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Evaluation of ethical implications of selected alternatives for paying physicians under the Medicare program
This report discusses the effects of changes in Medicare reimbursement methods, examines the ethical considerations, and classifies the alternative payment methods.
Process, Prescience, and Pragmatism: The Office of Technology Assessment
This report discusses the history and function of the Office of Technology Assessment (OTA) as it stood in November 1989, focusing on the benefit of the OTA's function as a practical analysis tool concerning technological issues.
Report on the treatment of elderly patients by dialysis and transplantation in Europe
This report discusses the EDTA Registry which is an organization that collects information on patients receiving treatment for end stage rental failure by dialysis and transplantation in over 30 countries in mainland Europe and on the Mediterranean seaboard.
An ethical analysis of withdrawal from life-sustaining technologies and assisted death: a report for the Office of Technology Assessment
This report is designated to offer an ethical analysis of decisions to withhold and to withdrew life-sustaining technologies form patients in accord with their wishes and interests.
Evaluating distance learning technology
This report discusses the history of distance learning technology, the number of new and complex technological devices that could be applied to distance learning.
Technology assessment on future developments in life sustaining technologies for elderly
This report discuses ways to sustain or provide and improved quality of life for the elderly, various types of artificial organ technologies that are available and being successfully applies.
Changes in sexual behavior of homosexual and bisexual men since the beginning of the AIDS epidemic
This report discusses Acquired Immunodeficiency Syndrome (AIDS) and the ways to prevent those not infected with Human Immunodeficiency Virus (HIV) from becoming infected with it.
Payments to physicians in the Permanente Medical Group
This report describes the function of The Permanente Medical Group (TPMG) to provide medical care to Health Plan members within the Kaiser Foundation Hospitals and their associated medical offices.
The federal regulatory response to the problem of neurotoxicity: a report
This report discusses federal laws applicable to the regulation of potentially neuron-toxic substances that can be divided into three basic categories.
The epidemiology of dementing disorders
This report discusses causes of the dementia, precipitating or aggravating factors, present and projected needs for people and programs to provide services to victims and their families, groups at high risk for these disorders, frequency of unrecognized or inadequately treated cases, and the costs of the disorders, public and private, economic and non-economic.
Japan's science and engineering pipeline: structure, policies, and trends
This report discusses the Japanese higher education graduates in science and engineering. It discusses the work force in these fields and the major structural reforms in the education system.
Financing care for patients with Alzheimer's disease and related disorders
This report discusses the financing for patients with Alzheimer's disease,and policy options.
The evolution of distance learning: technology-mediated interactive learning: a report for the study, "Technologies for learning at a distance", Science, Education, and Transportation Program
This report has two primary goals. One objective is to provide provocative ideas on how emerging forces external to education may shape the future of distance learning. The second purpose is to depict a potential new field, technology-mediated interactive learning, that may result from synthesis of distance learning, cooperative learning, and computer-supported cooperative work.
The effectiveness of AIDS educational programs for intravenous drugs users
The purpose of this paper is to examine the potential effectiveness of “educational” programs for preventing the spread of human immunodeficiency virus (HIV), the virus that causes AIDS among IV drug users.
The context for exploring workplace monitoring
This report describes the history of monitoring work and the legal framework which applies to employee privacy rights and associate4d issues of worker protection.
The international context of labor-management relations: implications for workplace monitoring
This report explores some of the international developments and notes contrasts with the United States, and some potential lessons with regard to managing the new technology systems of Labor relations and issues relevant to workplace monitoring.
Psychophysiological monitoring: possibilities and prospects
This report describes the present, near, and long term the evolving capabilities for monitoring and interpreting psychophysiological signals and in particular the Event Related Brain Potential (ERP) with particular emphasis on such ERP components as the P300.
The effectiveness of educational programs to help prevent school-age youth from contracting HIV: a review of relevant research
This report reviews the research on AIDS and sex education programs. It examines the more significant studies that have evaluated the actual impact of those programs upon various outcomes, including knowledge, attitudes, skills and sexual behaviors.
Computer networks in elementary and secondary education
This report discusses the power of new tools for teaching and learning
Child maltreatment in the United States: etiology, impact, and prevention
This report starts out with definitions of child abuse and neglect, then it discusses the manifestation, effect and costs of child abuse and neglect, short term and long term.
Life-sustaining technologies and the elderly: legal issues: Canada
This report discusses the government financing of health care and life-sustaining technologies in Canada.
The Senior Respite Care Program
This report discusses a community survey of 112 caregivers, may of them Alzheimer's Disease families, that had indicated that their primary need was the ability to get away from their caregiving responsibilities for "a few hours now and then."
Philosophical issues concerning the rights of patients suffering serious permanent dementia
This report discusses the rights of seriously and permanently demented people. Do they have the same right to autonomy, to the beneficence of their custodians, to dignity, and to a minimum level of resources as sick people of normal mental competence have? The emphasis is on extended analysis of various philosophical issues.
Assessing human risks posed by neurotoxic substances: final draft
This report discusses risk assessment as a analytic process by which the nature and magnitude of risk is identified.
Aids and Health Insurance: An OTA Survey
This survey was conducted as part of an Office of Technology Assessment (OTA) assessment on medical testing and health insurance that will be published at a later date. OTA is also monitoring AIDS-related developments for the U.S. Congress, and the survey results are being published by OTA as the second in a series of Staff Papers on AIDS-related issues.
Employee perceptions and supervisory behaviors in clerical VDT work performed on systems that allow electronic monitoring
The purpose of this report is to obtain empirical data about how the potential monitoring capabilities of new office systems technology are, in fact, being taken up by management and reacted to by employees.
Electric power wheeling and dealing: technological considerations for increasing competition: volume II--contractor documents, part C.
This report is to provide the Office of Technology Assessment (OTA) with an overview of some of the investment issues affecting the future of the electric power industry in support of OTA's ongoing study on competition in the industry. The paper is organized in three chapters.
Transplantation of adrenal tissue into the nervous system
This report the transplantation of adrenal medullary tissue to the nervous system.
Politics, policy, and China's future course
This report starts out with an overview of China's politics, the post-Mao era. The report continues with China's policy evaluation.
The transfer of western managerial knowledge to China
This report discusses Chinese management, labor productivity, quality of industrial and consumer products, costumer service level, and worker motivation.
Dementia among nursing home patients: defining the condition, characteristics of the demented, and dementia on the RUG-II classification system
This report discusses how dementia affects the quality of life, the increasing number of demented persons, the onset of dementia conditions.
Economic incentives and disincentives for recycling of municipal solid waste
This report is divided into an Executive Summary and four chapters. These chapters examine Federal subsidies to virgin materials, the potential for Federal subsidies for recycled materials, Federal subsidies for alternative energy sources, and state efforts at increasing recycling through tax incentives.
Public access to congressional support agency information in the technological age: case studies
This report discusses the rational for public access, approaches to public access, challenges and opportunities of new technology, and the potential impact on the government printing office.
Congressional applications of information technology
This report discusses the implications of specific information technology applications on the Congress.
Renal dialysis decisionmaking
This report summarizes the general policies of acceptance of patients for treatment. Decision to initiate treatment with dialysis are made by review committees in each of six institutions that provide dialysis treatments.
Experiences of the Atlanta area ADRDA in the development and management of the community services program
This report describes the experiences of the Atlanta Area ADRDA Chapter over a two year period in the development, establishment, and direction of Community Services Program for persons with Alzheimer's diseases and related disorders.
National security risks of dual-use transfers to China
This report addresses several basic question about China's military-industrial complex to help provide a framework that policy maker can use in evaluating the likely effects of dual use transfers on Chinese military capability, and the attendant national security risks to the US.
Office of Technology Assessment (OTA) Materials at the National Archives and Record Administration (NARA), May 12, 1998
This document is a faxed transmission of Office of Technology Assessment (OTA) materials located in the National Archives as overseen by the National Archives and Records Administration (NARA) and as of May 12, 1998.
Images of science: factors affecting the choice of science as a career
This report describes the dimensions of the problem this nation faces in producing enough scientists and engineers, it also attempt to describe how "images" of science may affect whether American students choose careers in science.
Classification systems for decisionmaking for critically ill elderly patients
This report discusses classification and aggregation of patients according to differential needs for care that have bee accepted as normal features of contemporary hospital practice.
Background paper on cataract surgery and physician payment under the Medicare program
This report both describes current clinical and economic aspects of cataract surgery and analyzes how alternative methods of paying physicians might affect cataract surgery in the future.
New developments in neuroscience: neural transplants and nerve regeneration technologies: ethical issues: final draft
The focal point of this report is elaboration of the metaphysical and ethical issues raised by neural transplants.
Effects of quality of care information on consumer choice of physicians and hospitals
This report discusses the necessity of quality health care information, the access to health information and the intentions of providing such information.
A review of the status of technology training for teachers
This report discusses the important role of the use of computers in American education. It also discusses teachers training and their role in the viability of computers in education.
Industrial support of university training and research: implications for scientific training in the "steady state"
This report considers the implications of industrial funding of research and training for the way in which universities train new scientists during this period of "steady state."
Life sustaining technologies and the elderly: prolonged mechanical ventilation
This report aims to identify the tasks assigned by the OTA and their major sections. The issues of concern to the OTA, and those who make contributions to their discussion, are shown.
Issues in American engineering education: a selective review of the literature: a draft report
First part of this report describes the project, provides a timeline of significant events in engineering education, and summarizes the findings. The second part discusses the objectives of the study which is divided into three parts, and the third part is a bibliography of the materials on which this report is based.
Federal tax policy and infrastructure financing: a report to the Office of Technology Assessment, U.S. Congress
This report starts out by discussing in details the Tax Reform Act of 1986 and its impact on local construction, it provides statistical analysis of the effects of the Tax reform Act, it discusses innovative infrastructure financing techniques, finally federal infrastructure policy options.
Effects of office automation on the public sector workforce: a case study
The objective of this report is to identify and explore conditions under which office automation has been successfully and productively implemented in New York city municipal offices.
American firms and the transfer of technology to China: how business people view the process
This report examines some of the ideas and impressions of business people from firm of varying sizes that are transferring technology to China. It also examines the factors that these American business people view as helpful and those that they perceive as stumbling blocks to their China projects.
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