This work was conducted as part of a concerted action: A Method to Integrate Scientific and Clinical Knowledge to Achieve the Appropriate Utilization of Major Medical and Surgical Procedures, sponsored by Directorate General XII of the European Commission under the BIOMED II programme. The BIOMED II concerted action to promulgate and further develop the RAND appropriateness method consisted of eleven research organizations in seven different countries. The concerted action began in the autumn of 1996 and culminated in March 1999 with a meeting of the European Health Policy Forum to disseminate its findings to the health, scientific and policy communities. The three categories of activity of the concerted action were: (1) making the access to the method easier, (2) improving and expanding the method, and (3) examining the feasibility of multinational panels.
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