Journal of health care technology最新文献

Reuse and reprocessing of disposable medical devices. Legal liability issues. 一次性医疗器械的再利用和再加工。法律责任问题。

Journal of health care technology Pub Date : 1986-01-01

F Chu, N Novak, M H Radany, S Perry

引用次数: 0

Electroencephalograms in the screening of acute psychiatric inpatients. 脑电图在急性精神病住院病人筛查中的应用。

Journal of health care technology Pub Date : 1986-01-01

P M Helms, G Fricchione, S Shukla, D Bozzone

引用次数: 0

Medicare payment for new technologies. Can the process be improved despite conflicting goals? An ECRI technology management assessment. 新技术的医疗保险支付。尽管目标相互冲突，这个过程能否得到改进?ECRI技术管理评估。

Journal of health care technology Pub Date : 1986-01-01

{"title":"Medicare payment for new technologies. Can the process be improved despite conflicting goals? An ECRI technology management assessment.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Decisions about Medicare payment for new technologies are made by a multiagency process that became even more complex with the advent of DRG-based payments for inpatient care. Numerous problems with this decision-making process are widely acknowledged to exist but difficult to solve because of inherent conflicting goals. This report proposes consideration of basic improvements to the process, including: increased support for clinical and cost studies, particularly from manufacturers of new technologies; approval of provisional payments to providers who agree to collect effectiveness and cost data; additional research into technology assessment methods; clarification of decision-making criteria; opening of the coverage-decision process to greater public scrutiny; according more weight to recommendations of the Prospective Payment Assessment Commission; submission of additional data to the Food and Drug Administration; and increasing the flow of information among Medicare coverage-decision agencies and other third-party payers. Many of these modifications can be accomplished without congressional action, if the interested parties are willing to work together to improve the coverage-decision process.","PeriodicalId":80026,"journal":{"name":"Journal of health care technology","volume":"3 1","pages":"13-32"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21173332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The growth of physician office laboratories. Will it continue? What does it mean for hospitals? 医师办公室实验室的发展。这种情况会持续下去吗?这对医院意味着什么?

Journal of health care technology Pub Date : 1986-01-01

引用次数: 0

Is automated urinalysis in your laboratory's future? 自动化尿液分析是你们实验室的未来吗?

Journal of health care technology Pub Date : 1986-01-01

引用次数: 0

Image transmission and data compression. Two key elements of an electronic imaging department. 图像传输和数据压缩。电子成像部门的两个关键要素。

Journal of health care technology Pub Date : 1986-01-01

{"title":"Image transmission and data compression. Two key elements of an electronic imaging department.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Growing numbers of diagnostic images are being produced electronically and filmed only for storage, or sometimes also for interpretation. However, in most imaging centers, transmission of images from one location to another is still being accomplished manually. Almost 40 years ago, x-rays were first transmitted over telephone lines, and this form of \"teleradiology\" has been increasingly used to link isolated hospitals and clinics to larger facilities so that radiologists can interpret the images. Continuing improvement of the various electronic image-processing technologies has produced faster means of transmission, and increasingly sophisticated computer algorithms for \"compressing\" the image data have further improved both transmission speed and the quality of the transmitted images. To date, only a few imaging research centers and teaching hospitals have integrated these techniques into a comprehensive picture archiving and communications system (PACS) or digital image management system (DIMS), and a number of factors are restraining these systems' spread. However, electronic transmission of images for interpretation by specialists at a central facility is likely to increase, and truly \"filmless\" radiology may someday become a reality, if image transmission and data compression techniques are eventually determined to create images of acceptable quality in all imaging modalities.","PeriodicalId":80026,"journal":{"name":"Journal of health care technology","volume":"3 2","pages":"83-93"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21150752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical applications of SPECT imaging. An ECRI technology assessment. SPECT成像的临床应用。ECRI技术评估。

Journal of health care technology Pub Date : 1986-01-01

{"title":"Clinical applications of SPECT imaging. An ECRI technology assessment.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Many hospitals are considering acquiring the capability to do single photon emission computed tomography (SPECT) studies. An outgrowth of planar nuclear medicine imaging, combined with computerized methods for gathering and processing data, SPECT can provide three-dimensional radionuclide imaging information, determine regional blood flow, and measure organ volumes. The past decade's record of research using SPECT, coupled with improvements in instrumentation and the development of additional clinically useful radiopharmaceuticals, has fueled the interest in SPECT. It is apparent that SPECT, with recognized applications in cardiac, liver, and bone imaging, offers improvements over planar scanning and provides unique contributions when compared with other imaging techniques. Preliminary research, both about SPECT and in the development of new radiopharmaceuticals that can cross the blood/brain barrier, points to dramatic potential uses in neurology, including measuring brain physiology. There are, however, less data on the effect SPECT imaging can have on patient care outcomes and about its relative clinical and cost effectiveness. Until further research provides these data, SPECT will remain a difficult acquisition decision. If SPECT capability can be acquired relatively inexpensively through add-ons to existing equipment, or if a hospital has a burgeoning nuclear medicine or nuclear cardiology service, the decision is easier. Pending further information, other hospitals can facilitate future acquisition of SPECT by ensuring that any newly purchased gamma cameras and nuclear medicine computers can be upgraded and incorporated into a SPECT system. Hospitals should also follow the growing body of research about SPECT's clinical usefulness.","PeriodicalId":80026,"journal":{"name":"Journal of health care technology","volume":"3 1","pages":"33-62"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21164170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interpretive reporting to improve the effectiveness of clinical laboratory test results. An ECRI technology assessment. 解释性报告，提高临床化验结果的有效性。ECRI技术评估。

Journal of health care technology Pub Date : 1986-01-01

引用次数: 0

HCFA's role in Medicare coverage decisions. HCFA在医疗保险覆盖决策中的作用。

Journal of health care technology Pub Date : 1986-01-01

W L Roper

引用次数: 0

Noninvasive bone mineral assessment. 无创骨矿物质评估。

Journal of health care technology Pub Date : 1986-01-01

引用次数: 0