HCA Chapter 5
Introduction - ANS Technology has been a blessing:
-Reduction in complications and disability
-Increased longevity
-New drugs help stabilize chronic conditions
Technology imposes a cost burden on society
-Costly research is necessary
-Ongoing costs of use
Changes Triggered by Technology - ANS -Raised consumer expectations: leading to increased
demand for and utilization of new technology once it becomes available
-Changed the organization of medical services: many specialized services that previously could
be offered only in hospitals are now available in outpatient settings and patients' homes
-Driven scope and content of medical training and the practice of medicine, fueling
specialization in medicine
-Influenced status of various medical workers: specialization is held in higher regard than
primary care and public health
-Technology assessment is a growing activity: new drugs, devices, and procedures aren't
always effective or safe because their effectiveness and potential negative consequences must
be evaluated using scientific methods
-Raised complex social and ethical concerns that defy straightforward answers
What is Medical Technology? - ANS -Application of scientific knowledge to improve health and
efficiencies (practical application of the scientific body of knowledge for the purpose of improving
health and creating efficiencies in the delivery of healthcare)
-Medical science benefited from developments in chemistry, physics, engineering, and
pharmacology
-Medical technology includes sophisticated machines, pharmaceuticals, and biologicals
, -In a broad sense, it also includes procedures, facilities, information systems, and management
and operational systems
-Nanotechnology
nanomedicine - ANS area of biomedical research that seeks to use tools from the field of
nanotechnology to improve health (for medical use); has potential applications in both
diagnostics and therapeutics
nanotechnology - ANS not confined to a single field, but rather requires an intense collaboration
between disciplines to manipulate materials on the atomic and molecular level - one nanometer
is one-billionth of a meter
Information Technology - ANS -Transformation of data into useful information
-determines data, gathers appropriate data, stores and analyzes data, reports the information in
a format desired by its end users
-used to transfer over to health care professionals, managers, payers, patients, researchers,
and the government
HealthCare Information Technology - ANS Decides to adopt new information technologies to
improve health care delivery, increase organizational efficiency, and comply with various laws
and regulations
-medical record systems to collect, transcribe, and store clinical data;
-radiology and clinical laboratory reporting systems;
-pharmacy data systems to monitor medication use and avoid errors, adverse reactions, and
drug interactions;
-scheduling systems for patients, space (such as surgery suites), and personnel;
-and financial systems for billing and collections, materials management, and many other
aspects of organizational management
Three categories of IT applications - ANS -Clinical information systems
-Administrative information systems
-Decision support systems
Clinical information systems - ANS Involve the organized processing, storage, and retrieval of
information to support patient care delivery
Administrative information systems - ANS Assist health care staff in carrying out financial and
administrative support activities, such as payroll, patient accounting, billing, materials
management, budgeting and cost control, and office automation
Decision support systems - ANS Provide information and analytical tools to support managerial
and clinical decision making
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