The Economics of Medical Technology Proceedings of an International
Technological development has created major possibilities for the treatment of disease and for the disabled. The cost of new technologies has added considerably to health care cost intlation, which still exceeds the growth rates of most national economies
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EEH. Rutten S.l. Reiser (Eds.)
The Economics of Medical Technology Proceedings of an International Conference on Economics of Medical Technology
With 8 Figures and 21 Tables
Springer-Verlag Berlin Heidelberg New York London Paris Tokyo
Frans F. H. Rutten, Professor Dr. Department of Health Economics Rijksuniversiteit Limburg P.O. Box 616, 6200 MD Maastricht The Netherlands Stanley J. Reiser, M.D., Ph.D. Griff T. Ross Professor of Humanities and Technology in Health Care The University of Texas Health Science Center at Houston P. O. Box 20708, 6431 Fannin, Suite 1.500 Houston, Texas 77225 USA
ISBN- 13: 978-3-540-17984-9
e-ISBN- I 3: 978-3-642-72785-6
001: 10. I 007/978-3-642-72785-6
Library of Congress Cataloging-in-Publication Data International Conference on Economies of Medical Technology (1985 : Valkenburg, Limburg, Netherlands.) The economics of medical technology. (Health systems research) Held at Valkenburg, Limburg, Netherlands, Sept. 2-4, 1985. 1. Medical technology-Economic aspects-Congresses. 2. Technology assessment-Economic aspects-Congresses. I. Rutten, F.F.H. II. Reiser, Stanley Joel. III. Title. IV. Series. [DNLM: 1. Biotechnology-economies-congresses. 2. Economics, Medical-congresses. 3. Technology Assessment, Biomedical-economics-congresses. W 74 15ge 1985] R855.2.I58 1985 338.4'766'06 87-23499 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9,1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1988 The use of general descriptive names, trade marks, etc. in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. 2119/3145-543210
Table of Contents
1 Introduction.....................
1
2 The Early Assessment of Health Care Technology: Introducing the Artificial Heart S. J. Reiser. . . . . . . . . . . . . . . . . . . . . .
3
3 The Marketplace for Medical Technology B. Abel-Smith . . . . . . . . . . . . . . .
10
4 The Transfer of Medical Technology in Developing Countries: The Case of Brazil H. D. Banta . . . . . . . . . . . . . . . . . . . . .
16
5 Public Control of the Diffusion of Health Technology F. F. H. Rutten, J. M. Greep, and G. H. M. G. Haan . .
25
6 Diffusion of Medi
