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Biomedical subjects

S B Foote

Publications and source records attributed to S B Foote.

9 recordsLinked to original sources
PubMed1993

Beyond incrementalism. Designing an infrastructure for reform.

Labeling health reform proposals comprehensive or incremental erects unnecessary barriers to constructive debate. This article explains why these labels fail to adequately describe the key issues in the debate. It offers insight into the fundamental issues of infrastructure that must be addressed in order to craft enduring reform. To accomplish infrastructure reform, a new definition of health, a return to the principles of federalism, a design for private-public partnerships, and a redesign of the federal health bureaucracy are needed. Many of these issues are relevant to mental health as well.

Delivery of Health Care↗
PubMed1987

Assessing medical technology assessment: past, present, and future.

Advances in medical technology have contributed both to the quality of health care and to its costs. The marketplace doesn't produce sufficient information to anticipate either real health or economic value. Formal assessment of new technologies for safety, efficacy, effectiveness, and cost has been unimpressively dominated by government. While new agency and institutional arrangements promise greater success, they will require a balance between public and private sector roles in procedures and financial support.

Federal Government↗
PubMed1986

Certification: philosophy, goals, and methods, with application to the discipline of infection control practice.

The philosophy, goals, and methods of certification are complex and need to be understood in general before they can be applied to a specific practice discipline. This article is intended to provide background information about certification, summarize the history of credentialing for health occupations, and briefly describe methods for test design and construction. Philosophy, goals, methods, and preparation for certification are then applied to the discipline of infection control practice, with specific reference to the Infection Control Certification Examination, offered for the first time in November 1983 and in each subsequent year.

Certification↗
PubMed1986

Coexistence, conflict, and cooperation: public policies toward medical devices.

Medical devices include thousands of products, many of which have greatly contributed to the quality of health care. As devices have proliferated, so have public policies that affect them. The federal government intervened to promote three fundamental values: safety by federal regulation, innovation through federal funding of research and development, and access by providing services under Medicare. The policies generally coexisted without conflict. However, two recent developments--the advent of cost containment and the expansion of the tort liability system--present a potentially disruptive influence on these policies, and threaten to undermine the values they serve. Because cost restraints are inevitable and the tort system provides consumer protection, the challenge for policymakers is to reconcile them with the values of safety, innovation, and access. The proposals presented here seek to promote coordination to protect those values without imposing unacceptable costs on the health care system.

Cost Control↗
PubMedDate not supplied

Medical technology meets managed competition.

Medical technology is an integral part of health care, not an expensive add-on or afterthought. Therefore, technology policy must be consistent with the approach to health care reform. Our present market has failed to generate adequate information on new technologies and perverse economic incentives have led to overutilization. In managed competition, health plans, not government, are best suited to make most technology decisions. The federal government can provide a safety valve for specific coverage decisions and can facilitate the acquisition, evaluation, and dissemination of information on new technologies.

Community Participation↗