LEADER 05484nam 2200685 a 450 001 9910778876303321 005 20230331015403.0 010 $a1-280-20362-5 010 $a9786610203628 010 $a0-309-55594-9 010 $a0-585-17750-3 035 $a(CKB)111004366660604 035 $a(EBL)3377062 035 $a(SSID)ssj0000119800 035 $a(PQKBManifestationID)11128672 035 $a(PQKBTitleCode)TC0000119800 035 $a(PQKBWorkID)10072920 035 $a(PQKB)11100905 035 $a(MiAaPQ)EBC3377062 035 $a(Au-PeEL)EBL3377062 035 $a(CaPaEBR)ebr10063022 035 $a(OCoLC)923267802 035 $a(EXLCZ)99111004366660604 100 $a19910412d1991 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 04$aThe Changing economics of medical technology$b[electronic resource] /$fAnnetine C. Gelijns and Ethan A. Halm, editors ; Committee on Technological Innovation in Medicine, Institute of Medicine 210 $aWashington, D.C. $cNational Academy Press$d1991 215 $a1 online resource (224 p.) 225 1 $aMedical innovation at the crossroads ;$vv. 2 300 $aProceedings of a workshop held Dec. 20-21, 1989, supported by the Howard Hughes Medical Institute and the Agency for Health Care Policy and Research of the Dept. of Health and Human Services (grant 5 R09 HS055 26 02). 311 $a0-309-04491-X 320 $aIncludes bibliographical references and index. 327 $a""The Changing Economics of Medical Technology""; ""Copyright""; ""Acknowledgments""; ""Preface""; ""Contents""; ""List of Abbreviations""; ""1 An Introduction to the Changing Economics of Technological Innovation in Medicine ""; ""A DYNAMIC MODEL OF TECHNOLOGICAL INNOVATION IN MEDICINE""; ""THE DYNAMICS OF PHARMACEUTICAL INNOVATION""; ""THE DYNAMICS OF DEVICE INNOVATION""; ""THE DYNAMICS OF SURGICAL INNOVATION""; ""INTERNATIONAL COMPARISONS: EUROPE AND JAPAN""; ""CONCLUDING OBSERVATIONS""; ""NOTES""; ""REFERENCES""; ""2 The Diffusion of New Technology: Costs and Benefits to Health Care "" 327 $a""HOW MUCH DOES NEW TECHNOLOGY ADD TO HEALTH CARE COSTS?""""OPTIMAL DIFFUSION OF TECHNOLOGY: THE COST-EFFECTIVENESS PRINCIPLE""; ""EFFECTS OF REIMBURSEMENT ON THE USE OF NEW TECHNOLOGIES""; ""Hospitals""; ""HMOs and Managed Care Plans""; ""Incentives for Fee-for-Service Physicians""; ""FUTURE DIRECTIONS: HOW TO ACHIEVE COST-EFFECTIVE DIFFUSION OF MEDICAL TECHNOLOGY""; ""NOTE""; ""REFERENCES""; ""3 The Changing Economics of Pharmaceutical Research and Development ""; ""CURRENT TRENDS""; ""R&D Opportunities""; ""R&D Costs""; ""Product Life Cycles""; ""Effective Patent Life""; ""Drug Prices"" 327 $a""RETURN TO PHARMACEUTICAL R&D""""IMPLICATIONS""; ""PUBLIC POLICY CONSIDERATIONS""; ""NOTES""; ""REFERENCES""; ""4 Public Policy and Access to New Drugs: The Case of Cancer Chemotherapy ""; ""CANCER CARE: A SERIES OF INCREMENTAL INNOVATIONS""; ""A PERIOD OF TRANSITION: FROM RAPID GROWTH TO STRICT CONTROL""; ""REIMBURSEMENT POLICIES AND THEIR EFFECT ON THE USE OF NEW TECHNOLOGIES""; ""The Effects of the Prospective Payment System""; ""The Dis-Integration of Care""; ""Growing Patterns of Denial of Payment""; ""Off-Label Use and New Indications""; ""Payment for Investigational Therapies"" 327 $a""EFFECTS OF REIMBURSEMENT POLICIES ON INNOVATION""""The Impact of the PPS on Clinical Research""; ""Decreasing Effective Patent Life""; ""GROWING DISINCENTIVES TO PROVIDING STATE-OF-THE-ART CARE""; ""PROSPECTS FOR THE FUTURE""; ""NOTE""; ""REFERENCES""; ""5 The Impact of Public Policy on Medical Device Innovation: A Case of Polyintervention ""; ""THE ASSESSMENT: PUBLIC POLICIES AND MEDICAL DEVICE INNOVATION""; ""The Limits of the Traditional Models of Innovation""; ""The Pivotal Role of Public Policy""; ""THE MEDICAL DEVICE INDUSTRY AS PATIENT"" 327 $a""THE EVALUATION: THE IMPACT OF POLYINTERVENTION""""Case Study: Lithotripsy""; ""Case Study: Intraocular Lenses""; ""TREATMENT OPTIONS: IMPROVING THE PUBLIC POLICY ENVIRONMENT""; ""Fine-tuning Individual Policies""; ""Understanding Polyintervention""; ""CONCLUSION""; ""NOTE""; ""REFERENCES""; ""6 The Dynamics of Medical Device Innovation: An Innovator's Perspective ""; ""PATENTS""; ""WHO DOES R&D?""; ""FINANCING OF INNOVATION""; ""REGULATORY DIFFERENCES""; ""THE ROLE OF LIABILITY""; ""REIMBURSEMENT""; ""CONCLUSIONS""; ""SELECTIVE BIBLIOGRAPHY"" 327 $a""7 Reimbursement and the Dynamics of Surgical Procedure Innovation "" 410 0$aMedical innovation at the crossroads ;$vv. 2. 606 $aMedical innovations$xEconomic aspects$vCongresses 606 $aPharmaceutical industry$xTechnological innovations$xEconomic aspects$vCongresses 615 0$aMedical innovations$xEconomic aspects 615 0$aPharmaceutical industry$xTechnological innovations$xEconomic aspects 676 $a338.43/61/028 701 $aGelijns$b Annetine$01528675 701 $aHalm$b Ethan A$01576696 712 02$aInstitute of Medicine (U.S.).$bCommittee on Technological Innovation in Medicine. 712 02$aHoward Hughes Medical Institute. 712 02$aUnited States.$bAgency for Health Care Policy and Research. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910778876303321 996 $aThe Changing economics of medical technology$93854619 997 $aUNINA