Adopting New Medical Technology (1994) / Chapter Skim
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1. INTRODUCTION
1. INTRODUCTION
Pages 3-7
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From page 3... ...
They appear at a time when the United States is engaged in a profound debate about the future of its health care system. President Clinton only recently unveiled his Health Security Plan, the principal objectives of which are to extend access to health care to all Americans, maintain the quality of health care in the United States, and contain the escalating costs of health care (Health Security Act, 1993; The President's Health Security Plan, 19931.
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These days, the care a patient receives is greatly shaped by a myriad of individual coverage and adoption decisions, which can range from a physician's choice of a diagnostic test, to a hospital drug formulary committee's acceptance of a new biotechnology agent, to the decision by an insurance company or health maintenance organization about whether to cover positron emission tomography scanning or lung transplants. Thus, both providers and payers have become important gatekeepers and determinants of the acceptance and utilization of medical interventions.
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From page 5... ...
Such approaches can be problematic, however. It is worth remembering that, in 1990 and 1991, six insurers put forward a proposal to financially support evaluative research at the federal Agency for Health Care Policy and Research.
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They conclude that the current investment in technology assessment and outcomes research is highly inadequate and discuss several mechanisms for improving this situation. In sum, the imminence of health care reform should not obscure the considerable changes that have already taken place in the provision and financing of health care (see Foote, chapter 14~.
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From page 7... ...
PB93-233625KSV. Springfield, Va.: National Technical Information Service, U.S.
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