Subject(s)
Medical Laboratory Science/trends , Technology Assessment, Biomedical , Equipment and Supplies, Hospital/economics , Equipment and Supplies, Hospital/statistics & numerical data , Financial Management, Hospital/organization & administration , Health Care Costs , Health Planning/economics , Health Policy/legislation & jurisprudence , Health Policy/trends , Humans , Medical Laboratory Science/economics , South Africa , Technology Assessment, Biomedical/economicsABSTRACT
The word 'economics' is used in this paper in its widest sense, referring to issues that 'influence the management, regulation and government of an enterprise'. In addition to the obvious monetary issues in health-care technology, social, ethical, legal and cultural issues are also discussed. The eventual, generally high cost of health care is definitely influenced to a greater or lesser extent by these factors. It is suggested that proper evaluation during the planning stage could lead to the development and introduction of technologies into health care in a more cost-effective way.
Subject(s)
Health Care Costs , Health Care Rationing , Medical Laboratory Science/economics , Health Resources , South Africa , United StatesABSTRACT
Solutions to cost escalation due to health-care technology are proposed. It is argued that proper systems analysis, technology assessment, and planning would result in net savings and improved cost-benefits. Identification of needs early in the technological life cycle can positively influence the final form of the chosen technology. A national centre for technology assessment is proposed. Arguments in favour of a local medical equipment manufacturing industry, emulating overseas examples, are advanced, appropriateness being the main criterion. Analysis of the cost breakdown of imported technology suggests ways of reducing costs considerably, while stimulating the local economy. Digital telecommunications technology and its application to rural health care is cited as an example of a potentially worthwhile investment in making overall coverage more equitable.
