New Medical Devices Invention, Development, and Use (1988) / Chapter Skim
Currently Skimming:
New Medical Devices and Health Care
New Medical Devices and Health Care
Pages 3-12
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 3... ...
The end, of course, is prevention of disease, correction of disease, and rehabilitation from disease. Those who are involved in the development of medical devices and want to have them used properly must be extremely frustrated by the fact that devices often are blamed for the rising cost of health care.
|
From page 4... ...
Some of the stigma on technology as costly stems from its improper siting. Because of the health care reimbursement system, we have commonly put technology in the most expensive settings, where the support staff and overhead costs are the highest.
|
From page 5... ...
The perspective is that of the health profession, the people conducting screening for, and prevention of, disease and employing diagnostic technology, therapeutic technology, and rehabilitative technology. The development of health care in the past century first emphasized diagnosis, because it was something a physician could actually do.
|
From page 6... ...
However, when screening tests go beyond something as focused as protecting the blood supply to screening populations for AIDS a fatal, incurable disease with social stigmas~uestions of individual rights versus protection of the public are raised. False-positive results that have little effect on protection of the blood supply become a major concern in screening populations with a low incidence of the disease.
|
From page 7... ...
The assumption was that without using radiation one could look inside a patient and see, for example, upper gastrointestinal bleeding, discern the site of the bleeding, treat the patient more specifically, and improve the survival rate. Everything happened except the last.
|
From page 8... ...
We can classify it into Lewis Thomas's "supportive therapy," "halfway technology," and really effective "high technology." Supportive means that there is no therapy to be offered. It is illustrated in the old Luke Fildes painting of the doctor sitting at a child's bedside, worrying terribly about the patient but having no therapeutic skills.
|
From page 9... ...
There is a broad group of patients with cystine, uric acid, and calcium stone diseases for whom medical therapy will reduce or prevent stone formations. This is where the conflict comes in.
|
From page 10... ...
I suppose I should be feeling guilty about this. In a way I do, for I have written and lectured in the past about medicine's excessive dependence on technology in general, and the resultant escalation in the cost of health care.
|
From page 11... ...
The opportunity to return people from a dependent status to a functional status is upon us, and I think we are going to have to take advantage of it. But again, the reimbursement structure does not yet recognize such technologic applications, and the same arguments will occur in dealing with highly expensive systems in the rehabilitative sector as are now occurring in pacemaker and cardiac surgical technology.
|
From page 12... ...
Pp. xiii-xiv in Laboratory Medicine in Clinical Practice, Harvey N
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.