COST ESCALATION IN HEALTH-CARE TECHNOLOGY - POSSIBLE SOLUTIONS

Solutions to cost escalation due to health-care technology are propose d. It is argued that proper systems analysis, technology assessment, a nd planning would result in net savings and improved cost-benefits. Id entification of needs early in the technological life cycle can positi vely influence the final form of the chosen technology. A national cen tre for technology assessment is proposed. Arguments in favour of a lo cal medical equipment manufacturing industry, emulating overseas examp les, are advanced, appropriateness being the main criterion. Analysis of the cost breakdown of imported technology suggests ways of reducing costs considerably, while stimulating the local economy. Digital tele communications technology and its application to rural health care is cited as an example of a potentially worthwhile investment in making o verall coverage more equitable.