health care technology 1 march 2005 katharine c rathbun md
TRANSCRIPT
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HEALTH CARE TECHNOLOGY
1 MARCH 2005
KATHARINE C RATHBUN MD
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COSTS
• MONEY
• TIME
• LABOR
• PAIN
• INDEPENDENCE
• LOVE
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HOW MUCH IS YOUR LIFE WORTH?
• YOUR MONEY, TIME, ETC
• SOMEONE ELSE'S
• SOCIETY’S
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HEALTHY WORKER EFFECT
• THE EMPLOYMENT PROCESS SELECTS FOR PEOPLE WHO ARE HEALTHY
• THERE IS NO HEALTHY PERSON EFFECT ON BEING ALIVE
• THERE USED TO BE
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LIFE EXPECTANCY / DISABILITY
• 1966-1997 LIFE EXPECTANCY ROSE 2.8 YEARS
• DISABILITY FREE YEARS PROJECTED TO DECLINE BY 7.3
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CAUSES OF DISABILITY
• SAVING LIFE MAY MEAN INCREASED NUMBERS ON DISABILITY
• ONLY SAVING BABIES CONTRIBUTES TO A DECLINE IN DISABILITY FREE YEARS
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TECHNOLOGIC IMPERATIVE
• HAVE STATE-OF-THE-ART TECHNOLOGY
• USE THIS TECHNOLOGY AT EVERY OPPORTUNITY
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MEDICAL SPECIALIZATION
• SPECIALTY BOARDS WERE SET UP IN THE LATE 1940’s
• MEDICARE AND HEALTH INSURANCE IN THE 1960’S
• ALSO A TECHNOLOGIC IMPERATIVE
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PUSH FOR SPECIALIZATION
• PAY MORE
• BUY EQUIPMENT
• ADDS PRESTIGE
• WON’T HIRE GENERALISTS
• ADVANCED PRIVILEGES
• PEOPLE HAVE BEEN TAUGHT TO DEMAND SPECIALISTS
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PUSH FOR PRIMARY CARE
• THIS IS GIVEN LIP SERVICE
• LOWER PAY AND PRESTIGE
• DENIED PRIVILEGES
• WORK UNDER SPECIALIST SUPERVISION
• GET HAND-ME-DOWN FACILITIES AND EQUIPMENT
• USED AS GATEKEEPERS TO THE SPECIALISTS
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QUALITY OF CARE FALLACIES
• TECHNOLOGY ASSESSMENT
• DECISIONS ABOUT TECHNOLOGY ARE ABOUT QUALITY OF CARE
• MORE SPECIFIC IS BETTER
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COST CONTROL FALLACIES
• UNNECESSARY TESTING/CARE
• OLDER PHYSICIANS HAVE MORE INAPPROPRIATE ADMISSIONS
• DRG’S WITH REDUCED PAYMENTS
• OUTPATIENT VS INPATIENT
• CERTIFICATE OF NEED
• COMPETITION
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FUNDING TECHNOLOGY
• MERGE WITH OTHER PROVIDERS
• OBTAIN MANUFACTURER SUPPORT
• BECOME A DEMONSTRATION SITE
• BECOME A SERVICE CENTER
• PONZI SCHEMES
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DECIDING WHICH DRUG TO USE
• DRUG MANUFACTURERS
• DOCTORS IN PRACTICE
• DOCTORS IN TRAINING
• VIOXX VS IBUPROFEN
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CLASSES OF DRUGS
• OVER THE COUNTER DRUGS
• PRESCRIPTION DRUGS
• SCHEDULED DRUGS - NARCOTICS
• SUPPLEMENTS
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INFORMATION SYSTEMS
• ALL THE USUAL PROBLEMS
• HIGHLY IDIOSYNCRATIC INFORMATION
• HIGHLY “TECHNICAL” INFORMATION
• HIPPA
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TELEMEDICINE
• STORING AND TRANSFERRING INFORMATION
• ISOLATED DOCTORS
• GENERALLY ACQUIRING DATA IS THE PROBLEM NOT READING IT
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THE FUTURE
• IT STILL TAKES 9 MONTHS TO MAKE A BABY