The Technology Explosion in Medical Science: Implications for the Health Care Industry and the Public (1981-2001)

160 Pages·1983·4.557 MB·English

by  Theodore Cooper M.D. (auth.), James R. Gay M.D., Barbara J. Sax Jacobs J.D. (eds.)

THE TECHNOLOGY EXPLOSION
IN MEDICAL SCIENCE:
Impllcadons for the Health Care Industry
and the Public (.98 ... 200.)
Monographs in Health Care Administration
Series Editor, Samuel Levey, Ph.D., University of Iowa
Volume 1:
Competition in the Marketplace: Health Care in the 1980's
Edited by James R. Gay and Barbara J. Sax Jacobs
Volume 2:
The Technology Explosion in Medical Science: Implications
for the Health Care Industry and the Public (1981-2001)
Edited by James R. Gay and Barbara J. Sax Jacobs
The Technology Explosion
in Medical Science:
Implications for the
Health Care Industry
and the Public (1981 .. 2001)
Edited by
James R. Gay, M.D.
Barbara J. Sax Jacobs, J.D.
SP
IIII11
SP MEDICAL & SCIENTIFIC BOOKS
a division of Spectrum Publications. Inc.
New York· London
Copyright © 1983 Spectrum Publications, Inc.
Softcover reprint of the hardcover 1s t edition 1983
All rights reserved. No part of this book may be reproduced
in any form, by photostat, microform, retrieval system, or
any other means without prior written permission of the copy
right holder or his licensee.
SPECTRUM PUBLICATIONS, INC.
175-20 Wexford Terrace, Jamacia, N. Y. 11432
Library of Congress Cataloging in Publication Data
Frank M. Norfleet Forum (2nd: 1981: University of
Tennessee Center for the Health Sciences)
The technology explosion in medical science.
(Monographs in health care administration; v. 2)
Bibliography: p.
1. Medical innovations--Congresses. 2. Medical
innovations--Economic aspects--Congresses. I. Gay,
James R. II. Jacobs, Barbara J. Sax. III. Title.
IV. Series. [DNLM: 1. Technology assessment, Biomedical
--Congresses. 2. Technology--Trends--Congresses.
3. Delivery of health care--Trends--Congresses.
4. Medicine--Trends--Congresses. W1 M0567N v. 2/W 84.1
T 255 1981]
R856.A2F7 1981 338.4'5613621'0973 82-16763
ISBN 978-94-011-7401-5 ISBN 978-94-011-7399-5 (eBook)
DOl 10.1007/978-94-011-7399-5
The Frank Norfleet Forum
for the Advancement of Health
THE UNNERSITY OF TENNESSEE
CENTER FOR THE HEALTH SCIENCES
EDITORIAL STAFF
James R. Gay, M. D., Editor
Director of Special Programs
The University of Tennessee
Center for the Health Sciences
Barbara J. Sax Jacobs, J.D., Editor
Research Associate (Administrative)
Office of the Vice Chancellor for
Academic Affairs
The University of Tennessee
Center for the Health Sciences
Cynthia B. Kent, Administrative Secretary
Office of Special Programs
The University of Tennessee
Center for the Health Sciences
ACKNOWLEDGMENT
The Office of the Norfleet Forum consists of the direc
tor and an administrative secretary who devote a substantial
part of their time toward planning and coordinating this
annual event. The efforts of a large number of volunteers
who are university employees is necessary for successful
production of the Norfleet Forum.
Chancellor James C. Hunt, M. D., the Trustees, and
numerous individual faculty and staff members serving on
small task forces assisted the director in designing the
format, defining the content and selecting the participants.
The Director is grateful for all persons who contributed
ideas, time and effort to all aspects of the forum process.
Barbara Sax Jacobs and Cynthia Brock Kent assumed
major responsibility for editing the proceedings and prepar
ing the final manuscript. Their dedication to this important
task was exceptional.
The contributors to this volume are representative of a
small group of elite thinkers who provide an inexhaustable
well of ideas needed for solving the most pressing of the
socio-economic problems of the nation. The Director is
grateful for their generosity in preparing the content of the
Forum and assisting in the completion of the proceedings.
The Trustees thank Dunbar Abston, Sr., Frank and
Jean Norfleet, Norfleet Turner, Sam H. Sanders, M. D., Sam
Cooper, and Texas Gas Transmission for the contributions
that support the Norfleet Forum. Mr. Maurice Ancharoff and
the staff of Spectrum Publ ications, In corporated are cited by
the Editors for their exceptional interest and cooperation.
CONTRIBUTORS
H. David Banta, M.D., M.P.H.
Assistant Director
United States Congress
Office of Technology Assessment
Washington, D. C.
Theodore Cooper, M. D., Ph. D.
Executive Vice President
The Upjohn Company
Kalamazoo, Michigan
Ruth S. Hanft
Senior Research Associate
Association of Academic Health Centers
Washington, D. C.
Clark C. Havighurst, J. D.
Professor of Law
Duke University
Durham, North Carolina
Stephen C. Joseph, M.D., M.P.H.
Chief of Pediatrics, Locum Tenens
Grenfell Regional Health Services
St. Anthony, Newfoundland
Canada
J. Michael McGinnis, M.D., M.P.P.
Deputy Assistant Secretary for Health
and Assistant Surgeon General
Department of Health and Human Services
Washington, D.C.
Robert H. Moser, M. D., F. A. C. P.
Executive Vice President
American College of Physicians
Philadelphia, Pennsylvania
Arnold S. Reiman, M.D.
Editor
New England Journal of Medicine
Boston, Massachusetts
Benson B. Roe, M.D.
Professor of Surgery
University of California
San Francisco, California
J. Michael Schiffer
Di rector of Group I nsurance Government Relations
Connecticut General Life I nsurance Company
Hartford, Connecticut
Milton C. Weinstein, Ph. D.
Professor of Policy and Decision Sciences
Harvard School of Public Health
Boston, Massachusetts
FOREWORD
The second annual Frank M. Norfleet Forum for the
Advancement of Health was convened November 30, December
1 and 2, 1981 at The University of Tennessee Center for the
Health Sciences, Memphis, Tennessee.
The Norfleet Forum is a continuing series of discussions
on issues related to national health policy and organization of
health care at all levels.
Application of the competitive model for containing costs
and assuring high quality of medical care (1980 Forum) is
jeopardized in part by rapid introduction of expensive medi
cal technology.
Decision-makers in business and industry, government
and health care provider groups recognize the benefits of
high technology and are reluctant to impose controls that
might reduce the effective level of scientific creativity.
And yet, some technologies are rushed into routine use
before their efficacy and safety are assured, and without
measuring the benefits to be achieved against the harsh
reality of cost.
In this volume, 11 of the worldls experts on technology
issues summarize current ideas for understanding and coping
with the technological imperative of the 1980s.
James R. Gay, M.D.
Di rector, The Norfleet Forum