Docstoc

MEDICAL TECHNOLOGY

Document Sample
MEDICAL TECHNOLOGY Powered By Docstoc
					 MEDICAL
TECHNOLOGY
   DEFINITION: MEDICAL
    TECHNOLOGY IS THE
    PRACTICAL APPLICATION OF
    THE SCIENTIFIC BODY OF
    KNOWLEDGE PRODUCED BY
    BIOMEDICAL RESEARCH.
   WHEN GROWTH IN
    SCIENTIFIC KNOWLEDGE IS
    DEPLOYED FOR THE PURPOSE
    OF IMPROVING MEDICAL
    CARE, IT LEADS TO:
 ADVANCED TECHNIQUES
 FOR A MORE PRECISE
 MEDICAL DIAGNOSIS
 THAN WHAT HAD BEEN
 POSSIBLE EARLIER,
 MORE EFFECTIVE AND
 LESS INVASIVE
 THERAPEUTIC AND
 PREVENTIVE MEDICAL
 PROCEDURES;
 MOREADVANCED
 EQUIPMENT,

 MORE ADVANCED CARE
 DELIVERY SETTINGS AND
 PROGRAMS TO
 FACILITATE THE
 DELIVERY OF HEALTH
 SERVICES.
   TYPES OF MEDICAL
    TECHNOLOGIES
   DIAGNOSTIC:

   CAT SCANNER

   FETAL MONITOR
   COMPUTERIZED
    ELECTROCARDIOGRAPHY
    AUTOMATED CLINICAL
    LABORATORIES MAGNETIC
    RESONANCE IMAGING (MRI)
   AMBULATORY BLOOD
    PRESSURE MONITOR
   SURVIVAL (LIFE SAVING):

      INTENSIVE   CARE UNIT
       (ICU)

      CARDIOPULMONARY
       RESUSCITATION (CPR)

      BONE MARROW
       TRANSPLANT
LIVER   TRANSPLANT

AUTOLOGOUS BONE
 MARROW TRANSPLANT
   ILLNESS MANAGEMENT:

      RENAL   DIALYSIS

      PACEMAKER
PTCA   (ANGIOPLASTY)

STEREOTACTIC
CINGULOTOMY
HIP   JOINT REPLACEMENT

ORGAN   TRANSPLANT

LITHOTRIPTER
   PREVENTION:

      IMPLANTABLE AUTOMATIC
       CARDIOVERTER-
       DEFIBRILATOR
Artificial Heart
Infusion Pump
MRI SCAN OF THE BRAIN
ARTIFICIAL HIP
PROSTHETICS
       FACILITIES AND CLINICAL
        SETTINGS:

   HOSPITALS

   SATELLITE CENTERS
CLINICAL   LABORATORIES

SUBACUTE   CARE UNITS

MODERN   HOME HEALTH
   ORGANIZATIONAL DELIVERY
    STRUCTURE:

      MANAGED   CARE

      INTEGRATED   DELIVERY
       NETWORKS
   PROTON BEAM FACILITY

       SHANDS HEALTHCARE,
           JACKSONVILLE

   JACKSONVILLE, FLORIDA
   IN FISCAL YEAR 1999-
    2000 THE STATE OF
    FLORIDA FUNDED
    $6,000,000 TO SUPPORT
    THE DEVELOPMENT OF A
    PROTON BEAM FACILITY
    IN JACKSONVILLE.
Proton Beam Generator
   THE ESTIMATED COST OF
    BUILDING A PROTON
    BEAM FACILITY IS
    $104,000,000 TO BE
    EXPENDED OVER THE
    NEXT THREE YEARS.
No, its not Stargate
   BASED ON THE
    INCIDENCES OF NEW
    CASES OF CANCER YEARLY
    IN FLORIDA ALONE, THE
    FACILITY WOULD EXPECT
    TO TREAT 2,500 – 2,800
    NEW PATIENTS BY THE
    END OF THE 5TH YEAR OF
    OPERATION.

   WHAT IS PROTON CANCER
         TREATMENT?
   PROTON BEAM THERAPY
    IS AN INNOVATIVE
    CONCEPT IN THE FIELD
    OF CANCER THERAPY AND
    DIFFERS GREATLY FROM
    TODAY’S CONVENTIONAL
    THERAPIES.
   CONVENTIONAL CANCER
    RADIATION TREATMENT
    UTILIZES X-RAYS AND
    ELECTRON BEAMS THAT
    LOSE MOST OF THEIR
    ENERGY AS THEY TRAVEL
    THROUGH HEALTHY BODY
    TISSUE.
   THE HEALTHY TISSUE IS
    FREQUENTLY DAMAGED
    LEADING TO SERIOUS
    SIDE EFFECTS.
   PROTON ENERGY,
    HOWEVER, CAN PRODUCE
    A UNIFORM RADIATION
    DOSE THAT CAN BE
    DELIVERED TO DESTROY
    THE TUMOR WHILE
    EFFECTING VIRTUALLY NO
    INJURY TO NEARBY
    HEALTHY TISSUE.
   IMPROVED RESULTS FOR
          PATIENTS
   MORE THAN 20,000
    PATIENTS HAVE RECEIVED
    PROTON BEAM
    TREATMENT IN RESEARCH
    INSTITUTIONS AROUND
    THE WORLD. RESULTS
    ACHIEVED WITH
    DIFFICULT TO TREAT
    TUMORS SHOW THE
    BENEFIT OF PROTON
    IRRADIATION.
   The Trilogy Machine
   The Trilogy linear accelerator
    can treat cancer anywhere in
    the body.

   Quite simply, it targets
    tumors more precisely,
    delivers a high dose of
    radiation and requires fewer
    treatment sessions.
   What makes it special?

   Flexibility – treatment can be
    customized to target many
    different types of cancers, in
    many locations.
   Accuracy – Radiation beams
    match the three-dimension
    shape of the tumor with a high
    degree of accuracy.
   Higher Doses – Radiation goes
    only to the cancer cells
    sparing the health cells
    surrounding the tumor site.

   Fewer sessions

   Fewer side effects
   On board imager (OBI) helps
    synchronize treatment with
    the patient’s breathing cycles.
    Targets tumor more precisely,
    while sparing health tissue.
Gamma Knife
   Gamma Knife surgery is a minimally
    invasive alternative to conventional
    brain surgery. Considered the
    "gold standard" of radiosurgery
    technologies, this revolutionary
    surgical procedure allows safe and
    effective treatment for many
    types of intracranial tumors and
    vascular malformations. In fact,
    the Gamma Knife can often treat
    conditions once considered
    inoperable.
   Gamma Knife is safe – no
    incision.
   Precise – targets exact area.
   Cost Effective – covered by
    Medicare and most insurance
    companies
   Relative pain free
   Successful
Da Vinci Robot
   http://www.floridaproton.org/can
    cer-treatment/proton-therapy-
    video.html
   End of presentation for
    September 21st, 2011, 6th
    Period

   Questions?

   Discussion?
TELEMEDICINE
    AND
 TELEHEALTH
   Telemedicine is the use of
    electronic communications and
    information technologies to
    provide services when
    participants are at different
    locations.
   Closely associated with
    telemedicine is the term
    telehealth.

   Telehealth is the umbrella
    term used to describe the
    ways service is delivered.
   Telehealth encompasses a broader
    application of technologies to:
   Distance education
   Consumer oureach
   Videoconferencing
   Remote monitoring of vital signs
   Continuing medical education
   Nursing calls
Medical specialties more likely
 to be engaged in telehealth

Radiology
Dermatology
Cardiology
pathology
   Telemedicine does not
    represent a separate medical
    specialty.

   It extends the traditional
    practice of medicine.

   It encourages greater
    consumer involvement in
    decision making.
   Types of Services

   Specialist referral – involves a
    specialist assisting a general
    practitioner in rendering a
    diagnosis.
   Involves diagnostic images or
    video for viewing later.
   Types of Services
   Direct Patient Care – The
    sharing of audio, video and
    medical data between a
    patient and health
    professional for use in a
    diagnosis, treatment plan,
    prescription, or advice.
   Remote clinic…at
    home..physician’s office
   Types of Services

   Remote patient monitoring: uses
    devices to remotely collect and
    send data to a monitoring station
    for interpretation.

   Home health applications may
    include a specific vital sign such as
    blood pressure.
   Types of Services

   Medical education and
    mentoring
   Types of Services

   Consumer medical and health
    information
   Delivery Mechanisms

   Networked programs link
    tertiary care hospitals and
    clinics with outlying or remote
    centers. Estimated there are
    about 200 existing networks.

   Point-to-point connections
   Delivery Mechanisms

   Health provider to home
    connections – accomplished
    through phone line with
    interactive capabilities.

   Direct patient care – to
    monitor pacemaker and
    cardiac devices (example)
   Delivery Mechanisms

   Web-based e-health patient
    service sites such as “web
    MD.”

     http://www.webmd.com/
   Federal Funding for
    Telemedicine

   Grants and contracts:
    estimated about
    $270,000,000 with one third
    for research contracts with
    the U.S. Department of
    Defense.
   Federal Funding

   Direct Services: Major
    users…Department of Defense,
    Indian Health Service, and Bureau
    of Prisons in the Department of
    Justice.

   Medicare: 10% of population is
    covered by Medicare and use 25%
    of the medical services. Largest
    use in teleradiology.
   Advantages of Telemedicine

   Make speciality care more
    available to underserved rural
    and urban populations
   Alleviate cost and
    inconvenience of travel
   Opportunities for In-service
    education
   Barriers to Telemedicine

   States will not allow out-
    state-physicians to practice
    unless licensed in their state.
   Issue of reimbursement
   Fear of malpractice
   Inadequate technology
   Telehealth or Telemedicine?

   Telehealth is generally used as an
    umbrella term to describe the various
    ways to use technology to aid the health
    care professional

   Telemedicine describes the direct
    provision of clinical via
    telecommunications.

   But wait…as time advances, so will the
    advent of new things and new terms.
Telehealth
   MILESTONES IN THE
    EVOLUTION OF
    TECHNOLOGY

   FIRST MILESTONE – THE
    TELEPHONE
   NEBRASKA PSYCHIATRIC
    INSTITUTE (EARLY 1960’S)
    – IMPLEMENTATION
    OF AUDIOVISUAL
    TECHNOLOGY
   LOGAN AIRPORT
    TELEDERMATOLOGY
    PROJECT (LATE 60’S) –
    INTERACTIVE, CLOSED-
    CIRICUIT BLACK/WHITE
    TELEVISION.
   NASA USED TELEHEALTH
    TO MONITOR
    ASTRONAUTS IN SPACE
    AND PROVIDE EMERGENT
    CARE AS NECESSARY.
   USED AT ANARTIC SURVEY
    STATIONS BECAUSE THEY
    WERE UNABLE TO EASILY
    EVACUATE SICK
    PERSONNEL.
   POTENTIAL BENEFITS:

   EXPAND ACCESS TO HEALTH
    CARE AND REHABILITATION
    SERVICES

   IMPROVE QUALITY OF CARE

   MORE FREQUENT
    VISITATIONS
   PROVIDE MORE ACCESS TO
    THOSE IN RURAL AREAS

   CONVENIENCE FOR BOTH
    PATIENT AND PROVIDER

   VAST NUMBER OF
    EXPANDED SERVICES
    PROVIDED
   PLETHORA OF HEALTH CARE
    INFORMATION

   WORLDWIDE DATABASES
   LIBRARIES
   CONFERENCES
   RECORDS
   SUPPORT COMMUNITIES
   ENCOURAGE PATIENTS TO
    BECOME ACTIVE IN THEIR
    HEALTH CARE

   ALLOWS PHYSICIANS TO
    WORK COLLABORATIVELY
    WITH THEIR COLLEAGUES
    FROM DISTANT
    LOCATIONS.
   PHYSICIANS CAN DISCUSS
    NEW AND LATEST
    ADVANCES IN CARE, SEEK
    OPINIONS, CONDUCT
    RESEARCH, ETC.
   PRIMARY CARE ON-LINE
    SERVICES

   SCHEDULING APPOINTMENTS
   E-MAIL PHYSICIAN –
    ALLEVIATES PHONE TAG,
    CONVENIENT, QUICK
   PRESCRIPTIONS, AS WELL AS
    THE CAPACITY TO DOUBLE-
    CHECK FOR ACCURACY
   PURCHASE OF MEDICAL
    PRODUCTS
   LEAVES ROOM TO ASK
    PHYSICIAN QUICK
    QUESTIONS THAT DO NOT
    WARRANT A VISIT
   PATIENT MAY HAVE ACCESS
    TO MEDICAL RECORDS
   PATIENT CAN INPUT
    PERSONAL MEDICAL DATA,
    I.E., BLOOD SUGARS, BLOOD
    PRESSURE, ETC.
   RAMPANT, CONTINUOUS,
    AND GROWING USE OF
    TELEHEALTH
   SHORTCOMINGS OF
    TELEHEALTH
   PRIVACY OF PATIENT
    INFORMATION IS
    QUESTIONED
   HIGH COST OF
    TECHNOLOGY
   DUE TO IMMENSE AMOUNT
    OF INFORMATION -
    CREDITABILITY OF
   POTENTIAL ABUSE
   SINCE THE USE OF THE
    INTERNET FOR
    ACCESSING HEALTH
    INFORMATION IS NEW,
    THERE EXISTS LITTLE IN
    THE WAY OF SAFEGUARDS
    FOR CONSUMERS.
   CONSUMERS SHOULD
    MAKE SURE THAT WEB
    SITES USED TO OBTAIN
    INFORMATION ABOUT
    HEALTH AND MEDICINE
    ARE PROVIDED BY A
    RELIABLE AND CREDIBLE
    SOURCE.
   IN SOME CASES
    COMMERCIAL INTERESTS
    SUCH AS A DRUG
    MANUFACTURER MAY
    SPONSOR OR CONTRIBUTE
    INFORMATION TO THE WEB
    SITE. CONSUMERS SHOULD
    LOOK FOR ASSURANCES
    THAT THE INFORMATION
    PROVIDED IN THESE CASES
    IS OBJECTIVE AND DOES
    NOT FAVOR THE SPONSOR’S
    PRODUCTS.
   AT THIS TIME CONSUMERS
    SHOULD EXERCISE CAUTION
    IN USING WEB SITES THAT
    OFFER ONLINE DIAGNOSIS
    AND PRESCRIBE TREATMENT
    AND MEDICATION FOR THE
    DIAGNOSED CONDITION.
    THERE ARE CURRENTLY NO
    RECOGNIZED AUTHORITIES
    OVERSEEING THE
    OPERATION OF THESE
    SITES.
   CONSUMERS ARE
    CAUTIONED AGAIN
    OBTAINING PRESCRIBED
    MEDICINES FROM WEB
    SITES THAT OFFER BOTH
    DIAGNOSIS OF
    CONDITION AND DIRECT
    SALES OF THE
    PRESCRIBED MEDICINE.
   CONSUMERS SEEKING MEDICAL
    TREATMENT FROM HEALTH
    PROFESSIONALS OVER THE
    INTERNET SHOULD RECEIVE
    CLEAR ASSURANCES THAT
    THEY WILL BE INTERACTING
    WITH A QUALIFIED
    PROFESSIONAL HOLDING THE
    APPROPRIATE CREDENTIALS
    AND THAT THE PROFESSIONAL
    IS ABLE TO LEGALLY PRACTICE
    MEDICINE IN THE CONSUMERS
    LOCATION.
   CLINICAL CONSULTATION
    OVER THE WEB BY
    CREDENTIALED PROVIDERS
    SHOULD INCLUDE
    PROCEDURES THAT
    PROTECT THE PATIENT
    INCLUDING:
   INFORMED CONSENT

   INFORMATION SECURITY
    AND PRIVACY
    PROTECTION MEASURES

   DOCUMENTATION OF THE
    CLINICAL ENCOUNTER
   CYBERCHONDRIA
   A MAJOR DRIVER OF
    HEALTH CARE WILL BE A
    SPECIAL FORM OF
    ELECTRONIC COMMUNITY:
    THAT OF
    CYBERCHRONDRIACS, PEOPLE
    WHO USE THE INTERNET
    TO SEEK HEALTH CARE
    INFORMATION.
   THE CYBERCHONDRIACS
    USING THE WEB TO SEARCH
    FOR HEALTH CARE
    INFORMATION THEREFORE
    ACCOUNT FOR 68 PERCENT
    OR SIXTY MILLION ADULTS,
    A STAGGERING NUMBER.
   AS THE INTERNET
    CONTINUES TO GROW, WE
    ARE ALL LIKE TO BECOME
    CYBERCHRONDRIACS TO
    SOME DEGREE, FOREVER
    CHANGING THE WAY WE
    ACCESS MEDICAL CARE.
   END OF LECTURE FOR
    September 21st, 2011, 7th
    Period

   QUESTIONS?

   DISCUSSION?

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:7
posted:11/11/2011
language:English
pages:99