0
Opinions/Hypotheses |

Technology Introduction in Critical Care*: Just Knowing the Price Is Not Enough!

Neil A. Halpern, MD, FCCP; Stephen M. Pastores, MD, FCCP
Author and Funding Information

*From the Critical Care Center, Department of Veterans Affairs Medical Center, Bronx, New York; and the Departments of Surgery and Medicine, Mount Sinai School of Medicine, New York, NY. Drs. Halpern and Pastores are now with the Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY.

Correspondence to: Neil A. Halpern, MD, FCCP, Chief of Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, Room M-210, New York, NY 10021; e-mail: halpernn@mskcc.org



Chest. 1999;116(4):1092-1099. doi:10.1378/chest.116.4.1092
Text Size: A A A
Published online

Extract

Acquisition and implementation of new medical technology in the critical care setting remains a paramount objective of all intensivists intent on delivering state-of-the-art, high-quality, and cost-effective patient care.12 Across many hospital networks and individual institutions, a corporate model has come to the hospital with regards to acquiring technology.3 In this paradigm, “just knowing the price is not enough.” Administrators are involved; business and not clinical priorities guide decision making; and competition for diminishing health care resources is brutal.4 In this corporate-hospital environment, intensivists are experiencing trials and tribulations in attaining their technology goals despite the availability of guidelines for technology assessment.5 This situation occurs because intensivists may not have the tools, skills, insights, management training, experience, or political savvy to approach the corporate process of technology acquisition.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Guidelines
Critical care in pregnancy.
American College of Obstetricians and Gynecologists | 7/10/2009
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543