A comprehensive framework: evaluating programmes to prevent hip fractures in senior women

Green C J, Bassett K L, Kazanjian A
Record ID 31998009116
Authors' objectives:

To provide an overview of the implications of omitting evidence regarding the social impact of bone mineral density (BMD) testing programmes.

Authors' recommendations: The comprehensive evaluation framework provides a methodology for conducting this type of evaluation. The broad framework proved valuable because it lead to an explanation of why technologies diffuse into clinical practice before evidence is available about their actual usefulness. In the case of BMD, it demonstrated that cultural beliefs about menopause, ageing and prevention intersected with a predictive diagnostic technology to 'normalize' a medical practice of doubtful value. BMD testing is in effect being promoted and accepted as a prophylactic to counteract the primarily social effects of ageing (decay, loss of youth, immobility), at the expense of examining the social, political, and economic implications of ageing on women's health. The use of the broad evaluation framework encouraged a re-thinking of the health problems associated with ageing in ways that focus on society rather than on individual diseased bodies.
Authors' methods: Overview
Project Status: Completed
Year Published: 1997
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Absorptiometry, Photon
  • Bone Density
  • Costs and Cost Analysis
  • Osteoporosis
  • Osteoporosis, Postmenopausal
Organisation Name: British Columbia Office of Health Technology Assessment
Contact Address: B. C. Office of Health Technology Assessment, Centre for Health Services and Policy Research, S-184 Koerner Pavilion, 2211 Wesbrook Mall, The University of British Columbia, Vancouver, B. C., V6T 1Z3, Canada.
Copyright: BCOHTA
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.