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From Planning to the Market: Changes in Hospital Approaches to Medical Technology

  • Ann Lennarson Greer
Part of the Management of Medical Technology book series (MOMT, volume 1)

Abstract

Medical procedures and technologies have expanded explosively over the last thirty years, presenting immense challenges to U.S. hospitals, typically free-standing nonprofit community institutions governed by boards of private citizens or religious orders. The potential of such hospitals to make ill-advised and costly decisions has been a constant theme of policy for two decades. A common perception is that hospital medical technologies diffuse among community hospitals too rapidly and too broadly, with too much costly duplication and without regard for under-use. This contributed in the 1970s to the introduction of governmental mechanisms for health planning and regulation and, in the 1980s, of prospective payment schemes and the market place for health care. This paper examines the technology decision processes of hospitals and hospital doctors between 1976 and 1990, the period when the U.S. experimented with governmental planning and regulation, then phased it out in favor of prospective payment and the market place for health care.

Keywords

Medical Technology Community Hospital Chief Executive Officer Planning Agency Hospital Administrator 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Ann Lennarson Greer
    • 1
  1. 1.Department of SociologyUniversity of Wisconsin-MilwaukeeMilwaukeeUSA

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