The first chapter describes the health care delivery systems in Canada and in the U.S. This is followed by examples of various approaches used to measure physiological variables in humans, either for the purpose of diagsis or monitoring potential disease conditions; a brief description of sensor techlogies is included. The function and role of the clinical engineer in managing medical techlogies in industrialized and in developing countries are presented. This is followed by a chapter on patient safety (mainly electrical safety and electromagnetic interference); it includes a section on how to minimize liability and how to develop a quality assurance program for techlogy management. The next chapter discusses applications of telemedicine, including technical, social, and ethical issues. The last chapter presents a discussion on the impact of techlogy on health care and the techlogy assessment process. This two-part book consolidates material that supports courses on techlogy development and management issues in health care institutions. It can be useful for anyone involved in design, development, or research, whether in industry, hospitals, or government.