Medical Engineering - 1st Edition - ISBN: 9780126036503, 9780323151832

Medical Engineering

1st Edition

Projections for Health Care Delivery

Authors: Robert Rushmer
eBook ISBN: 9780323151832
Imprint: Academic Press
Published Date: 1st January 1972
Page Count: 406
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Description

Medical Engineering: Projections for Health Care Delivery focuses on the biomedical engineering techniques and technology in the health care delivery system. This book examines the need for forecasting in basic bioengineering research. Organized into two parts encompassing 10 chapters, this book starts with an overview of how biomedical engineering influences the resultant problems in health care system through improved long-range planning, instrumentation, design optimization, and management. This text then discusses the application of mathematics, physical sciences, and engineering to problems of medicine and biology. Other chapters explore the primary goal of biomedical engineering in the continued development improvement of the various diagnostic and therapeutic tools of health care to optimize their safety, reliability, effectiveness, and overall benefit. Other chapters consider the diversity of personnel and organizational relationships, which have expanded greatly with the expanding role of technology in medicine. The final chapter deals with the public demands for improved health care delivery at reasonable cost. This book is a valuable resource for biomedical engineers, life scientists, physicians, and health professionals.

Table of Contents


List of Contributors

Preface

Part I Bioengineering and the Health Care System Contributions, Complications, and Crises

Introduction

Chapter 1 Engineering in Medicine and Biology

An Overview

Explosive Changes in Perimedical Areas

Interactions between Engineers and Life Scientists

The Current Scope of Biomedical Engineering

Representative Examples of Basic Bioengineering

Applied Biomedical Engineering

Fertile Fields for Biomedical Engineering

Hospital Industrial Engineering

Summary

References

Chapter 2 Health Manpower Problems Potential Role of Biomedical Engineering

Historical Perspectives

Mobilization and Utilization of Health Manpower

Roles of Biomedical Engineering

Improved Utilization of Health Personnel

References

Chapter 3 Health Care Facilities Concentration of Competence and Technology

Skyrocketing Costs of Health Care

Biomedical Engineering Involvement in a Growing Spectrum of Health Care Facilities

Trauma Centers and Emergency Services as Subsystems

Prototypes for Ambulance and Emergency Services

Consolidated Facilities and Services

Shared Services

Management Engineering for Hospitals

References

Chapter 4 Health Care Distribution

Requirements for Regional Planning

Buying More Medical Care

The Impact of Federally Supported Health Insurance

European Experiences with Nationwide Programs

The Swedish Prototype

Integrated Hospital Facilities

Regional Planning: An Ekistics Approach

References

Chapter 5 Data Acquisition, Processing, and Display

Components of the Patient's Medical Records

Patient Histories

Problem-Oriented Medical Records

Medical Nomenclature

Clinical Laboratory Testing

Numerical Data: Processing, Presentation, Interpretation

Patient Monitoring

Computer Diagnosis

References

Summary and Conclusions for Part I Health Care Crises and the Technological Implications

The Nature of Current Crises in Health Care Delivery

Part II Engineering Approaches to Health Care Requirements

Introduction

Chapter 6 Biomedical Instrumentation

Diagnostic Patterns vs Definitive Tests

Nondestructive Testing: An Engineering Concept

External Information Sources

Sensory Supplements for the Physical Examination

Samples as Sources of Information

Electron Microscopy, Scan and Probe

Quantitative Microscopy

Neutron Activation Analysis

Internal Information Sources

Energy Probes

Applications of Ultrasonic Techniques

Ultrasonic Echo Ranging

References

Chapter 7 Medical and Biological Applications of Modeling Techniques

Introduction

A Medical Service Requirements Model

An Ad Hoc Model

Blood Glucose Dynamics

Models of Cardiac Muscle Mechanics

Conclusion

References

Chapter 8 Biomechanics and Biomaterials

Body-Building Blocks

Load-Bearing Biomaterials

Soft Tissue Substitutes

Biological Packaging Material: The Skin

Power Sources

Artificial Hearts

Exchangers

Valves

Tubes and Conduits

Optical Transparency: Artificial Corneas

Adhesives

Future Requirements for Biomaterials Research

References

Chapter 9 Technological Training of Medical Manpower

Graduate Training in Bioengineering

Multidisciplinary Training in Undergraduate Engineering

Training Physicians for Applications of New Technologies

Training of Physicians' Assistants

Chapter 10 Clinical Engineering Future Engineering Requirements by Medical and Surgical Specialties

Cardiology

Peripheral Vascular Disease

Respiratory Medicine

Gastroenterology

Anesthesiology

General Surgery

Obstetrics

Quantitative Dermatology

Physical Medicine: Clinical Applications of Energy

Sensory Supplements and Substitutes

Conclusion

References

Overall Summary Future Options

The Concept of Added Value

Diversification of Health Care Facilities

Maldistribution of Health Care

Need for New Technologies

Biomechanics and Biomaterials

Future Clinical Requirements for New Technologies

Subject Index

Details

No. of pages:
406
Language:
English
Copyright:
© Academic Press 1972
Published:
Imprint:
Academic Press
eBook ISBN:
9780323151832

About the Author

Robert Rushmer