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HEALTH CARE TECHNOLOGY

HEALTH CARE TECHNOLOGY. 1 MARCH 2005 KATHARINE C RATHBUN MD. COSTS. MONEY TIME LABOR PAIN INDEPENDENCE LOVE. HOW MUCH IS YOUR LIFE WORTH?. YOUR MONEY, TIME, ETC SOMEONE ELSE'S SOCIETY’S. HEALTHY WORKER EFFECT. THE EMPLOYMENT PROCESS SELECTS FOR PEOPLE WHO ARE HEALTHY

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HEALTH CARE TECHNOLOGY

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  1. HEALTH CARE TECHNOLOGY 1 MARCH 2005 KATHARINE C RATHBUN MD

  2. COSTS • MONEY • TIME • LABOR • PAIN • INDEPENDENCE • LOVE

  3. HOW MUCH IS YOUR LIFE WORTH? • YOUR MONEY, TIME, ETC • SOMEONE ELSE'S • SOCIETY’S

  4. 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

  5. LIFE EXPECTANCY / DISABILITY • 1966-1997 LIFE EXPECTANCY ROSE 2.8 YEARS • DISABILITY FREE YEARS PROJECTED TO DECLINE BY 7.3

  6. CAUSES OF DISABILITY • SAVING LIFE MAY MEAN INCREASED NUMBERS ON DISABILITY • ONLY SAVING BABIES CONTRIBUTES TO A DECLINE IN DISABILITY FREE YEARS

  7. TECHNOLOGIC IMPERATIVE • HAVE STATE-OF-THE-ART TECHNOLOGY • USE THIS TECHNOLOGY AT EVERY OPPORTUNITY

  8. MEDICAL SPECIALIZATION • SPECIALTY BOARDS WERE SET UP IN THE LATE 1940’s • MEDICARE AND HEALTH INSURANCE IN THE 1960’S • ALSO A TECHNOLOGIC IMPERATIVE

  9. PUSH FOR SPECIALIZATION • PAY MORE • BUY EQUIPMENT • ADDS PRESTIGE • WON’T HIRE GENERALISTS • ADVANCED PRIVILEGES • PEOPLE HAVE BEEN TAUGHT TO DEMAND SPECIALISTS

  10. 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

  11. QUALITY OF CARE FALLACIES • TECHNOLOGY ASSESSMENT • DECISIONS ABOUT TECHNOLOGY ARE ABOUT QUALITY OF CARE • MORE SPECIFIC IS BETTER

  12. COST CONTROL FALLACIES • UNNECESSARY TESTING/CARE • OLDER PHYSICIANS HAVE MORE INAPPROPRIATE ADMISSIONS • DRG’S WITH REDUCED PAYMENTS • OUTPATIENT VS INPATIENT • CERTIFICATE OF NEED • COMPETITION

  13. FUNDING TECHNOLOGY • MERGE WITH OTHER PROVIDERS • OBTAIN MANUFACTURER SUPPORT • BECOME A DEMONSTRATION SITE • BECOME A SERVICE CENTER • PONZI SCHEMES

  14. DECIDING WHICH DRUG TO USE • DRUG MANUFACTURERS • DOCTORS IN PRACTICE • DOCTORS IN TRAINING • VIOXX VS IBUPROFEN

  15. CLASSES OF DRUGS • OVER THE COUNTER DRUGS • PRESCRIPTION DRUGS • SCHEDULED DRUGS - NARCOTICS • SUPPLEMENTS

  16. INFORMATION SYSTEMS • ALL THE USUAL PROBLEMS • HIGHLY IDIOSYNCRATIC INFORMATION • HIGHLY “TECHNICAL” INFORMATION • HIPPA

  17. TELEMEDICINE • STORING AND TRANSFERRING INFORMATION • ISOLATED DOCTORS • GENERALLY ACQUIRING DATA IS THE PROBLEM NOT READING IT

  18. THE FUTURE • IT STILL TAKES 9 MONTHS TO MAKE A BABY

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