Tag: "health IT"
A plan to create the world’s largest single civilian computer system linking all parts of the National Health Service is to be abandoned by the Government after running up billions of pounds in bills. Ministers are expected to announce next month that they are scrapping a central part of the much-delayed and hugely controversial 10-year National Programme for IT. (More)
Our society has little tolerance for doctors who miss diagnoses (fear of malpractice suits drives a depressing number of decisions in health care), but this and other scenes in “One Doctor” reveal just how tricky diagnosing someone can be. Patients conceal things or grow delirious; symptoms contradict each other; scanners give false positives and false negatives. Despite modern technology, diagnosing people remains more art than science — even a sort of white magic.
From the book review by Sam Kean.
Passive, remote monitoring…requires neither the patient nor the medical provider to do anything. The implanted device sends signals into the cloud that will be used by providers to intervene if necessary, and be compiled in databases that will be used for research. An example would be an artificial knee that measures its range of motion when the patient walks, sending a stream of motion-capture data for analysis. If the range of motion is too narrow or inconsistent, the patient can be called in to have the implant inspected.
Source: John Graham, who (unusually) goes on to give advice on how the industry should be structured.
Are they safer? Are they cost-effective? Here is a summary from Jason Shafrin (gated):
Several observational studies have shown that compared to open surgeries, laparoscopic surgeries had fewer respiratory, miscellaneous surgical and anastomotic stricture complications in radical prostatectomy (Hu et al. 2009; Hu et al. 2008; Shih et al. 2012) However, it has also been shown that [robot-assisted radical prostatectomies] RARPs were associated with higher rates of genitourinary complications than open surgery.(Hu et al. 2009; Prasad et al. 2010) In addition, the shorter [length of stay] LOS highly publicized by Intuitive Surgical does not necessarily imply cost-saving. In fact, due to longer time spent in operation room, hospitalizations for [minimally invasive radical prostatectomy] MIRP were found to be more costly than those for [open prostatectomy] ORP. A systematic review on the cost of radical prostatectomy concluded that the cost of laparoscopic surgery was $2000 – $4000 higher than that of open surgery;(Bolenz et al. 2012) similar findings were also found in a population-based study using commercial claims data.(Shih et al. 2012) It was estimated that robotic surgery alone added $4 million to Medicare expenditures on prostate cancer.(Nguyen et al. 2011) Therefore, whether the net benefit…associated with the wide diffusion of robotic-assisted surgeries remains inclusive.