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Title Assessment of diagnostic technology in health care : rationale, methods, problems, and directions / Harold Sox [and others]
Published Washington, D.C. : National Academy Press, 1989

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Description 1 online resource (viii, 143 pages) : illustrations
Series Monograph of the Council on Health Care Technology
Monograph of the Council on Health Care Technology.
Contents ""Assessment of Diagnostic Technology in Health Care""; ""Copyright""; ""Preface""; ""Contents""; ""Introduction""; ""REFERENCES""; ""1 Rationale for Assessment of Diagnostic Technology""; ""THE PATIENT'S PERSPECTIVE""; ""Safety""; ""Efficacy""; ""Economic Issues""; ""The Benefits of High-Quality Studies""; ""The Risks of Poor or Absent Assessment Data""; ""Summary: The Patient's Perspective""; ""SOCIETY'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""; ""Summary: Society's Perspective""; ""THE PHYSICIAN'S PERSPECTIVE""; ""Safety and Efficacy""; ""Economic Issues""
""Summary: The Physician's Perspective""""SUMMARY""; ""REFERENCES""; ""2 The Use of Diagnostic Tests: A Probabilistic Approach""; ""FIRST PRINCIPLES""; ""INTERPRETING TEST RESULTS: THE POSTTEST PROBABILITY""; ""Important Definitions""; ""The Assumptions of Bayes' Theorem""; ""THE PRETEST PROBABILITY OF DISEASE""; ""MEASURING THE PERFORMANCE CHARACTERISTICS OF DIAGNOSTIC TESTS""; ""Designing Studies of Test Performance""; ""EXPECTED-VALUE DECISIONMAKING""; ""Setting Up the Decision Tree""; ""Weighing the Outcomes for Quality of Life""
""Calculating the Expected Value of the Treatment Options""""THE CHOICE AMONG DOING NOTHING, TESTING, OR STARTING TREATMENT""; ""SUMMARY""; ""Glossary Of Terms""; ""REFERENCES""; ""3 Assessment: Problems and Proposed Solutions""; ""MEASURES OF CLINICAL EFFICACY""; ""Technical Capability""; ""Sensitivity and Specificity""; ""Diagnostic Impact""; ""Therapeutic Impact""; ""Impact on Clinical Outcomes""; ""THE SYSTEM OF TECHNOLOGY ASSESSMENT IN THE UNITED STATES""; ""The Pyramid""; ""PROBLEMS WITH THE CURRENT SYSTEM""; ""RANDOMIZED TRIALS OF DIAGNOSTIC TESTS""
""Limitations of Randomized Trials""""Trial Design""; """"OFF THE GOLD STANDARD""""; """"ON THE GOLD STANDARD""""; ""A PROPOSAL FOR MODEL-DRIVEN TECHNOLOGY ASSESSMENT""; ""A Technology Should Be Compared with a Competing Technology""; ""STUDIES SHOULD BE PLANNED BEFORE ENROLLING THE FIRST PATIENT""; ""ALL THE DATA THAT ARE NEEDED FOR CLINICAL DECISION MAKING SHOULD BE COLLECTED""; ""BIAS IN PATIENT SELECTION SHOULD BE AVOIDED""; ""PATIENTS SHOULD BE OBSERVED FOR ADVERSE EFFECTS OF THE INDEX TEST""; ""INTERPRETATION OF DATA SHOULD BE FREE OF BIAS""
""INTEROBSERVER DISAGREEMENT SHOULD BE MEASURED""""THERE SHOULD BE ENOUGH PATIENTS TO REPORT THE RESULTS IN CLINICALLY USEFUL SUBGROUPS OF PATIENTS""; ""SUMMARY""; ""REFERENCES""; ""4 Primary Assessment of Diagnostic Tests: Barriers to Implementation""; ""PLANNING AND PROTOCOL DEVELOPMENT""; ""Choosing a Clinical Condition""; ""Patient Population""; ""Endpoints and Study Design""; ""ACCURACY""; ""OUTCOME""; ""COMBINED STUDIES: ACCURACY AND OUTCOME""; ""SHORT-TERM OUTCOMES: A SYNTHETIC APPROACH""; ""Economic Analysis""; ""Efficacy Versus Effectiveness""; ""Comparative Assessment""
Bibliography Includes bibliographical references
Notes Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL
English
digitized 2010 HathiTrust Digital Library committed to preserve pda MiAaHDL
Print version record
Subject Diagnosis -- Methodology -- Evaluation
Medical technology -- Evaluation
Medical technology.
Diagnostic Services -- economics
Technology Assessment, Biomedical -- economics
Medical Laboratory Science
Medical Laboratory Science -- trends
MEDICAL -- Laboratory Medicine.
MEDICAL -- Diagnosis.
MEDICAL -- Nursing -- Assessment & Diagnosis.
Medical technology
Medical technology -- Evaluation
SUBJECT United States
Form Electronic book
Author Sox, Harold C.
LC no. 89062666
ISBN 030904099X
9780309040990
0585001928
9780585001920
9780309535885
0309535883
9786610214181
6610214182