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Innovation in Medical Technology
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summary
This thought-provoking study examines the ethical, legal, and social problems that arise with cutting-edge medical technology. Using as examples four powerful and largely unregulated technologies—off-label use of drugs, innovative surgery, assisted reproduction, and neuroimaging—Margaret L. Eaton and Donald Kennedy illustrate the difficult challenges faced by clinicians, researchers, and policy makers who seek to advance the frontiers of medicine safely and responsibly. Supported by medical history and case studies and drawing on reports from dozens of experts, the authors address important practical, ethical, and policy issues. They consider topics such as the responsible introduction of new medical products and services, the importance of patient consent, the extent of the duty to mitigate harm, and the responsibility to facilitate access to new medical therapies. This work's insights into the nature and consequences of medical innovation contribute to the national debate on how best to protect patients while fostering innovation and securing benefits.

Table of Contents

  1. Cover
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  1. Frontmatter
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  1. Contents
  2. p. v
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  1. Preface
  2. pp. vii-xii
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  1. Acknowledgments
  2. p. xiii
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  1. Introduction: The Need to Ask Questions about Innovation
  2. pp. 1-22
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  1. 1. Distinguishing Innovative Medical Practice from Research
  2. pp. 23-36
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  1. 2. The Modern History of Human Research Ethics
  2. pp. 37-46
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  1. 3. Innovation in the Off-Label Use of Drugs
  2. pp. 47-56
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  1. 4. Innovative Surgery
  2. pp. 57-71
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  1. 5. Innovation in Assisted Reproduction
  2. pp. 72-83
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  1. 6. Innovation in Neuroimaging
  2. pp. 84-93
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  1. 7. Questions, Issues, and Recommendations Going Forward
  2. pp. 94-113
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  1. Conclusion: Final Thoughts on the Landscape of Innovation
  2. pp. 114-118
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  1. Appendix A. Directives for Human Experimentation: Nuremberg Code
  2. pp. 119-120
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  1. Appendix B. World Medical Association Declaration of Helsinki
  2. pp. 121-126
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  1. Appendix C. Description of Department of Health and Human Services Regulations for the Protection of Human Subjects
  2. pp. 127-129
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  1. Appendix D. Participants in Lasker Forum on Ethical Challenges in Biomedical Research and Practice
  2. pp. 130-134
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  1. Notes
  2. pp. 135-142
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  1. References
  2. pp. 147-150
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  1. Index
  2. pp. 151-155
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