caa a22 4500 477079156 CHVBK 20180405111445.0 cr unu---uuuuu 170330e19961201xx s 000 0 eng 10.1007/BF02249320 doi (NATIONALLICENCE)springer-10.1007/BF02249320 Blank Robert University of Canterbury, New Zealand aut The medical marketplace and the diffusion of technologies [Elektronische Daten] [Robert Blank] Conclusion: This brief review of the efficacy, safety, and costs of IVF demonstrates that this procedure has become accepted medical practice without adequate scientific assessment. Its rapid proliferation especially in the market-oriented USA system, has preceded the type of outcomes research that is essential in order to protect both individual patients and the health care system. In addition, concern over the psychological costs borne by the vast majority of women who unsuccessfully pursue pregnancy through these techniques should warrant a level of caution which to date has not been forthcoming. The demand for pregnancy, the organisation of medical specialties surrounding these procedures, the open-ended reimbursement and incentive structure, and powerful market forces make it unlikely that IVF and a whole range of medical technologies can be regulated without some semblance of a national health system. These findings clearly reinforce the themes raised by the Radical Statistics Health Group and illustrate some of the weaknesses of a market approach to medical care. John Wiley & Sons, Ltd, 1996 Health Care Analysis Kluwer Academic Publishers 4/4(1996-12-01), 321-324 1065-3058 4:4<321 1996 4 10728 https://doi.org/10.1007/BF02249320 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02249320 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Blank Robert University of Canterbury, New Zealand aut NATIONALLICENCE 773 0- Health Care Analysis Kluwer Academic Publishers 4/4(1996-12-01), 321-324 1065-3058 4:4<321 1996 4 10728 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer