caa a22 4500 386355983 CHVBK 20180307111853.0 cr unu---uuuuu 161130e198904 xx s 000 0 eng 10.1017/S0266462300006425 doi S0266462300006425 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300006425 The Relevance of Socioeconomic and Health Policy Issues to Clinical Research: The Case of MRI and Neuroradiology [Elektronische Daten] Magnetic resonance imaging (MRI) is a high-cost, new technology with great potential for improving patient care. The lack of a coherent public policy for MRI, or its predecessor computed tomography (CT), has caused considerable problems. Lack of an enunciated public policy has led to inconsistent reimbursement and reimbursement levels that develop in haphazard ways. Furthermore, diffusion has been unpredictable and has led to geographical excesses and deficiencies. Technology assessments of MRI, although numerous, have used inconsistent criteria to rate MRI's clinical efficacy. The lack of methodologically sound studies of MRI severely hampered early evaluation. This article examines these problems and suggests that the medical profession take a stronger leadership role in developing policies for expensive, promising new diagnostic technologies. The profession should promote, demand, and perform rigorous clinical evaluations of new technologies, and help develop a consensus regarding the criteria for what constitutes a clinically valuable advance in diagnostic technology. Copyright © Cambridge University Press 1989 Larson Eric B. University of Washington Kent Daniel L. University of Washington International Journal of Technology Assessment in Health Care Cambridge University Press 5/2(1989-04), 195-206 0266-4623 5:2<195 1989 5 THC https://doi.org/10.1017/S0266462300006425 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300006425 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Larson Eric B. University of Washington NATIONALLICENCE 700 1- Kent Daniel L. University of Washington NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/2(1989-04), 195-206 0266-4623 5:2<195 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge