Module 6 lecture, part 5 Flashcards
Impact of medical tech on structure and process of HC delivery
Large, state- of-the-art medical centers
Alternative settings, such as home health and outpt surgery centers
Robust IT systems enabling managed care, integrated delivery systems, and accountable care orgs
Bar-coding systems, scanning technologies, and radio frequency identification applied in hospitals
Telecommunication applications in continuing education and administrative teleconferencing
What do clinical trials in health technology assessment assess?
Efficacy: health benefit from the use of tech
Safety: benefits must outweigh risks
To what does health tech assessment refer?
Any process of examining and reporting properties of medical technology used in healthcare, such as safety, effectiveness, feasibility, indications for use, cost, cost-effectiveness, and social, economic, and ethical consequences
Why is health technology assessment critical?
Vast sums of money are spent on ineffective care and on services that do not show improved health outcomes
What are other facets of health tech assessment?
Cost-effectiveness
Cost-benefit
What does cost effectiveness evaluate?
Marginal benefits in relation to marginal costs
Optimum point definition
Marginal benefits equal marginal costs
Beyond the optimum point, cost effectiveness is _______
Negative
Flat of the curve definition
When marginal benefits approach zero
A level of intensity of care that provides no incremental health benefits
In terms of the curve in the US, where is it delivered?
At the flat of the curve: often wasteful, but happens d/t legal ramifications
What does cost benefit evaluate?
Benefits in relation to costs when both are expressed in dollar terms
Characteristics of QALY
Commonly used as measure of benefit
The value of one yr of high-quality life
No standard method for the calculation of QALY
What is a cost utility analysis?
Analyses that include the use of QALY
What does the ACA prohibit in terms of QALY?
Placement of a dollar value
Other measures that discount the value of life because of an individual’s disability
