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Pill-Popping to Bionic Man Condition Example Drugs Used Medical technologies as adjunct or replacement to drugs Ventricular arrhythmias Amiodarone Implantable Cardiac Defibrillator Atrial fibrillation Digoxin, coumadin, ca+ channel blockers Endocardial ablation Obesity Lipase inhibitors, appetite suppressants Bariatric surgery Depression Antidepressants Deep brain stimulation Parkinson’s disease L-Dopa Deep brain stimulation Acute MI Thrombolytic Coronary stents (primary angioplasty) End-stage heart failure Inotropic drugs Bridge to transplantation and destination ventricular assist devices
Government HC Region Purchase groups Professional Groups HC Rx Copycat Feds Med School HTA / F/P/ Local Intl. HTA Orgs. FDA EU / CE Specialist Hospital/ C-suite/ Foundation GP / FHTs Public / community Advocacy Politician Health Care System Patient
Between 1980-2000, medical technology reduced hospital stays by 56% 1
Total knee replacements save an average of $77,000 / patient in lifetime health care costs, due to reduced need for custodial care. 2
Insulin pump therapy for diabetics saves approximately $18,300 / year compared with daily insulin injections. 3
Medical imaging to diagnose and treat stroke leads to better outcomes, shorter hospital stays, and nearly $800 million / year in savings. 4
Chronic pain treated with Spinal Cord Stimulator instead of conventional therapy saves up to $94,000 / patient. 5,6
Early detection of infection costs $200-$300, while treating a downstream blood infection can cost $30,000. 7
The Value of Investment in Health Care: Better Care, Better Lives, a study by The Value Group, 2004.
Gottlob, C., Pellissier, J., Chang R., et al. “Long-Term Cost Effectiveness of Total Knee Arthroplasty for the Treatment of Osteoarthritis.” American Academy of Orthopedic Surgeons annual meeting, February 1996.
CORE (Center for Outcomes Research) Diabetes Model. American Diabetes Association annual meeting; June 2005.
Johnson, S. C., “Effect of a U.S. National Institute of Health Programme of Clinical Trials in Public Health and Costs,” The Lancet, April 2006.
Bala MM, Riemsma RP, Nixon J Kleijen J. Systematic review of the (cost-)effectiveness of spinal cord stimulation for people with failed back surgery syndrome. Clin J Pain. 2008 Nov-Dec;24(9):741-56.
Kemler MA, Furnée CA. Economic evaluation of spinal cord stimulation for chronic reflect sympathetic dystrophy. Neurology. 2002 Oct 22;59(8):1203-9.
Alice Jacobs develops diagnostics that stand the test of time. Boston Women’s Business. Vol. 11 Issue 1. 2009.
Real faces of Health Care and their perception of the value of innovative technology Delphine Diabetes Insulin Pump Perry Parkinson's Deep Brain Stimulation Christine Long QT Syndrome Implantable Defibrillator Lin Diabetes Insulin Pump
Tele-monitoring and Electronic Medical Records