Technology assessment policy: top down or bottom up?
This paper briefly contrasts two approaches to formulating and implementing technology-related health policy. Policy changes are traditionally imposed from above, top down. However, policy changes related to adoption, diffusion, or rejection of new technologies for health care, can be very effective from the bottom up. The aggregated micro-decisions of thousands of health professionals and institutions can also become macro-policy, quite constructively. This paper argues for and documents the utility of bottom-up policy making.
D006285:Health Planning / Q000379:methods; D006801:Humans; D008722:Methods; D011050:Policy Making; D013673:Technology Assessment, Biomedical / Q000592:standards*; D014481:United States