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Social and Health Policy Issues in Total Joint Replacement Surgery

Published online by Cambridge University Press:  10 March 2009

Matthew H. Liang ,
John Wade ,
Robert M. Hartley ,
Karen E. Cullen  and
Arthur L. Caplan
Matthew H. Liang
Affiliation:
Harvard Medical School
John Wade
Affiliation:
Brigham and Women's Hospital
Robert M. Hartley
Affiliation:
Bain and Company, Boston, MA
Karen E. Cullen
Affiliation:
Ledgeway Group, Lexington, MA
Arthur L. Caplan
Affiliation:
University of Minnesota
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Abstract

Total joint replacement has restored function and provided comfort to many patients who would otherwise have suffered. However, success and widespread diffusion of this procedure pose a number of important questions. The patient's and the doctor's criteria of success may not be the same: Which are to be used? Health resources are becoming limited: Should money be spent to restore function and for pain relief to those late in life or past their work life? Who makes this choice? A medical technology is tested in the best of settings but routinely practiced in many: How should society and health care professionals monitor the results of surgery? Who should do surgery and where should it be done?

Type
Special Section: The Organization and Use of Technology in the Hospital Part II: Case Studies
Information
International Journal of Technology Assessment in Health Care , Volume 3 , Issue 3 , July 1987 , pp. 387 - 395
Copyright
Copyright © Cambridge University Press 1987

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