Adopting New Medical Technology

Annetine C. Gelijns and Holly V. Dawkins, Editors; Committee on Technological Innovation in Medicine, Institute of Medicine

• 1 FRONT MATTER; 2 PART I: SETTING THE STAGE; 3 1. INTRODUCTION; 4 2. THE NATURE OF TECHNOLOGICAL CHANGE: INCENTIVES MATTER!; 5 3. THE IMPACT OF TECHNOLOGY ASSESSMENT ON DECISIONS BY HEALTH CARE PROVIDERS AND PAYERS; 6 PART II: PROVIDER DECISIONMAKING; 7 4. ROLE OF THE HOSPITAL IN THE ACQUISITION OF TECHNOLOGY; 8 5. PHYSICIAN; 9 PART III: THIRD PARTY PAYER COVERAGE DECISIONS; 10 6. DECISIONMAKING IN THE HEALTH CARE FINANCING ADMINISTRATION; 11 7. BLUE CROSS AND BLUE SHIELD ASSOCIATION INITIATIVES IN TECHNOLOGY ASSESSMENT; 12 8. KAISER PERMANENTE; 13 9. AUTOLOGOUS BONE MARROW TRANSPLANTATION: A MICROCOSM OF THE U.S. HEALTH CARE SYSTEM; 14 10. TECHNOLOGY ASSESSMENT, BENEFIT COVERAGE, AND THE COURTS; 15 PART IV: INCREASING THE RATIONALITY OF COVERAGE DECISIONMAKING; 16 11. STRENGTHENING THE CONNECTION BETWEEN EVALUATIVE RESEARCH AND COVERAGE DECISIONMAKING; 17 12. MANUFACTURER; 18 13. PAYING FOR EVALUATIVE RESEARCH; 19 14. HEALTH CARE REFORM: SOME REFLECTIONS ON TECHNOLOGY; 20 APPENDIXES; 21 A. WORKSHOP AGENDA; 22 B. CONTRIBUTORS; 23 INDEX