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Innovation and Australian Industrial Relations by Chris Fisher, (Croom Helm,Australia, 1983) pp . 226, $24.95 [hb], $12.95 [pb]
Abstract:This paper is concerned with one aspect of the assessment of a new technology — describing the temporal utilisation of the technology in use. The technologies that are considered here are barium meal radiology and fibre optic endoscopy, two major diagnostic procedures for the upper gastrointenstinal tract. The data employed relate to private fee-for-service medicine in Australia and have been collected under Australia's health insurance arrangements. Statistically significant differences in utilisation rates for these diagnostic procedures are found between the states of Australia. Also it is shown that per capita use of these procedures is rising at an annual rate of 2.4 per cent per annum. Although it is not possible from the data employed here to specify what factors have determined these utilisation rates, some possible explanations are considered. A secondary aspect of the paper is that it demonstrates how data from the Health Insurance Collection can be analysed despite the changes to health insurance arrangements introduced by the Commonwealth government since 1975–76.
Keywords:Technology assessment  medical diagnosis  temporal utilization  fee-for-service medicine
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