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
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb