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Healthcare technology, economics, and policy: an evolving balance.

Economic and policy issues increasingly influence healthcare technology solutions as we wrestle with keeping healthcare quality high while keeping costs under control. The healthcare system is also undergoing rapid change brought about by managed care, shifting care to team providers in an outpatient or home environment. The development of health technologies under new market arrangements needs to be examined so that quality of care and cost are not at cross roads. As these issues continue to evolve in the public forum, it is critical for engineers and contributors to technology in healthcare to understand the dynamics that influence technology need and and adoption in the healthcare market. We hope that this special issue will provide a basis for initial understanding of these issues and stimulate further involvement by the bioengineering community at large, for the improvement of healthcare across all of society.

Biomedical Engineering↗

Testing instrumentation for medical equipment: Part 3.

In this three-part series, testing instrumentation for medical equipment is described, organized, and reviewed. In Part 1 (July-September, 1977 issue) reasons for testing were discussed. Part 1 also included a review of the types of testing instrumentation for power and gas outlets, isolated power systems, and conductive floors. Part 2 (October-December, 1977 issue) continued the series with a review of "safety testers," simulators, and calibrators. In this final part, testing instrumentation is reviewed for therapeutic equipment, including pacemakers, defibrillators, and electrosurgical equipment. This paper concludes with suggestions for possible future types of test instrumentation, and with a discussion of the relationship of such instrumentation to the clinical engineering profession.

Biomedical Engineering↗

Presentation of the clinical engineering role to hospital administrators.

This paper constitutes a presentation to health care managers on the clinical engineering role in the hospital. Guidelines are covered that were issued in 1976, by the Joint Commission for the Accreditation of Hospitals: the engineering problems, goals, and solutions addressed in the clinical engineering function; the education of the clinical engineer; and the alternative methods of delivering engineering support services to the hospital. The material included in this paper can form the basis for presentations intended to increase awareness of the role of clinical engineering, improve compliance with JCAH requirements, and to stimulate action to make effective use of engineering.

Accreditation↗

Medical equipment data retrieval program.

This paper describes a short BASIC language medical equipment data retrieval program that runs on a low-cost microcomputer. Low-cost microprocessors bring data base management systems within the financial reach of every Clinical Engineering Department.

Biomedical Engineering↗

Role of the clinical engineer in patient monitoring services.

The basic role of a clinical engineer is to provide safe and effective management and application of technology within patient care settings. In the UK the total number of such people is still relatively small. Clinical engineering as a profession requires a proper career structure and professional status. This can be achieved only by the support of a professional body such as the Biological Engineering Society.

Biomedical Engineering↗