2. Dynamics of Care in Society 2 Health Care & Technology

3. OBJECTIVES IDENTIFY THE VARIOUS METHODS OF TECHNOLOGY USED IN HEALTH CARE FACILITIES COMPARE & CONTRAST THE POSITIVE AND NEGATIVE CONSEQUENCES OF BIOMEDICAL TECHNOLOGY ON SOCIETY AND ON THE HEALTH CARE SYSTEM DIFFERENTIATE AMONG SOME OF THE KEY TECHNICAL, ECONOMIC, SOCIAL, MORAL & POLITICAL ISSUES ASSOCIATED WITH BIOTECHNOLOGIES

4. What is Medical Technology? The practical application (everyday use) of the scientific knowledge produced by biomedical research CONSIDERATIONS OF TECHNOLOGY IN HEALTH CARE COST SAFETY BENEFITS VS. BURDENS AVAILABILITY & ACCESS

5. BENEFITS  prevent or delay the onset of serious disease  provide a better diagnosis  make faster and more complete cures possible  increase safety of medical treatment  minimize undesirable side effects  promote faster recoveries from surgery  increase life expectancy  improve quality of life

6. BURDENS new technology usually increases both labor and capital costs side-effects or harm from the use of technology emphasis on specialty care over primary care & preventive services critically ill patients are put on life support with limited decision- making abilities and little hope of full recovery Insuring the confidentiality of patient information

7. Medical technology includes: ◦ Sophisticated machines PET scanners, implantable defibrillators ◦ High tech procedures angioplasty, joint replacements ◦ Pharmaceuticals & Biologics (a medicinal preparation made from living organisms and their products) serums, vaccines, antibiotics…

8. Genetic and molecular advances IT (Informational Technology) medical records internet telemedicine Disease management: advances ◦ Diabetes (insulin pumps) ◦ Heart Disease (procedures such as coronary artery bypass graft) ◦ End-Stage Renal Disease (Kidney Transplants) ◦ HIV-AIDS (new medications)

9. TYPES OF TECHNOLOGY IN HEALTH CARE

10. 1. INFORMATIONAL TECHNOLOGY  Managing patient care management  Quality improvement  Cost containment  Informational Access ( through Computers, tablets, smart phones, PDAs) Think about how the internet has allowed patients to be more active participants in their own health care!

11. HEALTH IT 1. Accurate and complete information about a patient's health. 2. The ability to better coordinate the care they give. 3. A way to securely share information with patients and their family. 4. Information to help doctors diagnose health problems sooner, reduce medical errors, and provide safer care at lower costs.

12. Applications for Health Care Assessing patients’ charts Using pharmacy & formulary dosing tools Assessing Micromedex Downloading & viewing health books & journals Viewing procedures not routinely performed Setting up virtual offices Viewing financial information Communication Research Sharing of information / education

13. Electronic Medical Records Patient identification data Clinic & inpatient notes Preventive care delivery Laboratory data Radiology data Pharmacy data Surgical procedures performed Emergency department visits Billing information

14. 2. DIAGNOSTIC & MONITORING TECHNOLOGY To identify or diagnose illness or injury To monitor or measure progress To assist in treatment planning

15. EKG

16. X-RAY aka (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. X-RAY

17. CT scans of internal organs, bones, soft tissue and blood vessels provide greater clarity and reveal more details than regular x-ray exams. CT scans use x-ray & sophisticated computers to produce multiple images of the inside of the body. CT Scan

18. MRI

19. f-MRI (functional MRI) Shows brain activity via blood flow

20. aka sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Fetal profile 1st trimester Ultrasound Watch Imaging Watch Imaging

21. 3. LIFE SUPPORT TECHNOLOGY Used to maintain a patient's bodily function Oxygen

22. Ventilator

23. Dialysis

24. Heart-Lung Machine

25. Feeding Tube

26. 4. GENETIC TECHNOLOGY Uses the power of the genetic code to treat human disease

27. Gene therapy

28. Stem cells

29. Cloning

30. 5. THERAPEUTIC TECHNOLOGY Uses technological procedures & equipment for disease treatment and rehabilitation

31. Robotic surgery is a technique in which a surgeon performs surgery using a computer that remotely controls very small instruments attached to a robot.

32. Insulin pump

33. Prosthetics

34. Pharmaceuticals

35. Surgical Tools & Settings Telesurgery: surgical care from a distance

36. Anesthesia Epidural General

37. Radiation Therapy

38. The Year in Medicine 2013: Medscape The Year in Medicine 2014: Medscape High tech medical dummies - Videos - CBS NewsHigh tech medical dummies - Videos - CBS News 2012 6:39 To View: Greatest Discoveries with Bill Nye-Medicine Greatest Discoveries with Bill Nye-Medicine 44 min (Discovery Streaming) Growing body cell parts CBSGrowing body cell parts CBS 2010 12:00 10 medical advances in the last 10 years - CNN.com10 medical advances in the last 10 years - CNN.com slides 2013