The international transfer of medical technology--an analysis and a proposal for effective monitoring

Transferability of Health Technology Assessment with Particular Emphasis on Developing Coutries

The importance of health technology assessment for developing countries is unquestionable. Although these countries are still plagues by tropical diseases and primary health problems, they have been forced to import modern medical technologies because of internal and international pressures. Recognition of the potentoial of health technology assessment for improving the management of technology and health care delivery in developing countries leads to the critical question of how to promote the development of assessment activities there. But as technology assessment is itself also a technology, it can be assuned that its direct transfer to developing countries in the form that it has unfolded in the richer nations is doomed to failure. How successful transfer of health technology assessment can be achieved is outlined.

Medical Technology and Health Services in South Korea

This article chronicles the adoption of medical technology in twentieth-century Korea. The author suggests that the structure of the present health care delivery system has relied predominantly on small clinic practice and has resulted in a shortage of highly capitalized hospitals and a maldistribution of modern technology. In addition, the author argues that medical practice in small unconnected clinics and hospitals isolate physicians from academic medicine and hamper research. Finally, the highly decentralized structure of Korean medicine is a weak basis for controlling the diffusion of medical technology and leaves most acquisition judgments in the hands of individual hospital owners.

The transfer of vaccine technology to developing countries. The Latin American experience

Technological advances by developed countries are producing safer, more potent vaccines. In addition, the transfer of the technology of vaccine production to some developing countries has been taking place during the past five decades, thereby making possible the participation of developing countries in the production and supply of the essential biologicals that are required for immunization programs. Examples of successful transfers of technology, the decisive elements and factors that contribute to the transfers, and the major obstacles to such transfers are presented.

Health care and medical technology in Nigeria. An appraisal

The objective of the study was to ascertain the extent of utilization of medical technologies (defined as equipment) used in various health care institutions in Nigeria. The study also investigated the factors accounting for use of and under- and nonutilization of this equipment. Sixteen major and minor health care institutions were surveyed. The outcomes of the study indicate that not less than a third of the equipment was out of order at the time of the study. A number of factors are responsible for nonutilization of this equipment. They include lack of infrastructural facilities such as piped water, storage, and power supply; poor handling by badly trained staff; and the low priority that is accorded to maintenance. The study leads to the important conclusion that the local culture is unable to sustain the technologies that are procured.

Undergraduate medical education in underdeveloped countries: the case of Pakistan

The type of medical education of a country is closely linked with its system of health care. Any health care system, with its own peculiarities, requires a certain type of doctor who can function effectively in the given environment. The same is the case with underdeveloped capitalist countries, such as Pakistan, where a skewed, elitist, curative model of health care exists. In Pakistan, where the literacy levels in the native tongue are very low, medicine is taught in English, and nearly all prescribed textbooks are written in and for the West. Conditions specific to Pakistan, such as the degree of cheating in exams, the time lost due to closure, and the level of debate concerning the medical system may find their parallels in other UDCs. Since it is the social and economic forces, which, in the final analysis, determine the system of health care and medical education, one cannot expect any significant improvement within the existing class structure. Only in a country where the masses have control over the production and distribution of resources, can the systems of health care and medical education be brought in line with the real needs of the community and of the country.

Power and privileges in medical care: an analysis of medical services in post-colonial Nigeria

Subsequent Nigerian Governments since independence have been committed to a policy of health-for-all. The right to medical care is now constitutionally guaranteed. But it takes more than the constitution to translate medical, and indeed all rights, to reality. In practice, as this study reveals, status, power and privileges determine whether or not one gets Western medical services and of what type in contemporary Nigeria. Further, medical services for the generality of the people have remained a second rate priority of post-colonial governments, very much like the situation in colonial days. The care for state employees and other elites continues to take precedence.