Expensive health technologies : regulatory and administrative mechanisms in Europe

書誌事項

Expensive health technologies : regulatory and administrative mechanisms in Europe

edited by Barbara Stocking

(Commission of the European Communities health services research series, no. 5)(Oxford medical publications)

Oxford University Press, 1988

  • U.K. : est.

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注記

The proceedings of the EEC Workshop on Regulatory Mechanisms Concerning Expensive Health Technology held in London, 22-25 April 1986 form part I of this book; reports from the ten EEC countries on the policies and regulatory mechanisms form part II of the book

Includes bibliographies and index

内容説明・目次

内容説明

All developed countries have concerns about the place of expensive medical technologies in their health system. Decisions have to be made about which technologies should be introduced and what the extent of their use should be. Countries with differing health care systems have produced various mechanisms to control medical technology. This book describes the methods used by the 10 EEC countries (prior to the entry of Spain and Portugal) to regulate the introduction and use of expensive medical equipment and procedures. The EEC Workshop on Regulatory Mechanisms Concerning Expensive Health Technology, London 22-25 April, 1986 forms the basis for these country reports which assess how policy is implemented, which technologies should be introduced and the extent of their use, how financing is used, planning procedures and other regulatory mechanisms. Also included are more detailed analyses of a number of technologies such as computed tomography, magnetic resonance imaging, renal dialysis and transplantation, lithotripsy, radiotherapy, coronary artery bypass and heart transplantation. The influence of various individuals and groups on the diffusion process was explored for each country, leading to a number of recommendations for European countries individually and collectively.

目次

  • Exchange rates for EEC currencies. Part 1 Proceedings of the workshop: an overview of the systems and regulations concerning medical technology and diffusion of six technologies
  • factors influencing the effectiveness of mechanisms to control medical technology
  • a view from outside
  • heart transplantation in the Netherlands - a case study
  • heart transplantation in the UK - the decision-making context of an economic evaluation
  • the introduction of the first lithotripter in France
  • the process of diffusion of the lithotripter in the Federal Republic of Germany
  • making decisions about medical technology - the need for information
  • financial incentives to change behaviour towards health technology
  • summary and conclusions. Part 2 Regulations concerning expensive health technology - country reports: medical technology in Belgium, Denmark, Ireland, France, the Federal Republic of Germany, Greece, Italy, Luxembourg, the Netherlands and the United Kingdom. Appendices: 1 - EEC workshop on regulatory mechanisms concerning expensive health technology, London 22-25 April 1986 - programme. 2 - EEC workshop on regulatory mechanisms - participants.

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