH; EVIDENCE-based medicine; EVALUATION research
- Publication
Health Services Research, 2018, Vol 53, Issue 2, p846
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12808