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Health Affairs, 23, no. 1 (2004): 200-207
doi: 10.1377/hlthaff.23.1.200
© 2004 by Project HOPE
 
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Health Tracking

FROM THE FIELD

Clinical Use Of Medical Devices In The ‘Bermuda Triangle’

Larry Kessler, Scott D. Ramsey, Sean Tunis and Sean D. Sullivan

The pace of medical technological development shows no sign of abating. Analyzing the effect of major federal health agencies on the availability of such technology is critical. This paper describes functions of three government health agencies: the Centers for Medicare and Medicaid Services (CMS), the Food and Drug Administration (FDA), and the National Institutes of Health (NIH). Certain medical technologies fall into gaps between these agencies, which pose challenges in today’s era of demand for evidence-based medicine. We suggest new policy and pragmatic strategies that can close the gaps and move decision making relevant to technology forward more rapidly than is now the case.


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