Adopting new medical technology [[electronic resource] /] / Annetine C. Gelijns and Holly V. Dawkins, editors ; Committee on Technological Innovation in Medicine, Institute of Medicine

• Record Nr.: UNINA9910455929003321
• Pubbl/distr/stampa: Washington, D.C., : National Academy Press, 1994
• ISBN: 1-280-21121-0; 9786610211210; 0-309-58641-0; 0-585-00175-8
• Descrizione fisica: 1 online resource (240 p.)
• Collana: Medical innovation at the crossroads ; ; v. 4
• Altri autori (Persone): GelijnsAnnetine; DawkinsHolly V
• Disciplina: 610
• Soggetti: Medical innovations; Health insurance - United States; Social medicine - United States; Health care reform - United States; Electronic books.
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: "Proceedings of the fourth workshop in the series 'Examining coverage and adoption decisions about medical technologies,' held in Washington, D.C., on September 18-19, 1992"--T.p. verso.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: ""Adopting New Medical Technology""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""PART I Setting the Stage""; ""1 Introduction ""; ""REFERENCES""; ""2 The Nature of Technological Change: Incentives Matter! ""; ""INTRODUCTION""; ""A BRIEF RECENT HISTORY OF HEALTH CARE IN THE UNITED STATES: TECHNOLOGICAL CHANGE AND THE GROWTH OF...""; ""DEFINING ""HEALTH CARE""""; ""EFFECTS OF RESEARCH AND DEVELOPMENT (TECHNOLOGICAL CHANGE) ON THE HEALTH CARE INSURANCE SYSTEM""; ""EFFECTS OF THE INSURANCE/FINANCE SYSTEM ON RESEARCH AND DEVELOPMENT""; ""EFFECTS OF INSURANCE ON CHOICE OF TECHNOLOGY AND QUALITY OF HEALTH CARE IN THE SHORT RUN, WITH TECHN...""""CONCLUDING REMARKS""; ""REFERENCES""; ""3 The Impact of Technology Assessment ; on Decisions by Health Care Providers and Payers ""; ""OBJECTIVE""; ""METHODOLOGY""; ""RESULTS""; ""DISCUSSION""; ""Quality Issues""; ""Individual Skill Levels in Technology Assessment Vary Widely""; ""Technology Assessment Research is Expensive""; ""Timely Technology Assessment Information is Scarce""; ""Scope Issues""; ""Future Issues""; ""Education""; ""Financial Support""; ""Information""; ""REFERENCES""; ""PART II Provider Decisionmaking """"4 Role of the Hospital in the Acquisition of Technology ""; ""THE CHANGING FINANCIAL ENVIRONMENT""; ""MODELS OF HOSPITAL BEHAVIOR""; ""TECHNOLOGY ASSESSMENT: SOCIETAL VERSUS HOSPITAL PERSPECTIVE""; ""Societal Versus Hospital Perspective: Some Examples""; ""POLICY CONSIDERATIONS""; ""CONCLUSION""; ""REFERENCES""; ""5 Physicians' Decisions Regarding the Acquisition of Technology ""; ""INCENTIVES FOR THE ADOPTION OF MEDICAL INNOVATIONS""; ""CONCEPTUAL MODEL""; ""Innovation Characteristics""; ""Provider Characteristics""; ""Knowledge""; ""Awareness""; ""Judgment""""Trial""; ""Adoption""; ""Evaluation""; ""SUMMARY""; ""REFERENCES""; ""PART III Third Party Payer Coverage Decisions""; ""6 Decisionmaking in the Health Care Financing Administration ""; ""BACKGROUND ON MEDICARE COVERAGE""; ""PROBLEMS WITH THIS APPROACH""; ""PAYMENT CHANGES""; ""TOWARD A MORE REASONABLE COVERAGE APPROACH""; ""CONCLUSION""; ""REFERENCES""; ""7 Blue Cross and Blue Shield Association Initiatives in Technology Assessment ""; ""TECHNOLOGY ASSESSMENT""; ""Recent Changes to Program""; ""THE DEMONSTRATION PROJECT ON BREAST CANCER TREATMENT""; ""FUTURE DIRECTIONS""; ""REFERENCES""""8 Kaiser Permanente's New Technology Committee: Coverage Decisionmaking in a Group Model Health Mai...""; ""THE KAISER PERMANENTE PROGRAM""; ""THE NEW TECHNOLOGY COMMITTEE""; ""CATEGORIES OF NEW TECHNOLOGIES""; ""COSTS OF NEW TECHNOLOGIES""; ""Research Done by the Committee""; ""FACTORS AFFECTING DECISIONMAKING""; ""Experimental Exclusions""; ""CONCLUSION""; ""9 Autologous Bone Marrow Transplantation: A Microcosm of the U.S. Health Care System""; ""THE CONTROVERSY SURROUNDING HDC-ABMT""; ""OUTCOMES-BASED DECISIONMAKING""; ""PAYER PERSPECTIVE""; ""PROPOSAL""; ""RATIONALE""; ""DISCUSSION""