Dynamics of Care in Society

2

Health Care & Technology

OBJECTIVES

IDENTIFY THE VARIOUS METHODS OF TECHNOLOGY USED IN HEALTH CARE FACILITIES

COMPARE & CONTRAST THE POSITIVE AND NEGATIVE CONSEQUENCES OF BIOMEDICAL TECHNOLOGY ON SOCIETY AND ON THE HEALTH CARE SYSTEM

DIFFERENTIATE AMONG SOME OF THE KEY TECHNICAL, ECONOMIC, SOCIAL, MORAL & POLITICAL ISSUES ASSOCIATED WITH BIOTECHNOLOGIES

What is Medical Technology?

The practical application (everyday use) of the scientific knowledge produced by

biomedical research

CONSIDERATIONS OF TECHNOLOGY IN HEALTH CARE

COSTSAFETY BENEFITS VS. BURDENSAVAILABILITY & ACCESS

BENEFITS

prevent or delay the onset of serious disease

provide a better diagnosis make faster and more complete cures possible

increase safety of medical treatment

minimize undesirable side effects

promote faster recoveries from surgery

increase life expectancy improve quality of life

BURDENSnew technology usually

increases both labor and capital costs

side-effects or harm from the use of technology

emphasis on specialty care over primary care & preventive services

critically ill patients are put on life support with limited decision-making abilities and little hope of full recovery

Insuring the confidentiality of patient information

Medical technology includes:

◦Sophisticated machines PET scanners, implantable defibrillators

◦High tech procedures angioplasty, joint replacements

◦Pharmaceuticals & Biologics (a medicinal preparation made from living organisms and their products) serums, vaccines, antibiotics…

Genetic and molecular advances

IT (Informational Technology)medical recordsinternettelemedicine

Disease management: advances◦Diabetes (insulin pumps)◦Heart Disease (procedures such as coronary artery bypass graft)

◦End-Stage Renal Disease (Kidney Transplants)

◦HIV-AIDS (new medications)

TYPES OF TECHNOLOGY

IN HEALTH CARE

1. INFORMATIONAL TECHNOLOGY

Managing patient care management

Quality improvement Cost containment Informational Access (through Computers, tablets, smart phones, PDAs)

Think about how the internet has allowed patients to be more active participants in their own health care!

HEALTH IT1. Accurate and complete

information about a patient's health.2. The ability to better coordinate

the care they give.3. A way to securely share

information with patients and their family.

4. Information to help doctors diagnose health problems sooner, reduce medical errors, and provide safer care at lower costs.

Applications for Health CareAssessing patients’ chartsUsing pharmacy & formulary dosing toolsAssessing MicromedexDownloading & viewing health books & journalsViewing procedures not routinely performedSetting up virtual officesViewing financial informationCommunicationResearch Sharing of information / education

Electronic Medical Records

Patient identification dataClinic & inpatient notesPreventive care deliveryLaboratory dataRadiology dataPharmacy dataSurgical procedures performedEmergency department visitsBilling information

2. DIAGNOSTIC & MONITORING TECHNOLOGY

• To identify or diagnose illness or injury

• To monitor or measure progress• To assist in treatment planning

EKG

• X-RAY aka (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions.

X-RAY

• CT scans of internal organs, bones, soft tissue and blood vessels provide greater clarity and reveal more details than regular x-ray exams. CT scans use x-ray & sophisticated computers to produce multiple images of the inside of the body.

CT Scan

MRI

MRI

f-MRI(functional MRI)Shows brain activityvia blood flow

• aka sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body.

Fetal profile 1st trimesterUltrasound

Watch Imaging

3. LIFE SUPPORT TECHNOLOGY

• Used to maintain a patient's bodily function

Oxygen

Ventilator

Dialysis

Heart-Lung Machine

Feeding Tube

4. GENETIC TECHNOLOGY

• Uses the power of the genetic code to treat human disease

Gene therapy

Gene therapy

Stem cells

Cloning

5. THERAPEUTIC TECHNOLOGY

• Uses technological procedures & equipment for disease treatment and rehabilitation

Robotic surgery is a technique in which a surgeon performs surgery using a computer that remotely controls very small instruments attached to a robot.

Insulin pump

Prosthetics

Pharmaceuticals

Surgical Tools & Settings

Telesurgery: surgical care from a distance

Anesthesia

Epidural

General

Radiation Therapy

The Year in Medicine 2013: Medscape

The Year in Medicine 2014: Medscape

High tech medical dummies - Videos - CBS News 2012 6:39

To View:

Greatest Discoveries with Bill Nye-Medicine 44 min (Discovery Streaming)

Growing body cell parts CBS 2010 12:00

10 medical advances in the last 10 years - CNN.com slides 2013