While the eight countries presented in this issue differ considerably
from each other, they have important similarities. All have faced the
problem of increasing health care expenditures, and all are coming to
recognize problems with health care technology such as inappropriate u
se and poor quality of care. Health reforms appear to be accelerating
in the countries examined, In addition, all countries now have stated
policy goals of assessing the benefits of health care technologies and
most have established formal programs for health care technology asse
ssment. Technology assessments impact varies, but it is becoming an im
portant factor in technology acquisition. These trends point to a futu
re for technology assessment and perhaps to better management of healt
h care technology. International cooperation is important if this goal
is to be realized.