The Changing Economics of Medical Technology


Book Description

Americans praise medical technology for saving lives and improving health. Yet, new technology is often cited as a key factor in skyrocketing medical costs. This volume, second in the Medical Innovation at the Crossroads series, examines how economic incentives for innovation are changing and what that means for the future of health care. Up-to-date with a wide variety of examples and case studies, this book explores how payment, patent, and regulatory policiesâ€"as well as the involvement of numerous government agenciesâ€"affect the introduction and use of new pharmaceuticals, medical devices, and surgical procedures. The volume also includes detailed comparisons of policies and patterns of technological innovation in Western Europe and Japan. This fact-filled and practical book will be of interest to economists, policymakers, health administrators, health care practitioners, and the concerned public.







The Healthcare Imperative


Book Description

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.







Health System Efficiency


Book Description

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.




Economics for Nursing, Medicine and Allied Health Professions


Book Description

This book provides study of the allocation and management of scarce resources on goods and services in the operation of medical centers, hospitals and clinics. It also explains the basic concepts of economics in the production of medical goods is concentrated in the operation of pharmaceutical companies, drugstores, medical equipment and supplies enterprises and other related health corporate entities. The existence of medical services relies so much in the operations of health institutions that need to understand the concept of medical price mechanisms, the return-of -investments of acquire health technologies, the user fees of medical equipment and facilities, and the evaluation of cost benefit and effectiveness in the medical programs. The understanding of these health economics concepts and theories will provide the necessary management competence of the medical personnel particularly nurses to know the operation of the hospital or medical center in the economic enterprise of the health sector. That's why this book provides preliminary concepts in health along the standard advocacy of "Health for All" by the World Health Organizations as implemented by the Department of Health . The study of economics for nursing, medicine and allied health professions is primarily directed to concept on the creation of wealth and goods which is the substance of economics as identified from the study of Alfred Marshall in his book "Principles of Economics". It also explains the concept in the use of money or material wealth which is regarded as the main aim of human effort .The material wealth is used to buy the needs and wants of individual which is explained us the general purchasing power. Furthermore, individual needs money to buy things and to satisfy his basic need such as clothing, food, shelter and etc. In producing what we want it is either material or non material goods. The study of micro and macro economics is also explained to form part in the analysis in the introductory concepts of economics. The allocation of economic resources is now applied in the health sector in the promotion, maintenance and improvement of health. It also provides a comprehensive discussion as to the concepts and principles on the law of demand and supply in economics. This is transform through the demand for medical care which is directed to the user fees in the confinement of hospital or medical center. While supply for medical care is directed to the business operations of hospitals, clinics, medical centers, drugstores, and pharmaceutical companies. The concepts and principles of the demand, supply and the price system are also taken from the model of London School of Hygiene and Tropical Medicine (1998). The implementation of public health services and programs has to be evaluated in terms of cost and benefits. There are economic tools to measure the feasibility or viability of the health programs through the use of Cost Analysis (CA), Cost Effective Analysis (CEA), Cost Utility Analysis (CUA) and Cost Benefit Analysis(CBA).There are examples and illustrative discussions presented by the Centers for Disease Control and Prevention of the U.S. Department of Health & Human Services (2008)as the four (4) forms of economic evaluation which are used predominately in public health.On the health care technology, the applications on this area can be seen from the hospitals of developed countries which are using new technologies such as biotechnology, diagnostic imaging, molecular diagnostics, organ and tissue replacement, surgical techniques, wound care, and computer technology. This would help to improve health care delivery and patient outcomes. There is a need to be aware of these emerging technologies because the target employment or work now of nurses as the hospitals of Europe and America which are now using technology-based treatment for their patients




Medical Devices


Book Description

Background papers 1 to 9 published as technical documents. Available in separate records from WHO/HSS/EHT/DIM/10.1 to WHO/HSS/EHT/DIM/10.9




For-Profit Enterprise in Health Care


Book Description

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.




The Supply of Medical Isotopes


Book Description

This report explores the main reasons behind the unreliable supply of Technetium-99m (Tc-99m) in health-care systems and policy options to address the issue. Tc-99m is used in 85% of nuclear medicine diagnostic scans performed worldwide – around 30 million patient examinations every year. These scans allow diagnoses of diseases in many parts of the human body, including the skeleton, heart and circulatory system, and the brain. Medical isotopes are subject to radioactive decay and have to be delivered just-in-time through a complex supply chain. However, ageing production facilities and a lack of investment have made the supply of Tc-99m unreliable. This report analyses the use and substitutability of Tc-99m in health care, health-care provider payment mechanisms for scans, and the structure of the supply chain. It concludes that the main reasons for unreliable supply are that production is not economically viable and that the structure of the supply chain prevents producers from charging prices that reflect the full costs of production and supply.