scholarly journals AI in Healthcare: medical and socio-economic benefits and challenges

2021 ◽  
Author(s):  
Mohammed Yousef Shaheen
Keyword(s):  
New Technology ◽  
Economic Benefits ◽  
Care Quality ◽  
Unique Combination ◽  
Surgical Robots ◽  
Social Lives ◽  
Number Of Patients ◽  
System 2 ◽  
Smart Data ◽  
Intraoperative Guidance

The objective of this research was to investigate benefits and challenges of AI in healthcare. Wedivided the benefits into two subcategories: benefits related to the medical domain, and the benefitsrelated to economic and social lives domain. The findings are: 1) Smart data inclusion contributessignificantly and help to improve decision-making quality. 2) Surgical robots have improved theprecision and predictability of the surgery. 3) Intraoperative guidance via video pictures andcommunication systems has proven to be beneficial, particularly in situations when there is a pooraccess to clinics, travel limitations, or pandemic. 4) Sentiment analysis analyzes, interprets, andresponds to verbal expressions of human emotions. 6)Data scientists have been able to create algorithmsthat can comprehend human feeling from written textwith unique combination of NLP and sentimentanalysis. 7) AI could re-balance a clinician's workload,providing them more time to connect with patientsand thereby improve care quality. The majorchallenges are: 1) the data reflects sometimesinherent biases and disparities in the healthcare system. 2) The demand for huge datasets incentivizesdevelopers to acquire data from a large number of patients. Some patients may be worried that thisdata collection would infringe on their confidentiality. 3) AI systems may occasionally be incorrect,resulting in patient damage or other health-care issues. It is not assumed that a new technology willalways be good; it has the potential to be detrimental. There are some improvements that benefit andthere are some challenges that may harm, and these challenges must be responded by futureresearch.

scholarly journals AI in Healthcare: medical and socio-economic benefits and challenges

2021 ◽  
Author(s):  
Mohammed Yousef Shaheen
Keyword(s):  
Communication Systems ◽  
New Technology ◽  
Economic Benefits ◽  
Future Research ◽  
Surgical Robots ◽  
Social Lives ◽  
Poor Access ◽  
Number Of Patients ◽  
System 2 ◽  
Smart Data

The objective of this research was to investigate benefits and challenges of AI in healthcare. We divided the benefits into two subcategories: benefits related to the medical domain, and the benefits related to economic and social lives domain. The findings are: 1) Smart data inclusion contributes significantly and help to improve decision-making quality. 2) Surgical robots have improved the precision and predictability of the surgery. 3) Intraoperative guidance via video pictures and communication systems has proven to be beneficial, particularly in situations when there is a poor access to clinics, travel limitations, or pandemic. The major challenges are: 1) the data reflects sometimes inherent biases and disparities in the healthcare system. 2) The demand for huge datasets incentivizes developers to acquire data from a large number of patients. Some patients may be worried that this data collection would infringe on their confidentiality. 3) AI systems may occasionally be incorrect, resulting in patient damage or other health-care issues. It is not assumed that a new technology will always be good; it has the potential to be detrimental. There are some improvements that benefit and there are some challenges that may harm, and these challenges must be responded by future research.

scholarly journals Room Size Influences Flow in Robotic-Assisted Surgery

2021 ◽  
Vol 18 (15) ◽  
pp. 7984
Author(s):  
Falisha Kanji ◽  
Tara Cohen ◽  
Myrtede Alfred ◽  
Ashley Caron ◽  
Samuel Lawton ◽  
...  
Keyword(s):  
New Technology ◽  
Surgical Robots ◽  
Physical Size ◽  
Robotic Assisted ◽  
Surgical Technology ◽  
Room Size ◽  
Robotic Assisted Surgery ◽  
Academic Hospitals ◽  
Environmental Causes ◽  
The Impact

The introduction of surgical technology into existing operating rooms (ORs) can place novel demands on staff and infrastructure. Despite the substantial physical size of the devices in robotic-assisted surgery (RAS), the workspace implications are rarely considered. This study aimed to explore the impact of OR size on the environmental causes of surgical flow disruptions (FDs) occurring during RAS. Fifty-six RAS procedures were observed at two academic hospitals between July 2019 and January 2021 across general, urologic, and gynecologic surgical specialties. A multiple regression analysis demonstrated significant effects of room size in the pre-docking phase (t = 2.170, df = 54, β = 0.017, p = 0.035) where the rate of FDs increased as room size increased, and docking phase (t = −2.488, df = 54, β = −0.017, p = 0.016) where the rate of FDs increased as room size decreased. Significant effects of site (pre-docking phase: p = 0.000 and docking phase: p = 0.000) were also demonstrated. Findings from this study demonstrate hitherto unrecognized spatial challenges involved with introducing surgical robots into the operating domain. While new technology may provide benefits towards patient safety, it is important to consider the needs of the technology prior to integration.

scholarly journals As predicted by theory: choice and competition in a publicly funded and regulated regional health system yield improved access and cost control

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jonas Wohlin ◽  
Clara Fischer ◽  
Karin Solberg Carlsson ◽  
Sara Korlén ◽  
Pamela Mazzocato ◽  
...  
Keyword(s):  
Cost Control ◽  
Care Quality ◽  
Patient Choice ◽  
Public Healthcare ◽  
Successful Implementation ◽  
Publicly Funded ◽  
Public And Private ◽  
Bundled Payment ◽  
Private Providers ◽  
Number Of Patients

Abstract Background New Public Management (NPM) has been widely used to introduce competition into public healthcare. Results have been mixed, and there has been much controversy about the appropriateness of a private sector-mimicking governance model in a public service. One voice in the debate suggested that rather than discussing whether competition is “good” or “bad” the emphasis should be on exploring the conditions for a successful implementation. Methods We report a longitudinal case study of the introduction of patient choice and allowing private providers to enter a publicly funded market. Patients in need of hip or knee replacement surgery are allowed to choose provider, and those are paid a fixed reimbursement for the full care episode (bundled payment). Providers are financially accountable for complications. Data on number of patients, waiting lists and times, costs to the public purchaser, and complications were collected from public registries. Providers were interviewed at three points in time during a nine-year follow-up period. Time-series of the quantitative data were exhibited and the views of actors involved were explored in a thematic analysis of the interviews. Results The policy goals of improving access to care and care quality while controlling total costs were achieved in a sustained way. Six themes were identified among actors interviewed and those were consistent over time. The design of the patient choice model was accepted, although all providers were discontent with the level of reimbursement. Providers felt that quality, timeliness of service and staff satisfaction had improved. Public and private providers differed in terms of patient-mix and developed different strategies to adjust to the reimbursement system. Private providers were more active in marketing and improving operation room efficiency. All providers intensified cooperation with referring physicians. Close attention was paid to following the rules set by the purchaser. Discussion and conclusions The sustained cost control was an effect of bundled payment. What this study shows is that both public and private providers adhere long-term to regulations by a public purchaser that also controls entrance to the market. The compensation was fixed and led to competition on quality, as predicted by theory.

scholarly journals An Environmental Scan of Ambulatory Care Quality Indicators for Patients With Advanced Kidney Disease Currently Used in Canada

2021 ◽  
Vol 8 ◽  
pp. 205435812199109
Author(s):  
Jay Hingwala ◽  
Amber O. Molnar ◽  
Priyanka Mysore ◽  
Samuel A. Silver
Keyword(s):  
Kidney Disease ◽  
Ambulatory Care ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Healthcare Research ◽  
Care Quality ◽  
Institute Of Medicine ◽  
Environmental Scan ◽  
Number Of Patients ◽  
Ambulatory Patients

Background: Quality indicators can be used to identify gaps in care and drive frontline improvement activities. These efforts are important to prevent adverse events in the increasing number of ambulatory patients with advanced kidney disease in Canada, but it is unclear what indicators exist and the components of health care quality they measure. Objective: We sought to identify, categorize, and evaluate quality indicators currently in use across Canada for ambulatory patients with advanced kidney disease. Design: Environmental scan of quality indicators currently being collected by various organizations. Setting: We assembled a 16-member group from across Canada with expertise in nephrology and quality improvement. Patients: Our scan included indicators relevant to patients with chronic kidney disease in ambulatory care clinics. Measurements: We categorized the identified quality indicators using the Institute of Medicine and Donabedian frameworks. Methods: A 4-member panel used a modified Delphi process to evaluate the indicators found during the environmental scan using the American College of Physicians/Agency for Healthcare Research and Quality criteria. The ratings were then shared with the full panel for further comments and approval. Results: The environmental scan found 28 quality indicators across 7 provinces, with 8 (29%) rated as “necessary” to distinguish high-quality from poor-quality care. Of these 8 indicators, 3 were measured by more than 1 province (% of patients on a statin, number of patients receiving a preemptive transplant, and estimated glomerular filtration rate at dialysis start); no indicator was used by more than 2 provinces. None of the indicators rated as necessary measured timely or equitable care, nor did we identify any measures that assessed the setting in which care occurs (ie, structure measures). Limitations: Our list cannot be considered as an exhaustive list of available quality indicators at hand in Canada. Our work focused on quality indicators for nephrology providers and programs, and not indicators that can be applied across primary and specialty providers. We also focused on indicator constructs and not the detailed definitions or their application. Last, our panel does not represent the views of other important stakeholders. Conclusions: Our environmental scan provides a snapshot of the scope of quality indicators for ambulatory patients with advanced kidney disease in Canada. This catalog should inform indicator selection and the development of new indicators based on the identified gaps, as well as motivate increased pan-Canadian collaboration on quality measurement and improvement. Trial registration: Not applicable as this article is not a systematic review, nor does it report results of a health intervention on human participants.

The Experimental Study on Grinding Properties of Gas Quenching Steel Slag

2011 ◽  
Vol 189-193 ◽  
pp. 612-617
Author(s):  
Hong Wei Xing ◽  
Yue Long ◽  
Xiu Li ◽  
Gao Liang Li ◽  
Yu Zhu Zhang ◽  
...  
Keyword(s):  
Specific Surface ◽  
New Technology ◽  
Steel Slag ◽  
Economic Benefits ◽  
Surface Areas ◽  
Mineral Phases ◽  
Quenching Process ◽  
Gas Quenching ◽  
Specific Surface Areas ◽  
Better Than

A gas quenching process to deal with steel slag and its characteristics of the new technology was briefly introduced. The grinding characteristics, mineral phases of gas quenching steel slag and the potential economic benefits of using it as cement mixing material was studied by compared to heat-stew steel slag. The results indicated that the specific surface areas (S) and grinding times (t) of the gas quenching steel slag showed a first order exponential decay relationship. With the extension of time, the specific surface areas of heat-stew steel slag was tending to balance earlier than that of gas quenching steel slag; The energy consumption of gas quenching steel slag was much lower than that of heat-stew steel slag. Gas quenching steel slag was comprised of C2S, C3S, a certain amount of (Ca2(Al, Fe)2O5）and RO phase, but the content of RO phase was relatively low, which increased the grindability of the quenching steel slag, so that the grindability of gas quenching steel slag was much better than that of heat-stew steel slag. Gas quenching steel slag prepared for cement addictives would bring great economic benefits.

scholarly journals Technological Change in Electric Power Supply Chain: Quantifying Economic Benefits of General Electric's GT11N2 M

2021 ◽  
Author(s):  
Talat Genc
Keyword(s):  
Supply Chain ◽  
Power Supply ◽  
Electricity Market ◽  
New Technology ◽  
Economic Benefits ◽  
Combined Cycle ◽  
Chain Model ◽  
Operational Mode ◽  
Wholesale Market ◽  
Electric Power Supply

Abstract This paper examines General Electric's new combined-cycle gas turbine GT11N2 M upgrade. The new technology provides operational flexibility and promises output and cost efficiencies. To investigate the benefis of this technology, we propose a power supply chain model and construct cost functions for generation and service and maintenance using actual market and firm level data. The upstream firm is General Electric (GE) who invests in GT11N2 generators. The investment results in innovation of GT11N2 M upgrade facilitating different operational modes and efficiencies. The downstream firm is TransAlta's Sarnia plant which utilizes this new technology to produce and sell electricity to residential, small business, industrial, and wholesale market customers in Ontario, Canada. We quantify equilibrium prices and outputs under various efficiency rates in costs of fuel, service, and maintenance. We find a large variation in electricity generation depending on which operational mode ("Maximum Continuous Load" or "Performance" or "Lifetime") of GT11N2 M is selected. Under a mixed usage of all modes, we expect 44% output expansion to the industrial customers and 0.2% sales increase in the Ontario wholesale electricity market. Under this mode, GE's price should go down by 0.4% due to fuel cost efficiency. If GE's cost was $2.8 per MWh, GE should have asked Trans-Alta an average price of $5.822 per MWh for service and maintenance prior to the new technology. With the new technology, GE should charge $5.502 per MWh to Trans Alta. While GE's sales to wholesale market are almost stable, the sales to industrial customers increase nonlinearly in downstream efficiency rates. This shows that the amount of greenhouse gas emissions will be largely impacted by the choice of operational mode and how long it is used.

scholarly journals Value-Based HIV Care: A Method to Improve Quality of HIV Care.

2020 ◽  
Author(s):  
Guido van den berk ◽  
Daoud Ait Moha ◽  
Janneke Stalenhoef ◽  
Marie-Jose Kleene ◽  
Narda van der Meche ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Care Delivery ◽  
Population Level ◽  
Care Quality ◽  
Hiv Care ◽  
First Year ◽  
Outcome Indicators ◽  
Number Of Patients ◽  
Care Path

Abstract Background : To support our goal of providing optimal HIV care to our patients, we started applying the value-based health care principle to the HIV care that we offer in our HIV center, measuring relevant health outcomes and costs to allow continuous implementation of improvements (Value-Based HIV Care; VBHiC). Methods : In line with the principles of Michael Porter, our approach consisted of the following steps: 1) Organizing into integrated practice units / describing the HIV care path; 2) Defining an HIV outcome indicator set; 3) Building an enabling information technology platform; 4) Integrating care delivery across separate facilities; 5) Moving to bundled payments for care cycles and 6) Expanding excellent services and interventions for improvement across geographic boundaries. Results : The following set of 9 outcome indicators was developed: undetectable HIV load within the first year of care; quality of life within the first year of care; mortality within the first year of care; retention in care; therapy effectiveness; therapy tolerance; cardiovascular risk; quality of life for every subsequent year and overall annual mortality. These indicators, which were evaluated retrospectively, are shown in figures 1-5. Collection of the underlying data started in January 2016. The HIV care path was also integrated into the electronic file system. Creation of the ability to monitor outcome indicators at patient level, population level and process level allowed us to implement a quality cycle (plan-do-study-act). Conclusion : Our Value-Based HIV Care approach facilitated structured evaluation of parameters that are of value to the patient. It also boosted the quality of the HIV care that we provide and allowed us to increase the number of patients to whom we can offer high quality HIV care.

The Research of Large-Diameter & Energy-Saving More Medium Supplied Gravity-Fed Three-Product Heavy Medium Cyclone

2011 ◽  
Vol 211-212 ◽  
pp. 1072-1076
Author(s):  
Ping Huo ◽  
Li Qiang Zhang ◽  
Jing Bo Jia
Keyword(s):  
Energy Saving ◽  
Separation Efficiency ◽  
Simulation Analysis ◽  
New Technology ◽  
Large Diameter ◽  
Economic Benefits ◽  
Heavy Medium ◽  
Processing Ability ◽  
The One ◽  
High Processing

The characteristics and the development restrict factors in large-diameter area of the traditional three-product heavy medium cyclone are described. The paper mainly describes the structure and principles of large-diameter & energy-saving more medium supplied gravity-fed three-product heavy medium cyclone. The simulation analysis of this cyclone (DWP type) is presented. The results show that this type of more medium supplied cyclone is better than the one medium supplied cyclone for it has a faster separation speed, high processing ability and better separation efficiency. The applications in field of the 3SNWX1500/1100-Ⅳ type cyclone which using the new technology indicated that there have energy-saving, a high output, a stable separation efficiency, a high precision and a significant economic benefits.

Graft is good: the economic and environmental benefits of grafted naranjilla in the Andean region

2016 ◽  
Vol 32 (4) ◽  
pp. 306-318 ◽  
Author(s):  
Corinna Clements ◽  
Jeffrey Alwang ◽  
Victor Barrera ◽  
Juan Manuel Dominguez
Keyword(s):  
New Technology ◽  
Economic Benefits ◽  
Environmental Benefits ◽  
Outreach Program ◽  
Pesticide Application ◽  
Economic Surplus ◽  
Potential Market ◽  
Potential Benefits ◽  
Resistant Rootstock ◽  
Market Benefits

AbstractNaranjilla cultivation is highly profitable in many parts of the Andean foothills in Colombia and Ecuador. Its susceptibility to soil-borne diseases, however, lowers its economic benefits, reduces sustainability of production and increases its contribution to environmental degradation. This paper presents an analysis of the potential market and non-market benefits of research that developed and tested the grafting of common naranjilla onto disease-resistant rootstock. Grafting reduces the need for pesticide application and increases the longevity and sustainability of the plant. An economic surplus approach, carefully calibrated to reflect the realities of naranjilla production, was employed to show the large benefits from such research. Environmental and health benefits are very close in magnitude to market-mediated surplus gains. The results show substantial potential benefits from an outreach program to diffuse the new technology.

Increasing the economic benefits from agricultural research: the case of enhancing the diffusion of a pasture weed technology

2004 ◽  
Vol 44 (8) ◽  
pp. 779 ◽  
Author(s):  
D. T. Vere ◽  
R. E. Jones ◽  
P. M. Dowling
Keyword(s):  
Diffusion Process ◽  
Technology Development ◽  
Agricultural Research ◽  
New Technology ◽  
Research Programme ◽  
Economic Benefits ◽  
Research Programmes ◽  
Diffusion Enhancement ◽  
Australian Wool ◽  
Temperate Pastures

The process of enhancing the diffusion of a new technology attempts to shorten the time between the completion and adoption of an agricultural research programme, as well as to increase the overall level of adoption. The economic benefits of introducing a new technology are influenced by the technology development lag, the adoption lag and the maximum, or ceiling, level of adoption. Technology diffusion embodies these issues and concerns the uptake of a new technology across a population of potential adopters. Diffusion enhancement is now considered to be a desirable component of pasture research programmes in Australia. This paper evaluates the economic benefits of enhancing the diffusion process for new technology in the management of Vulpia, which is a prominent annual grass weed of Australian temperate pastures. Differences in economic benefits were calculated for a range of scenarios, by varying the values of the main elements of the diffusion process relative to those of a base scenario which represented the most optimistic adoption expectations for the technology. The discounted total benefits to the Australian wool industry, calculated for a 15-year period from reducing Vulpia in temperate pastures, were between A$31.9 million and A$287.3 million, according to differences in the pasture's Vulpia content. While the 2 main time components of the diffusion process both had strong effects on the potential benefits, the technology lag had a much larger influence than the adoption lag. This result emphasises the importance of agricultural research programmes that are able to quickly diffuse such technologies to the potential adopters.

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