• Atencion primaria · Dec 2007

    [Identification of new and emerging technologies].

    • Francisca Vidal-España, Francisca Leiva-Fernández, J Daniel Prados-Torres, Emilio Perea-Milla, Carmen Gallo-García, Aranzazu Irastorza-Aldasoro, and NESPECIALIST group.
    • Unidad Docente de Medicina de Familia y Comunitaria de Málaga, Distrito Sanitario Málaga, Servicio Andaluz de Salud, Málaga, España.
    • Aten Primaria. 2007 Dec 1; 39 (12): 641-6; discussion 647-9.

    ObjectiveAnalyze the correspondence between health technologies (HT) to develop --doctor's opinion-- and the ones assessed by Spanish Agencies for Health Technologies Assessment.DesignResponse analysis of HT obtained from participant doctors. Comparison with assessment reports of agencies.SettingAndalusian Public Health System; 2003. Spanish Agencies for Health Tecnologies Assessment.ParticipantsOne hundred and forty-seven specialised doctors of 46 MIR specialties.MethodNon-random sample. Andalusian experts and leaders professional selected. Exhaustive searching in Internet or assessment reports of HT. A "score of effort" (SE) was calculated for each Agency.ResultsSeven HT groups agree with agency assessment reports: systems and communication network (SE, 0.78%-6.25%); mollecular biology for diagnosis and treatment (SE, 3.12%-42.73%); functional image technologies, monitorization, quick diagnosis, and non-invasive methods (SE, 3.93%-31.25%); lasertherapy, microsurgery, endoscopic surgery, minimally invasive, virtual and remote-controlled surgery (SE, 3.22%-31.25%); stem cells, artificial organs, and xenotransplantation (SE, 0.78%-12.34%); psychosocial interventions (SE, 0.78%-7.69%); management, planification and record systems (SE, 9.67%-76.92%). Two additional cathegories not cited by doctors but evaluated by agencies were identified: Effectiveness of therapeutic and disgnostic implanted strategies and sterilization methods of surgical material (SE, 3.86%-43.18%); Matural drugs, alternative therapies (SE, 1.78%-6.25%).ConclusionsGreater concordance between doctors and agencies in: mollecular biology, functional image technology, new surgical techniques and management, planification and record systems.

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