The Public's Role in the Evaluation of Health Care Technology: The Conflict Over ECT

1996 ◽  
Vol 12 (4) ◽  
pp. 657-672 ◽  
Author(s):  
Elizabeth Heitman
Keyword(s):  
Health Care ◽  
Psychiatric Patients ◽  
Health Care Technology ◽  
Lay Participation ◽  
Definition Of ◽  
Care Technology ◽  
Professional Acceptance ◽  
Instructive Case ◽  
The U.S

AbstractThe use of electroconvulsive therapy (ECT), controversial since its inception, offers an instructive case study on the challenge of addressing patients' perspectives in the evaluation of health care technology. Despite widespread professional acceptance of ECT, groups of former psychiatric patients have worked through the U.S. legal system to restrict and even ban ECT in the treatment of mental illness. This unusual lay participation in the regulation of health care illustrates how differing conceptions of evidence can affect the evaluation of technology. ECT provides a powerful example of the value of a more complex definition of the significant outcomes of treatment and the growing practice of outcomes assessment, especially as such research is used to shape health policy.

scholarly journals History of HTA: Introduction

2009 ◽  
Vol 25 (S1) ◽  
pp. 1-6 ◽  
Author(s):  
David Banta ◽  
Egon Jonsson
Keyword(s):  
Health Care ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Technology ◽  
Health Care Technology ◽  
The Past ◽  
History Of ◽  
In Memoriam ◽  
Care Technology ◽  
The U.S

For the past several years, we have discussed the idea of producing a publication on the history of health technology assessment (HTA). It seemed important to us to develop this history now, while those who lived it can give their own accounts. An exception is Seymour Perry, the first president of ISTAHC and the Director of the first national public program in HTA, the U.S. National Center for Health Care Technology (NCHCT). See the In Memoriam in this issue.

Innovative promotional strategies and diversification of flavoured mass merchandise cigar products: a case study of Swedish match

2021 ◽  
pp. tobaccocontrol-2020-056145 ◽  
Author(s):  
Ollie Ganz ◽  
Mary Hrywna ◽  
Kevin R J Schroth ◽  
Cristine D Delnevo
Keyword(s):  
Regulatory Authority ◽  
Business Practice ◽  
Smoking Prevention ◽  
Tobacco Products ◽  
The Family ◽  
Promotional Efforts ◽  
Promotional Strategies ◽  
Definition Of ◽  
The U.S

In 2009, the Family Smoking Prevention and Tobacco Control Act (TCA) granted the U.S. Food and Drug Administration (FDA) regulatory authority over tobacco products, although initially this only included cigarettes, smokeless tobacco and roll-your-own tobacco. In 2016, the deeming rule extended regulatory authority to include all tobacco products, including cigars. The deeming rule prohibited the introduction of new tobacco products into the marketplace without proper marketing authorisation and laid out pathways for tobacco companies to follow. The deeming rule should have frozen the cigar marketplace in 2016. In this paper, we describe how the cigarillo marketplace, nevertheless, continues to diversify with new brands, flavors, styles and packaging sizes entering the market regularly. As an example, we highlight recent promotional efforts by Swedish Match North America (Swedish Match) for their popular cigarillo brands, including White Owl, Night Owl and Garcia y Vega’s Game brand. We argue that ambiguities in the TCA make it unclear whether Swedish Match’s seemingly new cigarillos fit the definition of new tobacco products and, if so, whether they are on the market legally. Swedish Match and other cigarillo companies may be taking advantage of these ambiguities to promote a variety of cigarillo flavors and styles in innovative ways. Given that cigars are combustible tobacco products that pose many of the same risks as cigarettes, this business practice raises significant concerns regarding the protection of public health, particularly among young people.

Health Literacy

2014 ◽  
pp. 280-307
Author(s):  
Glenda Denson Knight
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Literacy ◽  
Quality Healthcare ◽  
Limited Health Literacy ◽  
Improvement Strategies ◽  
Limited Health ◽  
Definition Of ◽  
Barriers To Health ◽  
The U.S

The design of the U.S. healthcare system along with increasing expectations of individuals create barriers to health care. One barrier is limited Health Literacy (HL). This essential healthcare ingredient is often disregarded (Murphy-Knoll, 2007). There is debate concerning the definition of HL (Sorensen, Van den Broucke, Fullam, Doyle, Pelikan, Slonska, & Brand, 2012). Still, there is consensus that HL is necessary for quality healthcare (Parker & Gazmararian, 2003) and that HL deficiencies must be addressed. Limited HL independently contributes to poorer health status, greater risk of hospitalizations, and increased likelihood of mortality (Hanchate, Ash, Gazmararian, Wolf, & Paasche-Orlow, 2008; Jeppesen, Coyle, & Miser, 2009). Much is known about HL. Still, few advancements have been made due to gaps between what we know about HL, and the application of that knowledge (Ishikiawa & Kiuchi, 2010). The purpose of this chapter is to provide a HL overview and recommend improvement strategies.

Sign in / Sign up

Export Citation Format

Share Document