Skip to main content
Top
Published in: European Spine Journal 8/2007

01-08-2007 | Health Care Technology

Healthcare technology and technology assessment

Authors: James H. Herndon, Raymond Hwang, K. H. Bozic

Published in: European Spine Journal | Issue 8/2007

Login to get access

Abstract

New technology is one of the primary drivers for increased healthcare costs in the United States. Both physician and industry play important roles in the development, adoption, utilization and choice of new technologies. The Federal Drug Administration regulates new drugs and new medical devices, but healthcare technology assessment remains limited. Healthcare technology assessment originated in federal agencies; today it is decentralized with increasing private sector efforts. Innovation is left to free market forces, including direct to consumer marketing and consumer choice. But to be fair to the consumer, he/she must have free knowledge of all the risks and benefits of a new technology in order to make an informed choice. Physicians, institutions and industry need to work together by providing proven, safe, clinically effective and cost effective new technologies, which require valid pre-market clinical trials and post-market continued surveillance with national and international registries allowing full transparency of new products to the consumer—the patient.
Literature
3.
go back to reference Bal BS, Haltom D, Aleto E, Barrett M (2005) Early complications of primary total hip replacement performed with a two-incision minimally invasive technique. J Bone Jt Surg A 88A(Suppl):221–233 Bal BS, Haltom D, Aleto E, Barrett M (2005) Early complications of primary total hip replacement performed with a two-incision minimally invasive technique. J Bone Jt Surg A 88A(Suppl):221–233
4.
go back to reference Bhattacharyya T, Yeon H, Harris MB (2005) The medical-legal aspects of informed consent in orthopaedic surgery. J Bone Jt Surg A 87A:2395–2400CrossRef Bhattacharyya T, Yeon H, Harris MB (2005) The medical-legal aspects of informed consent in orthopaedic surgery. J Bone Jt Surg A 87A:2395–2400CrossRef
5.
go back to reference Bhattacharyya T, Yeon H, Harris MB (2005) The medical-legal aspects of informed consent in orthopaedic surgery. J Bone Jt Surg A 87A:2399 Bhattacharyya T, Yeon H, Harris MB (2005) The medical-legal aspects of informed consent in orthopaedic surgery. J Bone Jt Surg A 87A:2399
6.
go back to reference Bozic KJ, Hansen E (2006) The impact of disruptive innovations in orthopaedic surgery. Orthop J Harvard Med School 8:37–39 Bozic KJ, Hansen E (2006) The impact of disruptive innovations in orthopaedic surgery. Orthop J Harvard Med School 8:37–39
7.
go back to reference Bozic KJ, Morshed S, Silverstein MD, Rubash HE, Kahn JG (2006) Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics. The case of alternative bearing surfaces in total hip arthroplasty. J Bone Jt Surg A 88A:706–714CrossRef Bozic KJ, Morshed S, Silverstein MD, Rubash HE, Kahn JG (2006) Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics. The case of alternative bearing surfaces in total hip arthroplasty. J Bone Jt Surg A 88A:706–714CrossRef
8.
go back to reference Bozic KJ, Pierce RG, Herndon JH (2004) Health care technology assessment. J Bone Jt Surg A 86A:1305–1314 Bozic KJ, Pierce RG, Herndon JH (2004) Health care technology assessment. J Bone Jt Surg A 86A:1305–1314
9.
go back to reference Brennan TA, Leape LL, Laird NM, Nan M et al (1991) Incidence of adverse events and negligence in hospitalized patients: results of the Harvard medical practice study I. N Engl J Med 324:370–376PubMedCrossRef Brennan TA, Leape LL, Laird NM, Nan M et al (1991) Incidence of adverse events and negligence in hospitalized patients: results of the Harvard medical practice study I. N Engl J Med 324:370–376PubMedCrossRef
10.
go back to reference Callaghan JJ, Crowninshield RD, Greenwald AS, Lieberman JR, Rosenberg AL, Lewellan DG (2005) Introducing technology into orthopaedic practice. How should it be done? J Bone Jt Surg A 87A:1146–1158CrossRef Callaghan JJ, Crowninshield RD, Greenwald AS, Lieberman JR, Rosenberg AL, Lewellan DG (2005) Introducing technology into orthopaedic practice. How should it be done? J Bone Jt Surg A 87A:1146–1158CrossRef
11.
go back to reference Cherkin DC, Deyo RA, Loeser JD, Bush T, Waddell G (1994) An international comparison of back surgery rates. Spine 19:1201–1206PubMedCrossRef Cherkin DC, Deyo RA, Loeser JD, Bush T, Waddell G (1994) An international comparison of back surgery rates. Spine 19:1201–1206PubMedCrossRef
12.
go back to reference Christensen CM (2000) Will disruptive innovations cure healthcare? Harvard Bus Rev, September–October, pp 102–111 Christensen CM (2000) Will disruptive innovations cure healthcare? Harvard Bus Rev, September–October, pp 102–111
14.
go back to reference Eisenberg JM, Zarin D (2002) Health technology assessment in the United States. Past, present, and future. Int J Technol Assess Health Care 18(2):192–198PubMedCrossRef Eisenberg JM, Zarin D (2002) Health technology assessment in the United States. Past, present, and future. Int J Technol Assess Health Care 18(2):192–198PubMedCrossRef
15.
go back to reference Feeny D (1989) Technology assessment and the cost of healthcare. J Tech Assess Health Care 5:559–575CrossRef Feeny D (1989) Technology assessment and the cost of healthcare. J Tech Assess Health Care 5:559–575CrossRef
16.
go back to reference Frankle M, Levy JC, Pupello D, Siegal S, Saleem A, Mighell M, Vasey M (2005) The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Jt Surg A 87A:1697–1705CrossRef Frankle M, Levy JC, Pupello D, Siegal S, Saleem A, Mighell M, Vasey M (2005) The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Jt Surg A 87A:1697–1705CrossRef
17.
18.
go back to reference Gewande AA, Thomas EJ, Zinner MJ, Brennan TA (1999) The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 126:66–75CrossRef Gewande AA, Thomas EJ, Zinner MJ, Brennan TA (1999) The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 126:66–75CrossRef
19.
go back to reference Gillespie WJ, Pekarsky B, O’Connell DL (1995) Evaluation of new technologies for total hip replacement. Economic modeling and clinical trials. J Bone Jt Surg B 77B:528–533 Gillespie WJ, Pekarsky B, O’Connell DL (1995) Evaluation of new technologies for total hip replacement. Economic modeling and clinical trials. J Bone Jt Surg B 77B:528–533
20.
go back to reference Herzlinger, RE (2006) Why innovation in healthcare is so hard. Harvard Bus Rev, May, pp 58–66 Herzlinger, RE (2006) Why innovation in healthcare is so hard. Harvard Bus Rev, May, pp 58–66
22.
go back to reference Lewellan DG (2005) Why new technologies should be submitted to the scientific review process before general implementation. In the American Orthopaedic Association symposium: introducing new technology into orthopaedic practice. How should it be done? J Bone Jt Surg A 87A:1157 Lewellan DG (2005) Why new technologies should be submitted to the scientific review process before general implementation. In the American Orthopaedic Association symposium: introducing new technology into orthopaedic practice. How should it be done? J Bone Jt Surg A 87A:1157
24.
go back to reference Maloney WJ (2001) National joint replacement registries: has the truth come? J Bone Jt Surg A 83A:1582–1585 Maloney WJ (2001) National joint replacement registries: has the truth come? J Bone Jt Surg A 83A:1582–1585
25.
go back to reference Maynard A (1991) The relevance of health economics to health promotion. WHO Reg Publ Eur Ser 37:29–54PubMed Maynard A (1991) The relevance of health economics to health promotion. WHO Reg Publ Eur Ser 37:29–54PubMed
26.
go back to reference Millenson ML (1999) Demanding medical excellence: doctors and accountability in the information age. University of Chicago Press, Chicago Millenson ML (1999) Demanding medical excellence: doctors and accountability in the information age. University of Chicago Press, Chicago
28.
go back to reference Newmann PJ, Rosen AB, Weinstein MC (2006) Medicare and cost-effectivenss analysis. N Engl J Med 353:1516–1522CrossRef Newmann PJ, Rosen AB, Weinstein MC (2006) Medicare and cost-effectivenss analysis. N Engl J Med 353:1516–1522CrossRef
29.
go back to reference Roder C, El-Kerdi A, Eggli S, Aebi M (2004) A centralized total joint registry using web-based technologies. J Bone Jt Surg A 86A:2077–2080 Roder C, El-Kerdi A, Eggli S, Aebi M (2004) A centralized total joint registry using web-based technologies. J Bone Jt Surg A 86A:2077–2080
30.
go back to reference Royal HD (1994) Technology assessment: scientific challenges. Am J Roentgenol 163(3):503–507 Royal HD (1994) Technology assessment: scientific challenges. Am J Roentgenol 163(3):503–507
31.
go back to reference Tang N, Eisenberg JM, Meyer GS (2004) The roles of government in improving health care quality and safety. Jt Comm J Qual Saf 30(1):47–55PubMed Tang N, Eisenberg JM, Meyer GS (2004) The roles of government in improving health care quality and safety. Jt Comm J Qual Saf 30(1):47–55PubMed
32.
go back to reference United States Government Accountability Office (GAO) Report (2006) Drug safety. Improvement needed in FDA’s postmarket decision-making and oversight process. GAO-06-402 March, pp 1–38 United States Government Accountability Office (GAO) Report (2006) Drug safety. Improvement needed in FDA’s postmarket decision-making and oversight process. GAO-06-402 March, pp 1–38
33.
go back to reference Weinstein JN (2003) Emerging technology in the spine. Should we rethink the past or move forward in spite of the past? Spine 28:51CrossRef Weinstein JN (2003) Emerging technology in the spine. Should we rethink the past or move forward in spite of the past? Spine 28:51CrossRef
34.
go back to reference Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). Spine 31:1–3PubMedCrossRef Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). Spine 31:1–3PubMedCrossRef
35.
go back to reference Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). Spine 31:1PubMedCrossRef Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). Spine 31:1PubMedCrossRef
36.
go back to reference Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). Spine 31:2CrossRef Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). Spine 31:2CrossRef
37.
go back to reference Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). J Bone Jt Surg A 88A:1396 Weinstein JN (2006) An altruistic approach to clinical trials. The National Clinical Trials Consortium (NCTC). J Bone Jt Surg A 88A:1396
38.
go back to reference Wilson RM, Harrison BT, Gibberd RW, Hamilton JD (1999) An analysis of the causes of adverse events from the quality in Australian health care study. Med J Aust 170:411–415PubMed Wilson RM, Harrison BT, Gibberd RW, Hamilton JD (1999) An analysis of the causes of adverse events from the quality in Australian health care study. Med J Aust 170:411–415PubMed
39.
go back to reference Wong DA (2006) AAOS member patient safety survey: a first look. Bull Am Acad Orthop Surg 54:19–20 Wong DA (2006) AAOS member patient safety survey: a first look. Bull Am Acad Orthop Surg 54:19–20
Metadata
Title
Healthcare technology and technology assessment
Authors
James H. Herndon
Raymond Hwang
K. H. Bozic
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 8/2007
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-007-0369-z

Other articles of this Issue 8/2007

European Spine Journal 8/2007 Go to the issue