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The Menopause, Hormone Therapy, and Women's Health

Description: This background paper describes what is known about the natural progression of the menopause and its effect on women’s health, hormone treatment and prescribing practices, alternative approaches, and research needs.
Date: May 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Mental Disorders and Genetics: Bridging the Gap Between Research and Society

Description: The report reviews data concerning the contribution of genetic factors to several severe mental disorders; described methodologies used in the studies, and broached several policy issues relevant to this area of research.
Date: September 1994
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Effectiveness and Costs of Osteoporosis Screening and Hormone Replacement Therapy, Vol. I: Cost-Effectiveness Analysis

Description: This paper assesses the medical benefits and costs of both screening and hormone replacement therapy. It is divided into two volumes. This volume presents the results of a model that estimates the cost per year of life gained from osteoporosis screening and hormone replacement therapy in postmenopausal women.
Date: August 1995
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Effectiveness and Costs of Osteoporosis Screening and Hormone Replacement Therapy, Vol. II: Evidence on Benefits, Risks, and Costs

Description: This paper assesses the medical benefits and costs of both screening and hormone replacement therapy. It is divided into two volumes. This volume provides the basis for the assumptions about the costs and effects of screening and hormonal replacement therapy used in the cost-effectiveness model.
Date: August 1995
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Electronic delivery of public assistance benefits: technology options and policy issues

Description: This background paper discusses the technological options available for use in an electronic system to deliver public assistance benefits, the privacy and security implications of such a system, and the programmatic effects of changing to an electronic delivery system. It was requested by the Subcommittee on the Handicapped of the Senate Committee on Labor and Human Resources.
Date: April 1988
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

International Health Statistics: What the Numbers Mean for the United States

Description: This paper reviews how the United States compares with other developed countries on available health status measures, evaluates the validity of the data used to make such comparisons, and describes how international comparisons might be interpreted in the context of health care reform.
Date: September 1994
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Impact of Legal Reforms on Medical Malpractice Costs

Description: This report discusses the indirect cost of medical malpractice, commonly referred to as “defensive medicine,” that may add to overall health care costs. The cost of defensive medicine remains unknown and is subject to much speculation because there are no sound empirical data.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

New Opportunities for U.S. Universities in Development Assistance: Agriculture, Natural Resources, and Environment

Description: This background paper discusses the legacy of 40 years of U.S. university/AID collaboration, and examines new opportunities for U.S. university participation in development assistance.
Date: September 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Psychiatric Disabilities, Employment and the Americans With Disabilities Act

Description: The report focuses on mental disabilities, a broad rubric. In this background paper, OTA examines current knowledge about psychiatric disabilities and employment in the context of the ADA’s requirements and reviews Federal activities directly or indirectly aimed at supporting the ADA’s employment provisions.
Date: March 1994
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Energy Use and the U.S. Economy

Description: The background paper extends the analysis of energy use into new areas by explicitly looking at how energy use has changed with the expansion of the service sector, the explosion of international trade, and greater complexity of the U.S. economy as the structure of businesses changed in response to new technologies and competitive challenges. The increasing sophistication of the U.S. economy means that the role of energy is less likely to be directly identified and is instead more likely to be an indirect factor that was added many steps before in the complex network that connects producer to consumer. This report explicitly separates direct from indirect energy use.
Date: June 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

The FBI Fingerprint Identification Automation Program: Issues and Options

Description: This report focuses on key assumptions that will affect the sizing and procurement of the new FBI system, and on other related steps that appear necessary to ensure complete and up-to-date record systems. These include full implementation of a Federal/State/local partnership for maintaining and exchanging fingerprint and criminal history records; enactment of an interstate compact or Federal legislation setting out uniform rules for the exchange of such records; standards and funding for improving criminal history record completeness and disposition reporting; and privacy and security protections for electronic fingerprint and record information.
Date: November 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Hazards Ahead: Managing Cleanup Worker Health and Safety at the Nuclear Weapons Complex

Description: This paper concludes that, thus far, Department of Energy has (DOE) and its contractors have devoted little attention to cleanup worker health and safety. They have not convinced workers and managers that a “new culture” of accountability in environment, safety, and health is truly ascendent.
Date: February 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Federal and Private Roles in the Development and Provision of Alglucerase Therapy for Gaucher Disease

Description: This background paper describes the development of alglucerase, illustrates the role that both the Federal Government and private sector can have in making new therapies available for orphan diseases, and lays out some of the tradeoffs that can exist between developing new medical technologies and controlling health care costs.
Date: October 1992
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Technologies Underlying Weapons of Mass Destruction

Description: This paper reviews the technical requirements for countries to develop and build nuclear, chemical, and biological weapons, along with the systems most capable of delivering these weapons to distant or defended targets: ballistic missiles, combat aircraft, and cruise missiles.
Date: December 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Medical Monitoring and Screening in the Workplace: Results of a Survey

Description: This OTA Background Paper presents the results of a survey of 1,500 U.S. companies, the 50 largest utilities, and the largest unions. The survey was designed to obtain information about the types of medical monitoring and screening done in the United States and the extent of their use. OTA finds that virtually all large U.S. employers use some of these tests.
Date: September 1991
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Biological Effects of Power Frequency Electric and Magnetic Fields

Description: This background report responds to a request by the Subcommittee on Water and Power Resources of the House Committee on Interior and Insular Affairs. The subcommittee asked that OTA review the health effects of high-voltage transmission lines. To provide background information for its assessment on electric power wheeling, OTA contracted with the Carnegie-Mellon University.
Date: May 1989
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Biomedical Ethics in U.S. Public Policy

Description: This report reviews the history of four Federal bioethics initiatives: the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, the Ethics Advisory Board, the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, and the Biomedical Ethics Advisory Committee.
Date: June 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Biopolymers: Making Materials Nature's Way

Description: This report discusses a study that provides a basic introduction to biopolymer technology; profiles some of the more promising polymer materials; reviews research activities in the United States, Europe, and Japan; and describes the principal technical challenges and regulatory issues that may affect biopolymer commercialization efforts.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Statistical Needs for a Changing U.S. Economy

Description: The background paper does not attempt to provide a comprehensive critique of national statistics and does not introduce new research designed to solve the technical problems. It is, instead, designed to show how defects in the existing statistical system can limit our understanding of key economic issues and to demonstrate the ways that better management and coordination of America’s statistical agencies can lead to concrete improvements.
Date: September 1989
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Benefit Design in Health Care Reform: Patient Cost-Sharing

Description: This paper examines the health services and economics literature to learn what is known about the effects of patient cost-sharing (that is, annual deductibles, coinsurance, copayments, and out-of-pocket maximurns) on patients’ use of health care services, on plan expenditures, and on patients’ health outcomes.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

The Big Picture: HDTV and High-Resolution Systems

Description: A report on High Definition Television (HDTV. During 1989, HDTV moved from obscurity to center stage in the ongoing debate over the role of the Federal Government in U.S. industrial competitiveness. HDTV and related High-Resolution System (HRS) technologies in the computer and communications sectors may significantly impact U.S. electronics manufacturing, accelerate fundamental restructuring of the U.S. communications infrastructure, and provide a host of valuable services.
Date: June 1990
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Biological Components of Substance Abuse and Addiction

Description: This paper describes biological contributing factors to substance abuse and addiction. The second document being produced by this study will discuss the complex interactions of biochemical, physiological, psychological, and sociological factors leading to substance abuse and addiction.
Date: September 1993
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Understanding Estimates of the Impact of Health Reform on the Federal Budget

Description: This paper describes and evaluates the sources of variation in analysts’ estimates of the federal budget impacts of key reform provisions. The paper also discusses potential variations in the estimates of federal budget effects of the American Health Security Act and the Managed Competition Act, and of health reform proposals in general.
Date: July 1994
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department