Adopting New Medical Technology

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Size: 240 pages, 6 x 9

Publication Year:1994

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PAPERBACK ISBN-10: 0-309-05035-9 ISBN-13: 978-0-309-05035-7	$27.00	Add to Cart

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Authors:
Annetine C. Gelijns and Holly V. Dawkins, Editors; Committee on Technological Innovation in Medicine, Institute of Medicine
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What information and decisionmaking processes determine how and whether an experimental medical technology becomes accepted and used?
Adopting New Medical Technology reviews the strengths and weaknesses of present coverage and adoption practices, highlights opportunities for improving both the decisionmaking processes and ...
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Table of Contents
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FRONT MATTER	i-xvi	(skim)
PART I: SETTING THE STAGE	1-2	(skim)
1. INTRODUCTION	3-7	(skim)
2. THE NATURE OF TECHNOLOGICAL CHANGE: INCENTIVES MATTER!	8-48	(skim)
3. THE IMPACT OF TECHNOLOGY ASSESSMENT ON DECISIONS BY HEALTH CARE PROVIDERS AND PAYERS	49-58	(skim)
PART II: PROVIDER DECISIONMAKING	59-60	(skim)
4. ROLE OF THE HOSPITAL IN THE ACQUISITION OF TECHNOLOGY	61-70	(skim)
5. PHYSICIAN	71-84	(skim)
PART III: THIRD PARTY PAYER COVERAGE DECISIONS	85-86	(skim)
6. DECISIONMAKING IN THE HEALTH CARE FINANCING ADMINISTRATION	87-95	(skim)
7. BLUE CROSS AND BLUE SHIELD ASSOCIATION INITIATIVES IN TECHNOLOGY ASSESSMENT	96-100	(skim)
8. KAISER PERMANENTE	101-108	(skim)
9. AUTOLOGOUS BONE MARROW TRANSPLANTATION: A MICROCOSM OF THE U.S. HEALTH CARE SYSTEM	109-116	(skim)
10. TECHNOLOGY ASSESSMENT, BENEFIT COVERAGE, AND THE COURTS	117-124	(skim)
PART IV: INCREASING THE RATIONALITY OF COVERAGE DECISIONMAKING	125-126	(skim)
11. STRENGTHENING THE CONNECTION BETWEEN EVALUATIVE RESEARCH AND COVERAGE DECISIONMAKING	127-151	(skim)
12. MANUFACTURER	152-171	(skim)
13. PAYING FOR EVALUATIVE RESEARCH	172-192	(skim)
14. HEALTH CARE REFORM: SOME REFLECTIONS ON TECHNOLOGY	193-200	(skim)
APPENDIXES	201-202	(skim)
A. WORKSHOP AGENDA	203-205	(skim)
B. CONTRIBUTORS	206-216	(skim)
INDEX	217-224	(skim)

Description

What information and decisionmaking processes determine how and whether an experimental medical technology becomes accepted and used?
Adopting New Medical Technology reviews the strengths and weaknesses of present coverage and adoption practices, highlights opportunities for improving both the decisionmaking processes and the underlying information base, and considers approaches to instituting a much-needed increase in financial support for evaluative research.
Essays explore the nature of technological change; the use of technology assessment in decisions by health care providers and federal, for-profit, and not-for-profit payers; the role of the courts in determining benefits coverage; strengthening the connections between evaluative research and coverage decisionmaking; manufacturers' responses to the increased demand for outcomes research; and the implications of health care reform for technology policy.

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