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Medical Technology in the United Kingdom

Published online by Cambridge University Press:  10 March 2009

Barbara Stocking
Barbara Stocking
Affiliation:
King's Fund Centre
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Extract

This article describes and explains the impact of the National Health Service bureaucracy on the diffusion of medical technology in the United Kingdom. Through case studies of six medical technologies, the author demonstrates how health care authorities may exercise significant control by using the central financing system to dampen the general diffusion of technology. However, the United Kingdom has less control in specific cases due to the absence of a bureaucratic body to coordinate the evaluation and introduction of new technology.

Type
Special Section: Health Care Systems and the Diffusion of Technology, Part I
Information
International Journal of Technology Assessment in Health Care , Volume 4 , Issue 2 , April 1988 , pp. 171 - 183
Copyright
Copyright © Cambridge University Press 1988

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References

REFERENCES

Central Statistical Office. Annual abstracts of statistics No. 21. London: HMSO, 1985.Google Scholar
Challah, S. et al. , Negative selection of patients for dialysis and transplantation in the United Kingdom. British Medical Journal, 1984, 288, 1119–1122.CrossRefGoogle ScholarPubMed
DHSS, Letter to Regional Medical Officers, 08 25, 1978.Google Scholar
DHSS, Office of the Chief Scientist. Costs and benefits of the heart transplantation programs at Harefield and Papworth Hospital. Research report no. 12. London: HMSO, 1985.Google Scholar
DHSS, Scottish Home and Health Department, Welsh Office, DHSS Northern Ireland. Health technology assessment: Health equipment information, 141, London: HMSO, 1985.Google Scholar
English, T. A. H. et al. , The United Kingdom cardiac surgery register, 1977–1982. British Medical Journal, 1984, 289, 1205–1208.CrossRefGoogle Scholar
Health Services Development Circular. Organization of radiotherapyservices for the treatment of cancer, 1978.Google Scholar
Laing, W.End stage renal failure. OHE Briefing, 1980.Google Scholar
Laing, W.Renal failure: A priority in health?. OHE Briefing, 1980.Google Scholar
Levitt, R., & Wall, A.The reorganized NHS, 3rd ed.London: Croom Helm, 1985.Google Scholar
Minerva News and Notes. British Medical Journal, 1985, 290, 644.CrossRefGoogle Scholar
King's Fund. Consensus development conference: Coronary artery bypass grafting– consensus statement. British Medical Journal, 1984, 289 1527–1529.CrossRefGoogle Scholar
Royal College of Physicians of London and Royal College of Surgeons of England. Second report of a joint cardiology committee of the Royal College of Physicians of London and the Royal College of Surgeons of England on combined cardiac centres for investigation and treatment with a note on the requirements of cardiology in hospitals outside such a centre. British Heart Journal, 1980, 43, 211–219.CrossRefGoogle Scholar
Stocking, B. M. Personal communications with D. M. Kinney, DHSS.Google Scholar
Stocking, B. M. Personal communications with officers of the DHSS, NHS, and data from Society of Thoracic and Cardiovascular Surgeons of Great Britain and Ireland.Google Scholar
Stocking, B. M. Personal communications with Dr. Pincherle, DHSS.Google Scholar
Stocking, B. M., & Morrison, S. L.The image and the reality: A case study in medical technology. Oxford and New York: Oxford University Press, 1978.Google Scholar