Module 6 lecture, part 5 Flashcards

1
Q

Impact of medical tech on structure and process of HC delivery

A

Large, state- of-the-art medical centers
Alternative settings, such as home health and outpt surgery centers
Robust IT systems enabling managed care, integrated delivery systems, and accountable care orgs
Bar-coding systems, scanning technologies, and radio frequency identification applied in hospitals
Telecommunication applications in continuing education and administrative teleconferencing

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2
Q

What do clinical trials in health technology assessment assess?

A

Efficacy: health benefit from the use of tech
Safety: benefits must outweigh risks

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3
Q

To what does health tech assessment refer?

A

Any process of examining and reporting properties of medical technology used in healthcare, such as safety, effectiveness, feasibility, indications for use, cost, cost-effectiveness, and social, economic, and ethical consequences

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4
Q

Why is health technology assessment critical?

A

Vast sums of money are spent on ineffective care and on services that do not show improved health outcomes

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5
Q

What are other facets of health tech assessment?

A

Cost-effectiveness
Cost-benefit

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6
Q

What does cost effectiveness evaluate?

A

Marginal benefits in relation to marginal costs

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7
Q

Optimum point definition

A

Marginal benefits equal marginal costs

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8
Q

Beyond the optimum point, cost effectiveness is _______

A

Negative

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9
Q

Flat of the curve definition

A

When marginal benefits approach zero
A level of intensity of care that provides no incremental health benefits

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10
Q

In terms of the curve in the US, where is it delivered?

A

At the flat of the curve: often wasteful, but happens d/t legal ramifications

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11
Q

What does cost benefit evaluate?

A

Benefits in relation to costs when both are expressed in dollar terms

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12
Q

Characteristics of QALY

A

Commonly used as measure of benefit
The value of one yr of high-quality life
No standard method for the calculation of QALY

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13
Q

What is a cost utility analysis?

A

Analyses that include the use of QALY

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14
Q

What does the ACA prohibit in terms of QALY?

A

Placement of a dollar value
Other measures that discount the value of life because of an individual’s disability

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