Americans praise medical technology for saving lives and improving health. Yet, new technology is often cited as a key factor in skyrocketing medical costs.
This volume, second in the Medical Innovation at the Crossroads series, examines how economic incentives for innovation are changing and what that means for the future of health care.
Up-to-date with a wide variety of examples and case studies, this book explores how payment, patent, and regulatory policies--as well as the involvement of numerous government agencies--affect the introduction and use of new pharmaceuticals, medical devices, and surgical procedures.
The volume also includes detailed comparisons of policies and patterns of technological innovation in Western Europe and Japan.
This fact-filled and practical book will be of interest to economists, policymakers, health administrators, health care practitioners, and the concerned public.
What if your cell phone could detect cancer cells circulating in your blood or warn you of an imminent heart attack? Mobile wireless digital devices, including smartphones and tablets with seemingly limitless functionality, have brought about radical changes in our lives, providing hyper-connectivity to social networks and cloud computing. But the digital world has hardly pierced the medical cocoon. Until now.
Beyond reading email and surfing the Web, we will soon be checking our vital signs on our phone. We can already continuously monitor our heart rhythm, blood glucose levels, and brain waves while we sleep. Miniature ultrasound imaging devices are replacing the icon of medicine--the stethoscope. DNA sequencing, Facebook, and the Watson supercomputer have already saved lives. For the first time we can capture all the relevant data from each individual to enable precision therapy, prevent major side effects of medications, and ultimately to prevent many diseases from ever occurring. And yet many of these digital medical innovations lie unused because of the medical community's profound resistance to change. In The Creative Destruction of Medicine
, Eric Topol--one of the nation's top physicians and a leading voice on the digital revolution in medicine--argues that radical innovation and a true democratization of medical care are within reach, but only if we consumers demand it. We can force medicine to undergo its biggest shakeup in history. This book shows us the stakes--and how to win them.
Does radiation medicine need more regulation or simply better-coordinated regulation? This book addresses this and other questions of critical importance to public health and safety. The issues involved are high on the nation's agenda: the impact of radiation on public safety, the balance between federal and state authority, and the cost-benefit ratio of regulation. Although incidents of misadministration are rare, a case in Pennsylvania resulting in the death of a patient and the inadvertent exposure of others to a high dose of radiation drew attention to issues concerning the regulation of ionizing radiation in medicine and the need to examine current regulatory practices. Written at the request from the Nuclear Regulatory Commission (NRC), Radiation in Medicine reviews the regulation of ionizing radiation in medicine, focusing on the NRC's Medical Use Program, which governs the use of reactor-generated byproduct materials. The committee recommends immediate action on enforcement and provides longer term proposals for reform of the regulatory system. The volume covers
- Sources of radiation and their use in medicine.
- Levels of risk to patients, workers, and the public.
- Current roles of the Nuclear Regulatory Commission, other federal agencies, and states.
- Criticisms from the regulated community.
The committee explores alternative regulatory structures for radiation medicine and explains the rationale for the option it recommends in this volume. Based on extensive research, input from the regulated community, and the collaborative efforts of experts from a range of disciplines, Radiation in Medicine
will be an important resource for federal and state policymakers and regulators, health professionals involved in radiation treatment, developers and producers of radiation equipment, insurance providers, and concerned laypersons.
This clear and accessible text helps public health professionals gain a solid understanding of geographic information system technology; what it is, how it works, and how it shapes their careers. Using examples drawn from public health practice, the author fully explains this exciting technological development.
The practice of modern medicine and biomedical research requires sophisticated information technologies with which to manage patient information, plan diagnostic procedures, interpret laboratory results, and carry out investigations. Medical Informatics provides both a conceptual framework and a practical inspiration for this swiftly emerging scientific discipline at the intersection of computer science, decision science, information science, cognitive science, and biomedicine. Now revised and in its second edition, this text meets the growing demand by practitioners, researchers, and students for a comprehensive introduction to key topics in the field. Authored by leaders in medical informatics and extensively tested in their courses, the chapters in this volume constitute an effective textbook for students of medical informatics and its areas of application. The book is also a useful reference work for individual readers needing to understand the role that computer can play in the provision of clinical services and the pursuit of biological questions. The volume is organized so as first to explain basic concepts and the to illustrate them with specific systems and technologies. The book has been extensively revised and updated for this second edition, and new topics include: ? Standards in Medical Informatics ? Ethics of Health Informatics: Users, Standards, and Outcomes ? Evaluation and Technology Assessment ? Public Health and Consumer uses of Health Information: Education, Research, Policy, Prevention, and Quality Assurance ? Bioinformatics Edward H. Shortliffe, M.D., Ph.D., is professor and chair of the department of Medical Informatics at Columbia University's College ofPhysicians and Surgeons. A member of the Institute of Medicine and a regent to the American College of Physicians-American Society of Internal Medicine, he is also a fellow of the American College of Medical Informatics and serves on the President's Information Technology advisory Committee. Leslie E. Perreault, M.S., is a director at the First Consulting Group in New York City. A graduate of Stanford University's training program in medical informatics, she has extensive experience as a consultant to healthcare organizations, especially regarding clinical systems and their integration to the enterprise. Gio Wiederhold, Ph.D., is professor of computer science at Stanford University, with courtesy appointments in Medicine and Electrical Engineering . He is a fellow of the American College of Medical Informatics, the IEEE, and the ACM.
The Handbook of Medical Image Processing and Analysis is a comprehensive compilation of concepts and techniques used for processing and analyzing medical images after they have been generated or digitized. The Handbook is organized into six sections that relate to the main functions: enhancement, segmentation, quantification, registration, visualization, and compression, storage and communication.
The second edition is extensively revised and updated throughout, reflecting new technology and research, and includes new chapters on: higher order statistics for tissue segmentation; tumor growth modeling in oncological image analysis; analysis of cell nuclear features in fluorescence microscopy images; imaging and communication in medical and public health informatics; and dynamic mammogram retrieval from web-based image libraries.
For those looking to explore advanced concepts and access essential information, this second edition of Handbook of Medical Image Processing and Analysis is an invaluable resource. It remains the most complete single volume reference for biomedical engineers, researchers, professionals and those working in medical imaging and medical image processing.
Dr. Isaac N. Bankman is the supervisor of a group that specializes on imaging, laser and sensor systems, modeling, algorithms and testing at the Johns Hopkins University Applied Physics Laboratory. He received his BSc degree in Electrical Engineering from Bogazici University, Turkey, in 1977, the MSc degree in Electronics from University of Wales, Britain, in 1979, and a PhD in Biomedical Engineering from the Israel Institute of Technology, Israel, in 1985. He is a member of SPIE.
* Includes contributions from internationally renowned authors from leading institutions
* NEW! 35 of 56 chapters have been revised and updated. Additionally, five new chapters have been added on important topics incluling Nonlinear 3D Boundary Detection, Adaptive Algorithms for Cancer Cytological Diagnosis, Dynamic Mammogram Retrieval from Web-Based Image Libraries, Imaging and Communication in Health Informatics and Tumor Growth Modeling in Oncological Image Analysis.
* Provides a complete collection of algorithms in computer processing of medical images
* Contains over 60 pages of stunning, four-color images
As we are increasingly using new technologies to change ourselves beyond therapy and in accordance with our own desires, understanding the challenges of human enhancement has become one of the most urgent topics of the current age. This volume contributes to such an understanding by critically examining the pros and cons of our growing ability to shape human nature through technological advancements. The authors undertake careful analyses of decisive questions that will confront society as enhancement interventions using bio-, info-, neuro- and nanotechnologies become widespread in the years to come. They provide the reader with the conceptual tools necessary to address such questions fruitfully. What makes the book especially attractive is the combination of conceptual, historical and ethical approaches, which makes it highly original. In addition, the well-balanced structure of the volume allows both favourable and critical views to be voiced. Moreover, the work has a crystal clear structure. As a consequence, the book is accessible to a broad academic audience. The issues raised are of interest to a wide reflective public concerned about science and ethics, as well as to students, academics and professionals in areas such as philosophy, applied ethics, bioethics, medicine and health management.
The sixth edition of this best-selling text has been revised and updated to included current information on today's most important topics including, human immunodeficiency virus (HIV), hepatitis B (HBV) and hepatitis C. This updated resource will help users successfully perform common microbiology procedures and increase their knowledge of important clinical infections. Learning aids in the text include objectives, key words, chapter summaries, and a variety of review questions. Supplements Instructor's Manual 0-7668-0918-8
The main purpose of this symposium is to stimulate the application of physics to medicine, both in practice and research. Recognized specialists, researchers, health professionals and students in this area present their results and/or the state-of-the-art techniques related to their current topics of interest in plenary talks and in oral and poster sessions. Topics include: biomagnetism, bioimpedance, digital mammography, tomography, MRI, optics in medicine, radiation therapy, dosimetry, conformal radiography, thermoluminescence, biomaterial characterization, image processing and instrumentation.
Guide and organize the evolution of your clinical laboratory students from beginners into effective professionals by giving them this invaluable resource, Essentials of Clinical Laboratory Science. This text fosters critical thinking beyond just the basic procedures, creating a thorough awareness of the clinical laboratory responsibilities that students will have to themselves, to their patients, and to the facilities where they work. Coverage includes the organization of health care facilities, the laws and regulations that govern them, and common tasks and responsibilities for the numerous professional categories that comprise the health care industry. Safety for the laboratory employee, the patients, and the visitors are explained in detail. With an emphasis on efficiency, accuracy, and professionalism, this book serves up the essential ingredients for a holistic approach to laboratory science that augments the diagnosis and treatment of all patients.
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