Evidence suggests that medical innovation is becoming increasingly dependent on interdisciplinary research and on the crossing of institutional boundaries. This volume focuses on the conditions governing the supply of new medical technologies and suggest that the boundaries between disciplines, institutions, and the private and public sectors have been redrawn and reshaped. Individual essays explore the nature, organization, and management of interdisciplinary R&D in medicine; the introduction into clinical practice of the laser, endoscopic innovations, cochlear implantation, cardiovascular imaging technologies, and synthetic insulin; the division of innovating labor in biotechnology; the government- industry-university interface; perspectives on industrial R&D management; and the growing intertwining of the public and proprietary in medical technology.
Nathan Rosenberg, Annetine C. Gelijns, and Holly Dawkins, Editors; Committee on Technological Innovation in Medicine, Institute of Medicine
1 FRONT MATTER; 2 PART I: SETTING THE STAGE; 3 1 THE CHANGING NATURE OF MEDICAL TECHNOLOGY DEVELOPMENT; 4 2 RECENT TRENDS IN SUPPORT FOR BIOMEDICAL RESEARCH AND DEVELOPMENT; 5 PART II: MEDICAL DEVICE INNOVATION; 6 3 PHYSICIANS AND PHYSICISTS: THE INTERDISCIPLINARY INTRODUCTION OF THE LASER TO MEDICINE; 7 4 FROM THE SCALPEL TO THE SCOPE: ENDOSCOPIC INNOVATIONS IN GASTROENTEROLOGY, GYNECOLOGY, AND SURGERY; 8 5 COCHLEAR IMPLANTATION: ESTABLISHING CLINICAL FEASIBILITY, 1957-1982; 9 6 INNOVATION IN CARDIAC IMAGING; 10 PART III: BIOTECHNOLOGY INNOVATION; 11 7 INCENTIVES AND FOCUS IN UNIVERSITY AND INDUSTRIAL RESEARCH: THE CASE OF SYNTHETIC INSULIN; 12 8 THE DIVISION OF INNOVATIVE LABOR IN BIOTECHNOLOGY; 13 PART IV: CONCLUDING OBSERVATIONS; 14 9 PERSPECTIVES ON INDUSTRIAL R&D MANAGEMENT; 15 10 THE INTERWINING OF PUBLIC AND PROPRIETARY IN MEDICAL TECHNOLOGY; 16 APPENDIXES; 17 APPENDIX A: WORKSHOP AGENDA; 18 APPENDIX B: CONTRIBUTORS; 19 INDEX
Institute of Medicine, Committee on Quality of Health Care in America, Committee on Quality of Health Care in A, Institute Of Medicine, Molla S. Donaldson, Janet M. Corrigan, Linda T. Kohn
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual, Board on the Health of Select Population, Institute Of Medicine, Committee on Lesbian Gay Bisexual and Transgender Health Issues and Research Gaps and Opportunities
Institute of Medicine, Committee for the Study of Health Consequences of the Stress of Bereavement, Committee for the Study of Health Conseq, Institute Of Medicine
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health, Board on Population Health and Public He, Institute Of Medicine
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Committee to Develop Methods Useful to t, Institute Of Medicine, Joseph Lipscomb
Institute of Medicine, Committee on Military Nutrition Research, Institute Of Medicine, Judith Grumstrup-Scott, Bernadette M. Marriott, Bernadette M Marriott
Bronwyn H. Hall, Nathan Rosenberg, USA) Hall, Bronwyn H. (University of California at Berkeley,CA, USA) Rosenberg, Nathan (Stanford University, Stanford, CA, Bronwyn H Hall