Medical technology has unquestionably advanced at a prodigious pace in the past 20 years, changing both the capability of American medicine to detect and treat disease and the public s expectations of medical care. The continued rapid growth in biomedical and related scientific knowledge is likely to stimulate further significant advances.
Medical Technology and the Health Care System: A Study of the Diffusion of Equipment-Embodied Technology examines the policy and research issues basic to the relationship between new medical technology and the efficiency and effectiveness of the health care system. This report assesses the process by which technology finds its way into the health care system and indentifies and analyzes successes and failures in the process of technological change. Ideally, the more effective and efficient technologies should be introduced quickly; others should not. This report considers the extent to which the ideal results actually do occur and when they don t, why not.
Table of Contents
|INTRODUCTION AND SUMMARY||1-13|
|PROBLEMS IN ADOPTION AND USE||23-45|
|ALTERNATIVE APPROACHES TO TECHNOLOGY MANAGEMENT||46-67|
|THE EVALUATION OF EQUIPMENT-EMBODIED TECHNOLOGY||68-84|
|APPENDIX A: A DISSENTING OPINION||99-98|
|APPENDIX B: A CASE STUDY OF MAMMOGRAPHY||101-123|
|APPENDIX C: A CASE STUDY OF MULTIPHASIC HEALTH TESTING||124-172|
|APPENDIX D: GASTRIC FREEZING--A STUDY OF DIFFUSION OF A MEDICAL INNOVATION||173-200|
|APPENDIX E: THE DEVELOPMENT AND DIFFUSION OF A MEDICAL TECHNOLOGY: MEDICAL INFORMATION SYSTEMS||201-239|
|APPENDIX F: THE IMPACT OF STATE REGULATION ON THE ADOPTION AND DIFFUSION OF NEW MEDICAL TECHNOLOGY||240-269|
|APPENDIX G: THE COST OF CAPITAL-EMBODIED MEDICAL TECHNOLOGY||270-302|
|APPENDIX H: PARTICIPANTS AT OPEN MEETING, APRIL 7, 1977||303-307|
The National Academies Press (NAP) has partnered with Copyright Clearance Center's Rightslink service to offer you a variety of options for reusing NAP content. Through Rightslink, you may request permission to reprint NAP content in another publication, course pack, secure website, or other media. Rightslink allows you to instantly obtain permission, pay related fees, and print a license directly from the NAP website. The complete terms and conditions of your reuse license can be found in the license agreement that will be made available to you during the online order process. To request permission through Rightslink you are required to create an account by filling out a simple online form. The following list describes license reuses offered by the National Academies Press (NAP) through Rightslink:
Click here to obtain permission for the above reuses. If you have questions or comments concerning the Rightslink service, please contact:
Rightslink Customer Care
Tel (toll free): 877/622-5543
To request permission to distribute a PDF, please contact our Customer Service Department at 800-624-6242 for pricing.
To request permission to translate a book published by the National Academies Press or its imprint, the Joseph Henry Press, please click here to view more information.