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This is the second book in the series of books that we edit on the Management of Medical Technology (MMT) published by Kluwer Academic Publishers. The fIrst book Managing Technology in Health Care offered a broad-brushed view of the topics involved in the new and exciting area of MMT that we have launched. A group of distinguished scholars contributed to the fIrst book. While working on the first book in the series, and on a variety of articles in MMT, we began to realize that there is an urgent need for a comprehensive and highly focused book which will introduce and define the area of MMT. In addition, we had just completed the two studies of MMT in American hospitals, and had a magnificent database fully analyzed. With three months left in the first author's sabbatical, and thanks to the encouragement from our editor at Kluwer, Gary Folven, we took to the task of writing this book. The merging in this book of the description of a new intellectual space, and the write-up of the results from our MMT studies have created a unique blend of very attractive reading material. The reader will find this book to be a fascinating adventure into a newly-created area of intellectual endeavor, coupled with fIndings about how the health care delivery system manages teclUlology. Regardless of the reader's background, this book will certainly be of interest, as it links the medical and business frameworks.

This is the second book in the series of books that we edit on the Management of Medical Technology (MMT) published by Kluwer Academic Publishers. The fIrst book Managing Technology in Health Care offered a broad-brushed view of the topics involved in the new and exciting area of MMT that we have launched. A group of distinguished scholars contributed to the fIrst book. While working on the first book in the series, and on a variety of articles in MMT, we began to realize that there is an urgent need for a comprehensive and highly focused book which will introduce and define the area of MMT. In addition, we had just completed the two studies of MMT in American hospitals, and had a magnificent database fully analyzed. With three months left in the first author's sabbatical, and thanks to the encouragement from our editor at Kluwer, Gary Folven, we took to the task of writing this book. The merging in this book of the description of a new intellectual space, and the write-up of the results from our MMT studies have created a unique blend of very attractive reading material. The reader will find this book to be a fascinating adventure into a newly-created area of intellectual endeavor, coupled with fIndings about how the health care delivery system manages teclUlology. Regardless of the reader's background, this book will certainly be of interest, as it links the medical and business frameworks.

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CONTENTS

ACKNOWLEDGMENTS

PART I: THEORY = 1

 CHAPTER 1 : THE TECHNOLOGY IMPERATIVE = 3

 CHAPTER 2 : MANAGEMENT OF MEDICAL TECHNOLOGY (MMT): AN EMERGING INTELLECTUAL SPACE = 23

 CHAPTER 3 : THEORETICAL FOUNDATIONS OF MMT = 49

 CHAPTER 4 : THE HEALTH CARE ENVIRONMENT = 81

 CHAPTER 5 : ADOPTION OF MEDICAL TECHNOLOGY = 91

 CHAPTER 6 : OVERVIEW OF THE STUDIES = 119

PART II: PRACTICE = 127

 CHAPTER 7 : ORGANIZATION AND DECISION MAKING IN MMT = 131

 CHAPTER 8 : STRA TEGIC MANAGEMENT OF MEDICAL TECHNOLOGY = 163

 CHAPTER 9 : MANAGEMENT OF MEDICAL INFORMATION TECHNOLOGY = 177

 CHAPTER 10 : MAXIMIZING EFFECTIVENESS AND PATIENT VALUE = 203

 CHAPTER 11 : MMT: EDUCATION AND PRACTICE = 239

 CHAPTER 12 : THE ROAD AHEAD = 251

PART III: CASES = 253

 CASE 1 : THE RISE OF NEW SCIENTIFIC FIELDS OF STUDY FROM ESTABLISHED DISCIPLINES = 259

 CASE 2 : START-UP BARRIERS TO MEDICAL EQUIPMENT INNOVATION = 273

 CASE 3 : IMPLEMENTING THE TDS SYSTEM AT UNIVERSITY HOSPITAL OF CLEVELAND = 287

 CASE 4 : QUALITY OF CLINICAL CARDIAC CARE DELIVERED IN MANAGED CARE: THE CASE ANTHEM OF OHIO = 305

 CASE 5 : COMPETITIVE STRATEGIES IN THE HEALTH CARE SECTOR IN MEXICO = 343

 CASE 6 : COI APPLICATIONS TO MANAGEMENT IN THE EMERGENCY DEPARTMENT: DEVELOPMENT OF A NURSING PROTOCOL FOR RADIOGRAPHY OF SUSPECTED CERVICAL SPINE INJURIES = 357

 CASE 7 : THE PROCUREMENT OF A HEALTH CARE INFORMATION SYSTEM WITHIN THE UNITED KINGDOM'S NATIONAL HEALTH SERVICE = 377

 CASE 8 : GRANT MEMORIAL HOSPITAL = 397

 CASE 9 : COMMERCIALIZATION OF MEDICAL TECHNOLOGY: THE NEUROKINETICS AND NEUROMOTION = 423

 CASE 10 : PATTERNS OF NEW PRODUCT DEVELOPMENT IN JAPAN'S PHARMACEUTICAL INDUSTRY: THE CASE OF "MEVIALOTIN" = 459

 CASE 11 : MARKETING OF MEDICAL TECHNOLOGY: GE'S COMPUTERIZED AXIAL TOMOGRAPHY (CAT SCANNING) = 469

THE AUTHORS = 503

SUBJECT INDEX = 505

NAME INDEX = 515