This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (42) Citing Articles via Google Scholar Google Scholar Articles by Gelijns, A. Articles by Rosenberg, N. Search for Related Content PubMed PubMed Citation Articles by Gelijns, A. Articles by Rosenberg, N. Related Collections Research And Technology Health Spending

Health Affairs, Vol 13, Issue 3, 28-46
Copyright © 1994 by Project HOPE

Journal Article

The dynamics of technological change in medicine

This paper contrasts a dynamic and interactive view of technological change with the linear model of medical innovation that is still so deeply ingrained in many policy discussions. In particular, it focuses on the role of feedback mechanisms between the users and the developers of medical technology and the demand and supply forces (including competition among medical specialties) determining this feedback. It explores three distinct mechanisms by which technological change may contribute to rising health care spending: intensity of use of existing technology, introduction of new technologies, and expanded application of these new technologies.

                      What's this?

This article has been cited by other articles:

				S. Bisset and L. Potvin Expanding our conceptualization of program implementation: lessons from the genealogy of a school-based nutrition program Health Educ. Res., October 1, 2007; 22(5): 737 - 746. [Abstract] [Full Text] [PDF]

				T. Bodenheimer High and Rising Health Care Costs. Part 3: The Role of Health Care Providers Ann Intern Med, June 21, 2005; 142(12_Part_1): 996 - 1002. [Abstract] [Full Text] [PDF]

				T. Bodenheimer High and Rising Health Care Costs. Part 2: Technologic Innovation Ann Intern Med, June 7, 2005; 142(11): 932 - 937. [Abstract] [Full Text] [PDF]

				A. C. Gelijns, L. D. Brown, C. Magnell, E. Ronchi, and A. J. Moskowitz Evidence, Politics, And Technological Change Health Aff., January 1, 2005; 24(1): 29 - 40. [Abstract] [Full Text] [PDF]

				M. E. Chernew, R. A. Hirth, S. S. Sonnad, R. Ermann, and A. M. Fendrick Managed Care, Medical Technology, and Health Care Cost Growth: A Review of the Evidence Med Care Res Rev, September 1, 1998; 55(3): 259 - 288. [Abstract] [PDF]

				K. Jeffrey and V. Parsonnet Cardiac Pacing, 1960–1985 : A Quarter Century of Medical and Industrial Innovation Circulation, May 19, 1998; 97(19): 1978 - 1991. [Full Text] [PDF]

				D. Blumenthal, E. G. Campbell, and J. S. Weissman The Social Missions of Academic Health Centers N. Engl. J. Med., November 20, 1997; 337(21): 1550 - 1553. [Full Text]