ABSTRACT
In the preceding Chapters of this book, tools have been put forth that are essen tial to the clinician scientist to carry out proper clinical evaluations and make clini cal decisions. These have included reviews of basic methodological concepts in epidemiology and biostatistics, as well as step-by-step discussions regarding differ ent methodologies and issues, including diagnostic tests, clinical trials, costing, and pharmaco-economic analysis and decision trees. One ultimate goal is to assess any existing or emerging health care technology. Used in its broadest sense, this activity ranges from the evaluation of how to carry out a history and physical examination to using an innovative imaging method, or delivering state of the art therapy with new medications or innovative surgical equipment. We will now try and put the process of technology assessment into context while applying some of the concepts acquired in the book to date.
