Improving consensus development for health technology by Institute of Medicine, Council on Health Care Technology

By Institute of Medicine, Council on Health Care Technology

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By Institute of Medicine, Council on Health Care Technology

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Grant, and I. Chalmers. 1985. Tocolysis. The case for and against. Pp. W. Beard and F. Sharp, eds. London: Royal College of Obstetricians and Gynaecologists. A. Potish. 1988. The consensus statements on adjuvant chemotherapy in breast cancer: Fact or artifact. American Journal of Oncology 11:73-76. Lomas, J. 1986. The consensus process and evidence dissemination. Canadian Medical Association Journal 134:1340-1341. M. W. Enkin, E. Vayda, R. Roberts, and B. MacKinnon. 1988. The role of evidence in the consensus exercise, results from a Canadian consensus exercise.

The initial intent of the NIH program was to emphasize new and emerging technologies, although most of the conferences in the United States and other countries have addressed established technologies already in widespread use. This selection seems natural in view of the fact that the majority of technologies in use have never been comprehensively evaluated for safety, efficacy, and social consequences. The following criteria for the selection of topics are similar in all countries. , it should be of medical importance, affect a significant number of people, and/or be very costly.

C. Panelists should have no vested interest in the technology being reviewed. D. The size of panels has varied from 9 to 16 members; 12 or 13 is a reasonable working group. E. The panel should contain balanced representation from various sectors of professional and community life and should not be professionally identified with advocacy or promotional positions with respect to the consensus topic (OMAR, NIH, 1988). In addition, it may be useful to give the panel basic articles concerning the evaluation of the quality of data.

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