Technology And Health Care In An Era Of Limits (medical Innovation At The Crossroads, Vol 3)

Pt. I. Setting The Stage. 1. Introduction / Gerald D. Laubach, John E. Wennberg And Annetine C. Gelijns. 2. Innovation And The Policies Of Limits In A Changing Health Care Economy / John E. Wennberg -- Pt. Ii. Managing Care In The United States. 3. The Growth Of Managed Care In The Private Sector / Michael Soper And David Ferriss. 4. Managing Medical Practice: The Potential Of Hmos / Edward H. Wagner. 5. Cost-containment Efforts In The Public Sector: Oregon's Priority List / H. Gilbert Welch And Elliott S. Fisher -- Pt. Iii. Managing Care In The United Kingdom And Canada. 6. Priority Setting In A Needs-based System / Alan Williams. 7. The Meeting Of The Twain: Managing Health Care Capital, Capacity, And Costs In Canada / Morris L. Barer And Robert G. Evans -- Pt. Iv. Implications For Providers. 8. New Technology Adoption In The Hospital / Paul F. Griner. 9. Physicians' Acquisition And Use Of New Technology In An Era Of Economic Constraints / Bruce J. Hillman. Annetine C. Gelijns, Editor ; Committee On Technological Innovation In Medicine, Institute Of Medicine. 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. Includes Bibliographical References And Index. The U.S. health care system is in a state of flux, and changes currently under way seem capable of exerting sizable effects on medical innovation. This volume explores how the rapid transition to managed care might affect the rate and direction of medical innovation. The experience with technological change in medicine in other nations whose health care systems have "single-payer" characteristics is thoroughly examined. Technology and Health Care in an Era of Limits examines how financing and care delivery strategies affect the decisions made by hospital administrators and physicians to adopt medical technologies. It also considers the patient's stake in the changing health care economy and the need for a stronger independent contribution of patients to the choice of technology used in their care. Finally, the volume explores the impact of changes in the demand for medical technology in pharmaceutical, medical device, and surgical procedure innovation. Examines how financing and care delivery strategies affect the decisions made by hospital administrators and physicians to adopt medical technologies. This book also considers the patient's stake in the health care economy and the need for a stronger independent contribution of patients to the choice of technology used in their care.