By H. David Banta

This file, watching for and Assessing wellbeing and fitness Care expertise, is the 1st file from the STG fee on wellbeing and fitness Care know-how. The STG (Stuurgroep Toekomstscenario's Gezondheidzorg) used to be tested in 1983 as an self sustaining advisory staff to the nation Secretary for Welfare, Public healthiness, and Cultural Affairs (WVC) to aid in long-range well-being making plans efforts. so far, STG commissions have tested heart problems, melanoma, getting older, and existence types as problems with value to the well-being of the Dutch inhabitants sooner or later. evidently, wellbeing and fitness care expertise is of significant problem to the govt.. at the one hand, expertise is among the significant instruments to advertise a fit inhabitants. nevertheless, the prices of well-being care were emerging at an alarming fee in recent times. It used to be those evidence, besides the social outcomes of yes applied sciences akin to genetic screening, that led the STG to set up the fee on health and wellbeing Care expertise in 1985. the ecu place of work of the area wellbeing and fitness association (EURO) cosponsored the venture. The overall healthiness Council (Gezondheidsraad) agreed to cooperate with the venture by way of furnishing house and highbrow and logistical help. The target of the Commission's paintings is to strengthen enough details on destiny technological advancements in wellbeing and fitness and future health care to aid making plans for his or her effects. next reviews will supply extra element on overall healthiness care applied sciences and may supply in-depth tests on a number of particular technological areas.

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Additional info for Anticipating and Assessing Health Care Technology: General Considerations and Policy Conclusions.A report commissioned by the Steering Committee on Future Health Scenarios

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In the case of cardiac surgery, for instance, the partial replacement of coronary bypass by laser applications could cause considerable ~hange in health demands. Or, for example, progress in the area of vaccines or neuropharmacology may result in much better means of prevention and treatment in the long run. New and significant abnormalities may also be identified as a result of increasing knowledge of environmental factors and genetics in the etiology of disease. Earlier use of more sophisticated diagnostic tools based on this new knowledge can probably also be expected.

The principles resulted in a scientific approach characterized by mathematical analysis, formal experimentation, and reductionism. The approach to biology and medicine also changed in this period. Descartes' writing provided a basis to separate mind and body, making animal and human experimentation possible. It was during this time, for example, that Harvey discovered the circulation of the blood and Kepler the mechanism by which the eye produced an image. Improvements in health were sought in the understanding of the structure and function of the body and the disease processes that affect it (259).

The unravelling of the s~ructure of DNA started the so-called biological revolution. In the past decades, the knowledge concerning the living cell - its structure, functioning, energy production, information transfer, and reproduction - has grown explosively. The tools of molecular biology, such as recombinant DNA techniques and monoclonal antibodies, are now used in many disciplines of medicine. This expansion in knowledge has fueled numerous technological innovations. For example, effective drug therapy for hypertension (high blood pressure) has been developed.

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