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.

• 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

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.

• 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