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 publicâ€™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 donâ€™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|
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