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T Judd et al.: Clinical Engineering/Health Technology Management 2015 Global Update


        even if adequate planning and maintenance are available.   technology. (Sometimes also referred to as a Biomedical
        Another serious deficiency is the lack of a framework   Engineer [BME].) 4
        for proper HTM in most developing countries. Without       Health Technology Management (HTM): For USA CE
        a framework defined and supported by policies, proce-   certification, defined by the ACCE Body of Knowledge
        dures, defined responsibilities, and earmarked resources   survey of CE practitioners, HTM is broadly defined as
        for HTM, it is difficult to perform technology planning in   “lifecycle management of medical devices and systems.” 5
        harmony with the country’s health policies and priori-
                                                                Context and Key Acronyms
        ties, ensure appropriate human and material resources
                                                                   The main elements of developing country HTM and its
        necessary to operate the equipment, and maintain it in                                                     1
        safe and operational conditions.” 1                     key health system relationships are outlined in Figure 1.
                                                                         th
                                                                   The 60  World Health Assembly, convened by WHO in
                   DeFInItIons AnD Context                      2007, passed the Resolution WHA60.29 relating to Health
                                                                             6
                                                                Technologies.  This resolution urges Member States:
        Definitions
                                                                   1.  “to collect, verify, update and exchange information
           Health Technologies (HT): The term refers to the ap-
                                                                      on health technologies (HT); in particular medi-
        plication of organized knowledge and skills in the form
                                                                      cal devices as an aid to prioritization of needs and
        of devices, medicines, vaccines, procedures & systems
                                                                      allocation of resources”;
        developed to solve a health problem and improve qual-
                                                                   2.  “to formulate as appropriate national, strategies and
        ity of lives. 3
                                                                      plans for the establishment of systems for the assess-
           Clinical Engineer: A Clinical Engineer (CE) is a pro-      ment, planning, procurement and HT management
        fessional who supports and advances patient care ap-          in particular medical devices, in collaboration with
        plying engineering and managerial skills to health care





































        FigURE 1. The main elements of developing country HTM and its key health system relationships.





        5                                                           J Global Clinical Engineering Special Issue 1: 4-14; 2018
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