Health Care, Technology, and the Competitive Environment

by Henry P. Brehm, Ross Mullner

Overview

Examining the combined impact of technology and the increasingly competitive market on the delivery and financing of health care, this volume makes a significant contribution to an issue of major importance to the American people. Health care has become a major industry that is changing rapidly and strikingly. This contributor volume focuses on the interplay among technology, the changing environment of health care, and its implications for future technological innovation. Particular focus is placed on the hospital in light of changes in federal funding (Medicare's prospective payment system, using diagnosis-related groups) with its orientation towards cost efficiency and cost-reducing technology. Academics, practitioners, and government personnel involved in hospital management, health care, and policy will find this volume a major resource.

This book is a collection of 18 papers by leading authorities inspired by the 1987 Conference on Health Technology Adoption in a DRG Age. It is divided into four sections: Technology and Health Care Content; Technology and the Health Care Organization; Technology and the Changing Environment; Implications for Technology Policy

Product Details

ISBN-13:	9780275930332
Publisher:	Bloomsbury Academic
Publication date:	11/20/1989
Pages:	290
Product dimensions:	6.14(w) x 9.21(h) x 0.69(d)

About the Author

HENRY P. BREHM is Associate Professor of Sociology at the University of Maryland, Baltimore County. His writings are in the areas of medical care organization and financing, aging, and disability, including coauthorship of a trilogy of books on social insurance policy issues subtitled: From Social Problem to Federal Program.

ROSS M. MULLNER is Associate Professor and Director of the Center for Health Services Research at the University of Illinois at Chicago. His extensive writings include such topics as hospital health care technology, capital finance, hospital closure and medical technology.

Table of Contents

Preface
Introduction: The Changing Scene in Hospital Care
Technology and Health Care Content
Categories of Medical Technology
Biotechnology and Health Care: The Potential Impact on Care, Content, Approaches, and Settings
Technological Innovations and Their Impact on Care Delivery
Assessment of Medical Technologies in Support of Peer Review: Outcomes of In-Hospital Care in 1983-1985
Technology and the Health Care Organization
The Adoption and Diffusion of Process Technology by Industrial Organizations: Insights for the Health Care Industry?
Decision-Making for Technology: The Hospital Perspective
The Myth of Reimbursement-Controlled Purchasing in Hospitals
Technological and Cost Implications of Changing Hospital Staffing Patterns
Health Care Technology Market Testing and Marketing: An Industry Perspective
Prospective Payment in the ESRD Program: Implications for Technology and Program Administration
Medical Technology Meets DRGs: Acquiring Magnetic Resonance Imaging under Prospective Payment
Technology and the Changing Environment
The Legal and Economic Realities for Health Technology in the United States
Implications of Recent Medicare Changes upon Hospital Technology
Trends in Hospital Capital and the Prospective Payment System: Issues and Implications
The Effects of a Competitive Health Care Environment on the Adoption of Medical Technology
The Impact of Multihospital System Affiliation on Decision-Making for Technology Adoption and Utilization
Implications for Technology Policy
Technology, Social Policy, and Social Change
Bibliography
Index

Editorial Reviews

A collection of 18 papers inspired by the 1987 Conference on Health Technology Adoption in a DRG Age, Boston U., Sept. 1987. Four sections cover technology and health care content, technology and the health care organization, technology and the changing environment, and implications for technology policy. Even a brief scan will acquaint the reader with the effects of a monstrous and rigid bureaucracy attempting to control costs and appear humane while hospitals and physicians push "best care" and pocket as much as can be billed. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Booknews