Abstract
When neurosurgeon Lars Leksell and radiobiologist Börje Larsson first collaborated to use the proton beam at the University of Uppsala in Sweden, one would doubt that they were concerned whether the procedure would be reimbursed by the health care system. The development of radiosurgery throughout the 1950s to 1970s was largely funded by private and public research monies. According to Professor Erik-Olof Backlund, MD, PhD, during the early era of radiosurgery, procedures by Lawrence’s group (using heavy particles at Berkeley), Kjellberg (using the cyclotron at Harvard University), and Leksell (who traveled from Stockholm to Uppsala to use the proton beam to treat patients) were either free to patients or the physician accepted what the patient was able to pay (E.O. Backlund, personal conversations, 1996–1999).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Backlung EO. The history and development of radiosurgery. In: Lunsford LD, ed. Stereotactic Radiosurgery Update. New York: Elsevier, 1992:3–9.
Lunsford LD, Flickinger J, Lindner G, et al. The stereotactic radiosurgery of the brain using the first United States 201 cobalt-60 source Gamma Knife. Neurosurgery 1989; 24(2):151–159.
Code of Federal Regulations, Title 21—Food and Drugs. Subchapter H—Medical Devices. Volume 8. 21 CFR 8. U.S. Government Printing Office, 2005. Available at http://www.gpoaccess.gov/cfr/index.html [all dates].
The Food and Drug Administration. Information on Premarket Approval Applications. FDA, 2007. Available at http://www.fda.gov/cdrh/pmapage.html.
The Food and Drug Administration. 510K Premarket Notification Searchable Database. (510K numbers K984563, K923522, and K913174). FDA, 2007. Available at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm.
Code of Federal Regulations, Title 10—Nuclear Regulatory Commission. Part 35—Medical Use of Byproduct Materials. 10 CFR 35. U.S. Government Printing Office, 2007. Available at http://www.gpoaccess.gov/cfr/index.html [all dates].
United States Nuclear Regulatory Commission. Office of Nuclear Material Safety and Safeguards Communications. RIS 2005-23, October 7, 2005.
Getzen TE. Management and regulations of hospital costs. In: Health Economics, Fundamentals and Flow of Funds, 2nd ed. New York: John Wiley & Sons, 2004:175–196.
University Hospital Consortium Services Corporation, Clinical Practice Advancement Center. Stereotactic Radiosurgery. Oak Brook, IL: UHCSC, 1995.
Ott K. A comparison of craniotomy and Gamma Knife charges in a community-based Gamma Knife center. Stereotact Funct Neurosurg 1996; 66(Suppl 1):357–364.
Healthcare Cost and Utilization Project. 2007. Available at http://hcup.ahrq.gov/.
Pearman WA, Starr P. Medicare: A Handbook on the History and Issues of Health Care Services for the Elderly. New York: Garland, 1988.
Centers for Medicare and Medicaid Services. Medicare & You Handbook. Washington, DC: U.S. Government Printing Office, 2007.
Berger SH. Fundamentals of Health Care Financial Management, 2nd ed. San Francisco: Jossey-Bass, 2002.
Code of Federal Regulations, Parts 419 and 485. Nov. 10, 2005: Vol. 70. No. 217. 42 68515–69040. Washington, DC: U.S. Government Printing Office.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Emerick, R. (2008). Regulatory and Reimbursement Aspects of Radiosurgery. In: Chin, L.S., Regine, W.F. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71070-9_67
Download citation
DOI: https://doi.org/10.1007/978-0-387-71070-9_67
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-71069-3
Online ISBN: 978-0-387-71070-9
eBook Packages: MedicineMedicine (R0)