Bibliographic Information

The Changing economics of medical technology

Annetine C. Gelijns and Ethan A. Halm, editors ; Committee on Technological Innovation in Medicine, Institute of Medicine

(Medical innovation at the crossroads, v. 2)

National Academy Press, 1991

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Note

Proceedings 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)

Includes bibliographical references and index

Description and Table of Contents

Description

Americans praise medical technology for saving lives and improving health. Yet, new technology is often cited as a key factor in skyrocketing medical costs. This volume, second in the Medical Innovation at the Crossroads series, examines how economic incentives for innovation are changing and what that means for the future of health care. Up-to-date with a wide variety of examples and case studies, this book explores how payment, patent, and regulatory policies?as well as the involvement of numerous government agencies?affect the introduction and use of new pharmaceuticals, medical devices, and surgical procedures. The volume also includes detailed comparisons of policies and patterns of technological innovation in Western Europe and Japan. This fact-filled and practical book will be of interest to economists, policymakers, health administrators, health care practitioners, and the concerned public. Table of Contents Front Matter 1. An Introduction to the Changing Economics of Technological Innovation in Medicine 2. The Diffusion of New Technology: Costs and Benefits to Health Care 3. The Changing Economics of Pharmaceutical Research and Development 4. Public Policy and Access to New Drugs: The Case of Cancer Chemotherapy 5. The Impact of Public Policy on Medical Device Innovation: A Case of Polyintervention 6. The Dynamics of Medical Device Innovation: An Innovator's Perspective 7. Reimbursement and the Dynamics of Surgical Procedure Innovation 8. European Policies Influencing Pharmaceutical Innovation 9. Medical Device Innovation and Public Policy in the European Economic Community 10. Japan's Pharmaceutical Industry Postwar Evolution Appendix A: The Impact of Regulation and Reimbursement on Pharmaceutical Innovation Appendix B: The Economics of Pharmaceutical Research and Development: An Industry Persepective Appendix C: Contributors Index

Table of Contents

  • 1 Front Matter
  • 2 1. An Introduction to the Changing Economics of Technological Innovation in Medicine
  • 3 2. The Diffusion of New Technology: Costs and Benefits to Health Care
  • 4 3. The Changing Economics of Pharmaceutical Research and Development
  • 5 4. Public Policy and Access to New Drugs: The Case of Cancer Chemotherapy
  • 6 5. The Impact of Public Policy on Medical Device Innovation: A Case of Polyintervention
  • 7 6. The Dynamics of Medical Device Innovation: An Innovator's Perspective
  • 8 7. Reimbursement and the Dynamics of Surgical Procedure Innovation
  • 9 8. European Policies Influencing Pharmaceutical Innovation
  • 10 9. Medical Device Innovation and Public Policy in the European Economic Community
  • 11 10. Japan's Pharmaceutical Industry Postwar Evolution
  • 12 Appendix A: The Impact of Regulation and Reimbursement on Pharmaceutical Innovation
  • 13 Appendix B: The Economics of Pharmaceutical Research and Development: An Industry Persepective
  • 14 Appendix C: Contributors
  • 15 Index

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