Need for High-Tech Medical Devices in Value-Based Health Care

Tatiana Antipova

Central Scientific and Research Institute for Health Organization and Informatics, Moscow, Russia

Cite: Antipova T. Need for High-Tech Medical Devices in Value-Based Health Care. Advances in Digital Science, 50-61, 2022. https://doi.org/10.33847/978-5-6048575-0-2_4.

Abstract. Modern medical entities need high-tech medical devices for telemedicine, nuclear medicine, etc. To provide this equipment to medical entities, it is necessary to determine the adequacy of the medical devices already available in the hospitals and the need for financial support for the purchase of more modern and efficient medical devices.  At the same time, it is necessary to take into account that health care entities must provide medical services in accordance with the standards of economy and efficiency in the use of budgetary funds without fraud, abuse, non-purpose use, etc. In doing so, they are expected to achieve improvements in the performance of all services provided. The concept of value-based health care facilities to demonstrate improvement in the quality of services provided under strict quality management controls. At times, management of medical equipment does not match its remarkable potential due to a lack of qualified personnel for use and application due to inadequate information, inadequate incentives, and organizational fragmentation between management personnel and practitioners. This chapter applies the basic approach with principles of determining the sufficiency and need for high-tech medical devices based on value, i.e. integrated data on price and performance; alignment of financial incentives; and organizational capability to evaluate alternatives to the medical devices.

Keywords: value-based health care, telemedicine, nuclear medicine, financial incentives, organizational capability.

References

  1. Brown G.C., Sharma S. Evidence-Based Medicine to Value Based Medicine. Chicago, IL AMA-Press, 2005.
  2. Bentley Tanya G.K., et al. Validity and Reliability of Value Assessment Frameworks for New Cancer Drugs. Value in Health, 20 (2), 200-205, 2017, https://doi.org/10.1016/j.jval.2016.12.011.
  3. Porter M. E. et al. What is value in health care. N Engl J Med. 2010. 363(26), 2477-2481.
  4. Tatiana A. Fraud prevention by government auditors, 2017 12th Iberian Conference on Information Systems and Technologies (CISTI), 2017, pp. 1-6, doi: 10.23919/CISTI.2017.7976024.
  5. WHO. SCORE for health data technical package: global report on health data systems and capacity, 2020.
  6. Löblová, O. Epistemic communities and experts in health policy-making. European Journal of Public Health, 28(3), 7–10, November 2018. https://doi.org/10.1093/eurpub/cky156.
  7. Haas PM. Introduction: epistemic communities and international policy coordination. Int Organ, 1992;46:1–35.
  8. Lakshman P. S., et al (2020) The effectiveness and efficacy of respiratory protective equipment (RPE) in dentistry and other health care settings: a systematic review, Acta Odontologica Scandinavica, 78:8, 626-639, DOI: 10.1080/00016357.2020.1810769
  9. Robinson, J. C. Value-Based Purchasing for Medical Devices. Health Affairs, 27(6), 1523-1531, 2008. DOI: 10.1377/hlthaff.27.6.1523.
  10.  Boscolo P. R.; Callea G.; Ciani O.; Tarricone R. Measuring Value in Health Care: A Comparative Analysis of Value-based Frameworks. Clinical Therapeutics, 42, (1), 34-43, 2020. https://doi.org/10.1016/j.clinthera.2019.11.017.
  11. Value-Based Health Care in Four Different Health Care Systems. Mjåset C.; Umar Ikram U.; Nagra N. S.; Feeley T. W. NEJM Catalyst, November 10, 2020 DOI: 10.1056/CAT.20.0530.
  12. Gavurova B. & Kubak M. (2022) Satisfaction of inpatients with health care facilities and medical services in Slovak Republic, Economic Research-Ekonomska Istraživanja. DOI: 10.1080/1331677X.2022.2059691.
  13. Torabzadeh A. S.; Tavakkoli-Moghaddam R.; Samieinasab M.; Hamid M. An intelligent algorithm to evaluate and improve the performance of a home healthcare center considering trust indicators. Computers in Biology and Medicine, Volume 146, July 2022, 105656. https://doi.org/10.1016/j.compbiomed.2022.105656
  14. Gandara-Perez H. M.; Lubo-Hoyos N. E.; Castilla-Acevedo S. F.; Fuentes-Gandara F. A. Data on the diagnosis of the management of the primary waste from electrical and electronic equipment in health care institutions in Barranquilla, Colombia. Data in Brief, Volume 32, 2020, 106236. https://doi.org/10.1016/j.dib.2020.106236.https://doi.org/10.1016/j.dib.2020.106236.

Published online 26.07.2022