Of the three major pressures on health services worldwide-changing demograp
hy, growing expectations, and new healthcare interventions (technologies)-t
he last is generating the most concern and the most dramatic responses, New
healthcare technologies are becoming mote numerous, more expensive, and po
ssibly more effective than ever before. About 50 new drugs are launched eac
h year, and the number of new devices, procedures, and ways of providing ta
re is growing all the time.