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The Journal of Bone and Joint Surgery (American) 86:1305-1314 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Health Care Technology Assessment

Basic Principles and Clinical Applications

Kevin J. Bozic, MD, MBA1, Read G. Pierce, BA1 and James H. Herndon, MD, MBA2

1 Department of Orthopaedic Surgery (K.J.B.), School of Medicine (R.G.P.), University of California, San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143-0728. E-mail address for K.J. Bozic: bozick{at}orthosurg.ucsf.edu
2 Partners Department of Orthopaedic Surgery, 55 Fruit Street, GRB-624, Boston, MA 02114

Investigation performed at the Department of Orthopaedic Surgery, School of Medicine, University of California, San Francisco, San Francisco, California

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Health care technology (defined as all drugs, devices, and medical and surgical procedures used in medical care as well as the organizational and supportive systems within which such care is provided) is widely regarded as an important driver of escalating health care spending in the United States.

Many new health care technologies are adopted and used in clinical practice with little or no evidence that their use is associated with improved patient outcomes.

Orthopaedic surgeons are facing increasing scrutiny from hospitals and payers regarding the adoption and use of new technology for the treatment of patients with musculoskeletal disease.

Health care technology assessment is a growing field that is concerned with the multidisciplinary evaluation of clinical data on the basis of safety and efficacy as well as economic aspects of technology acquisition.

Through an understanding of the relevant literature and the concepts of health care technology assessment, orthopaedic surgeons have an opportunity to participate in the assessment process and thus influence clinical and health policy decisions regarding the adoption and use of new and existing technologies in the field of orthopaedic surgery.


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