The Role of Technology in Hospitals

  • G. B. Schatz
  • B. L. Rosen
Part of the Medicolegal Library book series (MEDICOLEGAL, volume 7)


Technology can play many important roles in the operation of the modern hospital. Technology can improve the efficiency of a hospital and improve the quality of care delivered to patients. Some medical technology, however, is quite expensive. Further, the process of integrating new technology is complex and has a far-reaching impact for administrators and doctors. This chapter presents an innovative analytic framework to identify and analyze the key factors — administrative, legal, and medical — which should be examined to prepare for and facilitate technology integration by hospitals and physicians.


Family Physician Kidney Stone Extracorporeal Shock Wave Lithotripsy American Urologic Association Hydraulic Lift 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    First clinical applications were in February 1980. Health Technology Assessment Report, 1 November 1985. Extracorporeal shock wave lithotripsy (ESWL) procedures for the treatment of kidney stones, John R. Farrell, M D. National Center for Health Services Research and Health Care Technology Assessment (HTAR).Google Scholar
  2. 2.
    New York State Regulations Title 10 NYCRR Part 709.6.Google Scholar
  3. 3.
    Federal Food, Drug and Cosmetic Act as Amended (FFD&C Act), §515; 21 USC, §360e.Google Scholar
  4. 4.
    FFC&C Act, §520(g); 21 USC, §360j(g).Google Scholar
  5. 5.
    FFC&C Act, §510(k); 21 USC, §360(k).Google Scholar
  6. 6.
    HT AR, p. 12. ESWL is safe and effective for the treatment of urolithiosis in the proximal urinary tract.Google Scholar
  7. 7.
    HTAR, p. 11Google Scholar
  8. 8.
    Report of American Urological Association Ad Hoc Committee to Study the Safety and Clinical Efficacy of Current Technology of Percutaneous Lithotripsy and Non-invasive Litho-tripsy, 16 May 1985, p. 16.Google Scholar
  9. 9.
    Personal communications: MA Fair, RN and B Salzman, MD, Dept. of Urology, New York Hospital Cornell Medical Center NY, NY, August 1985.Google Scholar
  10. 10.
    Scott PJ (1983) Effect of technology on medicine: the changing decision-making process. New Zealand Medical Journal 96: 655–658.PubMedGoogle Scholar
  11. 11.
    Evans FW (1983) Health care technology and the inevitability of resource allocation and rationing decisions. JAMA 249(16): 2208–2219.PubMedCrossRefGoogle Scholar
  12. 12.
    Mandell HN (1983) Technological imperative. Postgraduate Medicine 74(2): 24–26.Google Scholar
  13. 13.
    Russell LB (1982) Appropriate health care technology transfer to developing countries. Health Affairs (Milwood) 1(3): 133–141.CrossRefGoogle Scholar
  14. 14.
    McDermott W, Rogers DE (1983) Technology’s consort. American Journal of Medicine, 74(3): 353–358.PubMedCrossRefGoogle Scholar
  15. 15.
    McDermott, p. 355.Google Scholar
  16. 16.
    McDermott, p. 356.Google Scholar
  17. 17.
    Scott PJ, op.cit.Google Scholar
  18. 18.
    Cousins N (1981) Laymen and medical technology. Annual Review of Public Health 2: 93–Google Scholar
  19. 19.
    Cousins, p. 95.Google Scholar
  20. 20.
    Cousins, p. 96.Google Scholar
  21. 21.
    Cousins, p. 96.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • G. B. Schatz
  • B. L. Rosen

There are no affiliations available

Personalised recommendations