Technology and health care in an era of limits / / Annetine C. Gelijns, editor ; Committee on Technological Innovation in Medicine, Institute of Medicine

• Record Nr.: UNINA9910817968803321
• Pubbl/distr/stampa: Washington, D.C., : National Academy Press, 1992
• ISBN: 1-280-20320-X; 9786610203208; 0-309-56189-2; 0-585-02825-7
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (296 p.)
• Collana: Medical innovation at the crossroads ; ; v. 3
• Altri autori (Persone): GelijnsAnnetine
• Disciplina: 362.1
• Soggetti: Managed care plans (Medical care); Medical care - United States; Medical technology - Effect of managed care on - United States
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Papers presented at the third Institute of Medicine workshop "The Changing Health Care Economy," held April 18-19, 1991, supported by the Howard Hughes Medical Institute, Pfizer, Inc., and the Health Industry Manufacturers Association.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: ""Technology and Health Care in an Era of Limits""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""List of Abbreviations""; ""Part I Setting the Stage""; ""1 Introduction""; ""References""; ""2 Innovation and the Policies of Limits in a Changing Health Care Economy""; ""THE SHAPE OF MEDICINE'S BENEFIT-UTILIZATION CURVE""; ""WHICH RATE IS RIGHT?""; ""REFORM OF THE DOCTOR-PATIENT RELATIONSHIP""; ""LINKAGE BETWEEN THE SUPPLY OF RESOURCES AND MEDICINE'S IMPLICIT THEORIES OF EFFICACY""; ""SEEKING LIMITS""; ""INNOVATION AND THE POLICIES OF LIMITS""; ""References""; ""Part II Managing Care in the United States""""3 The Growth of Managed Care in the Private Sector""; ""EMPLOYER-PROVIDED HEALTH CARE BENEFITS IN THE UNITED STATES""; ""MANAGED CARE AND ITS GROWTH IN THE PRIVATE SECTOR""; ""IMPLICATIONS OF MANAGED CARE FOR TECHNOLOGY DEVELOPMENT AND DISSEMINATION""; ; ""References""; ""4 Managing Medical Practice: The Potential of HMOs""; ""MANAGING CARE AT GHC""; ""BREAST CANCER SCREENING""; ""THE HMO AS EFFECTIVENESS LABORATORY""; ""CONCLUSION""; ""References""; ""5 Cost Containment Efforts in the Public Sector: Oregon's Priority List""; ""RATIONALE AND BACKGROUND""""RANKING METHODOLOGY""; ""RESULTS""; ""DISCUSSION""; ""ACKNOWLEDGMENTS""; ""References""; ""Part III Managing Care in the United Kingdom and Canada""; ""6 Priority Setting in a Needs-based System""; ""PROBLEMS OF THE BRITISH HEALTH CARE SYSTEM""; ""THE ""REFORMED"" BRITISH HEALTH CARE SYSTEM""; ""IMPLICATIONS FOR TECHNOLOGICAL ADVANCE IN MEDICINE""; ""RATIONING HEALTH CARE: IS IT ETHICAL?""; ""7 The Meeting of the Twain: Managing Health Care Capital, Capacity, and Costs in Canada""; ""WHAT MAKES CANADIAN HEALTH CARE DIFFERENT?""; ""SO HOW DOES CANADA DO IT?""; ""Managing Operations""""Managing Capital""; ""FROM MACRO- TO MICROMANAGEMENT AND BACK AGAIN?""; ""THE FUTURE OF HEALTH CARE MANAGEMENT IN CANADA""; ""References""; ""Part IV Implications for Providers""; ""8 New Technology Adoption in the Hospital""; ""NEW TECHNOLOGY: WHAT ARE ITS COMPONENTS?""; ""FACTORS INFLUENCING THE ADOPTION AND USE OF TECHNOLOGY""; ""Method of Financing""; ""Recovery of Operating Costs""; ""Regulatory Equity""; ""Level of Competition""; ""Other Factors That Influence the Adoption of New Technology""; ""Hidden New Technology""; ""SUMMARY""; ""REFERENCES""; ""9 Physicians' Acquisition and Use of New Technology in an Era of Economic Constraints""""DIFFUSION OF MAGNETIC RESONANCE IMAGING INTO CLINICAL PRACTICE""; ""Regulation of Magnetic Resonance Imaging Acquisition""; ""The Food and Drug Administration""; ""Certificate of Need Regulations""; ""Reimbursement for Magnetic Resonance Imaging""; ""Competition Over Magnetic Resonance Imaging""; ""Summary: The Acquisition of Magnetic Resonance Imaging""; ""TECHNOLOGY ACQUISITION IN THE ""NEW HEALTH CARE"" ERA""; ""Nature of Technology""; ""Hospitals and Regulation""; ""Competition for Patients""; ""Reimbursement""