Adopting New Medical Technology

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National Academies Press, Feb 1, 1994 - Medical - 240 pages
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What information and decisionmaking processes determine how and whether an experimental medical technology becomes accepted and used?
Adopting New Medical Technology reviews the strengths and weaknesses of present coverage and adoption practices, highlights opportunities for improving both the decisionmaking processes and the underlying information base, and considers approaches to instituting a much-needed increase in financial support for evaluative research.
Essays explore the nature of technological change; the use of technology assessment in decisions by health care providers and federal, for-profit, and not-for-profit payers; the role of the courts in determining benefits coverage; strengthening the connections between evaluative research and coverage decisionmaking; manufacturers' responses to the increased demand for outcomes research; and the implications of health care reform for technology policy.

 

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Contents

LIST OF TABLES AND FIGURES
SETTING THE STAGE
THE IMPACT OF TECHNOLOGY ASSESSMENT ON DECISIONS BY HEALTHCARE 49
PROVIDER DECISIONMAKING
PHYSICIANS DECISIONS REGARDING THE ACQUISITION OF TECHNOLOGY 71
THIRD PARTY PAYER COVERAGE DECISIONS
BLUE CROSS AND BLUE SHIELD ASSOCIATION INITIATIVES IN TECHNOLOGY ASSESSMENT 96
A MICROCOSM OF THE U S HEALTH 109
TECHNOLOGY ASSESSMENT BENEFIT COVER AGE AND THE COURTS 117
STRENGTHENING THE CONNECTION BETWEEN EVALUATIVE RESEARCH AND COVERAGE 127
MANUFACTURERS RESPONSES TO THE INCREASED DEMAND FOR OUTCOMES 152
PAYING FOR EVALUATIVE RESEARCH Alan M Garber and Douglas K Owens 172
SOME REFLECTIONS
206
217
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