作者: Thomas W. Moloney , David E. Rogers
DOI: 10.1056/NEJM197912273012603
关键词: Marketing 、 Computed tomographic 、 Use of technology 、 Physician reimbursement 、 Conviction 、 Incentive 、 Class (computer programming) 、 Control (management) 、 Medicine 、 Health technology
摘要: There is a growing conviction that medical technologies are major contributors to escalating costs, and regulating them generally viewed as the least contentious way control expenses in 1980's. Five forms of technology being discussed or developed. All aim reduce costs by controlling big, expensive class computed tomographic (CT) scanning. We present evidence such CT scanner account for far less growth expenditures than do collective thousands small tests procedures. Furthermore, we suggest each strategy large involves substantial practical conceptual problems would severely limit its effectiveness. thus shift away from attempts harness big technologies, toward incentives encourage more discerning use all technologies. To this end, propose changes physician reimbursement education expanded insurance physicians hospitals be selective technology.