Psychiatric Consequences of High Technology in Medical Care

1989 ◽  
pp. 80-88
Author(s):  
P. Tienari
Keyword(s):  
Medical Care ◽  
High Technology

Changing Infant Mortality: The Need to Spend More While Getting Less

PEDIATRICS ◽  
1984 ◽  
Vol 73 (6) ◽  
pp. 862-866
Author(s):  
Bernard S. Bloom
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Medical Technology ◽  
Social Economic ◽  
High Technology ◽  
Live Births ◽  
Potential Benefits ◽  
Expectant Mothers ◽  
Unlimited Access ◽  
Low Levels

A steady decline of infant and maternal mortality has been recorded for as long as these statistics have been collected. Much of the improvement has been due to reductions in infectious diseases and to social, economic, and public health improvements over the years. The major portion of mortality reductions took place before there were any important effects of medical care. However, there is increasing evidence suggesting that important benefits, can still be gained from medical technology. But, with infant mortality at low levels (between 7 and 12/1,000 live births in high-income countries) the wide use of high technology to effect further reductions guarantees escalating medical care expenditures. With pressures mounting to control costs, what will society be willing to give up in order to make this care available? From where will funds come to utilize costly existing and new medical technology so that all expectant mothers and newborns needing it may have essentially unlimited access in order to reap potential benefits?

scholarly journals Provision of prophylactic medical care in St Petersburg under new socioeconomic conditions

2009 ◽  
Vol 15 (2) ◽  
pp. 214-217
Author(s):  
N. Paskar ◽  
I. V. Larina ◽  
E. N. Parizchkaya ◽  
O. N. Simonova
Keyword(s):  
Medical Care ◽  
New Technology ◽  
High Technology ◽  
Medical Examination ◽  
Economic Conditions ◽  
Socioeconomic Conditions ◽  
Healthy State

The problem of a new technology and quality of prevention as the medical examination of the population is the most actual in the new socio-economic conditions. The results of additional medical examination of the working citizens of St Petersburg during 2006-2008 years are presented. To evaluate the demand and the type of the medical care required, including high technology, the groups of people according to the healthy state were specified.

When Does Regionalization of Expensive Medical Care save Money?

2001 ◽  
Vol 14 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Terri J. Menke ◽  
Nelda P. Wray
Keyword(s):  
Medical Care ◽  
Resource Sharing ◽  
High Technology ◽  
Medical Costs ◽  
Accurate Assessment ◽  
Empirical Estimates ◽  
Unused Capacity ◽  
Cost Implications ◽  
The Cost

Regionalization of expensive, high-technology medical care is often proposed as a way to reduce medical costs. Most empirical estimates of the cost implications of regionalization suffer from methodological shortcomings. Here, we discuss all the factors that must be taken into account to produce an accurate assessment of how regionalization changes costs. These factors include the following: (1) The extent of resource sharing among different services; (2) The extent of unused capacity; (3) Whether regionalized facilities have high, low or average costs; (4) Costs of a regionalized system, including transporting patients to the regionalized facilities, coordinating care between the referring and regionalized providers, and out-of network care; (5) The effect of regionalization on the volume of care; and (6) whether a short- or long-term view is taken.

scholarly journals 衛生保健體制改革: 理性與現實的選擇

1999 ◽  
Vol 2 (1) ◽  
pp. 5-26
Author(s):  
Zhizheng DU
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medical Care ◽  
Small Group ◽  
Health Care Reform ◽  
Health Care Costs ◽  
High Technology ◽  
Public Health Care ◽  
Basic Health ◽  
Care Costs

LANGUAGE NOTE | Document text in Chinese; abstract also in English.衛生保健制度改革之艱難，主要在於要在諸多因素發展勢頭的相互硑撞中維持衛生保健工作的良性發展。衛生保健改革目標的設定，應當着眼於現實，但又必須顧及長遠。為此，它應當是首先有利於為更多的人群提供最基本的保健服務，同時又 能有力地控制保健費用的增長，有利於控制疾病的發生。只着眼於開源或節流，或者只強調衛生服務組織自身的營運，都可能使衛生保健產生更多的麻煩。多方位的雙層或多層的體制是使衞生保健工作適應各方需要的理想構思，它包含多種雙層或多種多層的內涵。在衛生資源有限的情況下，配給是保證為更多的人群提供保健的有效措施，救援則是其重要的補充。現行的醫療服務體系與為最廣大的人群提供基本的醫療保健服務不適應，也與抑制醫療費用上漲的要求不適應，必需有較大力度的改革。衛生保健改革的選擇，必須是道德的，同時又是理性而現實的。Health care costs soar and become unbearable everywhere in the world. This is not only a problem faced by developed Western countries. It is also a difficult issue for the third world countries such as China. China's health care system needs reform. On the one hand, a great number of people have not been covered by any basic health insurance. On the other hand, however, critical care medicine in high-technology hospitals in urban areas consumes tremendous public health care resources for a very small group of patients. This essay argues that China should appropriately establish multiple goals for its health care reform, based on ethical and reasonable deliberations on China's actual health care situation.First, rationing is crucial in containing health care costs. Public health care resources are limited. It is impossible to satisfy all medical needs for all people at all times. This is especially the case for mainland China, where public resources that can be invested in medical care are scarce. An appropriate goal of China's health care reform should be to provide basic, not luxury, health care for the people. Some luxury medical procedures must be left to individuals for purchase through their own resources.Second, a basic level of health care must be ensured to most people, even if it is impossible to ensure to everyone. It is important for everyone to understand that providing the best care for everyone is practically impossible. The best a government can do is to provide some level of basic care. However, the goal here must be the basic health of all or most people, rather than total care for a small group of people.Third, an appropriate pattern of China's health care should be prevention-oriented and ordinary-treatment-oriented, rather than high-technology-medicine-oriented. Since the early 1980s, many hospitals have relied on high-technology medicine to deal with diseases and to earn more income for themselves at the same time. But high-technology medicine is not panacea, though it is extremely costly. Inexpensive medical prevention is often more effective than high-technology medical procedures.Finally, a rule of rescue should be established in society. Society ought to provide some help for those who need special expensive medical care (such as organ transplantation) and are not able to afford it. The rule of rescue guides our efforts in this direction. Society should organize and establish special foundations to help people in this regard.DOWNLOAD HISTORY | This article has been downloaded 21 times in Digital Commons before migrating into this platform.

The New Medicine: Something Different

1987 ◽  
Vol 3 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Lewis Thomas
Keyword(s):  
Health Care ◽  
Medical Care ◽  
High Technology ◽  
Scientific Success ◽  
Practice Of Medicine ◽  
Perceived Change ◽  
The Cost

To read the newspapers, the whole practice of medicine suddenly has been transformed from the learned profession it used to be into a high technology, beset on all sides by scientific hubris. And complaints about this perceived change are heard everywhere. There is too much science, it is claimed. Doctors are unable to deal at first hand with their patients, it is said, because of the sheer mass of machinery required for medical care. There is, it is asserted, such a high technology needed for health care that no society can cope with the cost. If it continues, medicine will be done in by its own scientific success.

The Turn to the Local: The Possibility of Returning Health Care to the Community

2002 ◽  
Vol 12 (4) ◽  
pp. 505-526
Author(s):  
Lisa H. Newton
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Technology ◽  
Private Insurance ◽  
High Technology ◽  
Public School System ◽  
Medical Interventions ◽  
The Core ◽  
Single Payer ◽  
The U.S

Abstract:It is not too early to suggest that the attempts to place medical care in private hands (through group insurance arrangements) has not fulfilled its promise—or better, the promises that were made for it. Yet history has not been kind to plans to make government the single payer, and the laudable progress in medical technology has placed high-technology medical care beyond the reach of most private budgets. In this paper I suggest that the major problem of the U.S. health care system as presently conceived is a failure of legitimacy, and I put forward a proposal that purports to solve that problem. The proposal is to localize health care, on the model of a public school system, on the argument that such localization will answer most of the questions of legitimacy at the core of the private insurance imbroglio, provide a brake for medical costs, while preserving our ability to take advantage of the most advanced medical interventions. I present some initial arguments for the proposal, but await its proof in the dialogue emerging as the present insurance system collapses.

scholarly journals Potential of the neurosurgical treatment of symptomatic temporal epilepsy

2018 ◽  
Vol 9 (3) ◽  
pp. 60-65
Author(s):  
K. G. Airapetov ◽  
A. A. Glazkov ◽  
A. H. Al-Khammadi ◽  
E. V. Prinsovskaya ◽  
M. V. Nikolaenko
Keyword(s):  
Medical Care ◽  
High Technology ◽  
Temporal Epilepsy ◽  
Modern Methods ◽  
Neurosurgical Treatment

A combination of the appropriate epilepsy service and modern methods of microneurosurgery allow realization of an effective high technology medical care to patients with symptomatic temporal epilepsy.

scholarly journals WHY CARDIOVASCULAR MORTALITY IN MOSCOW IS LOWER THAN IN OTHER REGIONS OF THE RUSSIAN FEDERATION?

2015 ◽  
Vol 14 (2) ◽  
pp. 4-12
Author(s):  
N. V. Pogosova ◽  
R. G. Oganov ◽  
S. V. Suvorov
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Medical Care ◽  
Russian Federation ◽  
Cardiovascular Mortality ◽  
High Technology ◽  
Economic Level ◽  
The Russian Federation ◽  
In The Beginning ◽  
Cvd Mortality

Since 2003 there is a decline of cardiovascular (CVD) mortality of the RF, that established in 2006 in women and in men. From 2003 to 2013 y. total coefficient of cardiovascular mortality (number of died per 100 thousand of population) decreased by 25% (698,1 vs. 927,5), although still it is higher than in the beginning of the nineties (621,0 per 100 thous. of population in 1991 y.). The significant differences in RG regions are noted by the values of morbidity and mortality from CVD. For the period 2006-2013 y. the standardized value of mortality from coronary heart disease (CHD) in Moscow decreased by 35,7% that is 1,5 more than in RF and 1,3 more higher than in St-Petersburg, and 2,6 times more than in Moscow region. In 2012 the value of the suspected life duration (SLD) of Moscow citizens was 76,0 y. (mean in Russia — 70,0 y), and just 4 years is the gap between then and EU citizens. In 2013 SLD in Moscow reached 72,3 y. Significantly lower values of mortality from CVD and higher values of SLD can be explained by higher socio-economic level, higher psychological endurance and better availability of psychological (psychotherapeutic) help, higher level of fish, fruits and berries consumption, better availability of outpatient and high technology medical care for Moscow citizens. 

scholarly journals Evaluation of the quality of medical care in a multiprofile Federal center

2009 ◽  
Vol 15 (2) ◽  
pp. 170-180
Author(s):  
Y. Kasherininov
Keyword(s):  
Medical Care ◽  
High Technology ◽  
Regional Health ◽  
Simple Method ◽  
Coronary Syndrome ◽  
Regional Health Care ◽  
Quality Of Medical Care ◽  
Treatment Procedures ◽  
Federal Center

A simple method of evaluating the quality of medical care is presented. Using offered form and expert findings it is possible to make a quantitative conclusion assessing different stages of the diagnostic and treatment procedures, comparing different departments and workers, and analyzing co-elaboration between multitype Federal centre and regional health care system of Russian federation in performing high-technology treatment and diagnostics. There are several examples showing comparative sample check examination between different cardiology departments, and an example of an expert evaluation of an acute coronary syndrome case is given.

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