dismiss

Clean Sweep Live Auction on Thur. March 28th. Click to view the full inventory

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Comment
advertisement

 

advertisement

 

More Cost Containment Corner

Who gets your vote for data governance? Enterprise information management and the era of value-based care

Innovation on a clean slate – Sidra Medicine’s story Dr. Avez Rizvi shares lessons he has learned about implementing best practices and fresh ideas

The price of peace of mind and patient safety Insights from Michael McNeil, head of global product security for Philips

The biomedical services contract checklist Wesley Reid shares tips for HTM professionals

Maintenance magic: A thoughtful approach to biomedical services delivers big savings Cost containment insights from Wesley Reid

See All Cost Containment Corner  

More Industry Headlines

New approach identifies lung cancer patients most likely to respond to chemotherapy Combines radiomics and CT image assessment

3D mammography helps avoid unnecessary breast biopsies, says study 33 percent difference in biopsy rate compared to standard mammography

Mentice partners with RAD-AID to bring interventional radiology training to underserved communities Providing simulator software, hardware and expertise

Apple study suggests wearable technology may be useful in detecting atrial fibrillation May assist in stroke and hospitalization prevention

Nvidia unveils Clara AI platform at GPU Technology Conference Equipped with 13 state-of-the-art classification and segmentation algorithms

Solving the Rubik’s Cube of payer data Understanding and recognizing the patterns that lead to success

National Mobile X-ray acquires MMDS Mobile X-ray Expands reach deeper in southeastern US

Echocardiogram should play role in patient selection for transcatheter mitral valve repair, says study New study highlighted at ACC

Building a health data utility: Three secrets to a fresh model for interoperability Teaching healthcare how to share

FDA gives green light for smallest, slimmest 3T CRM devices Extended battery lives, greater diagnostic and therapeutic capabilities

A modest proposal: Cost containment and the quality of life

by Sean Ruck , Contributing Editor
From the March 2018 issue of DOTmed HealthCare Business News magazine

Dr. Albert Shar is managing principal at QERT, a technology consultancy for health care organizations. Shar has held a variety of positions in the health technology sector including VP of IT at the Robert Wood Johnson Foundation, director of technology services at University of Pennsylvania Health System and the CIO of its Medical School. He is also writes extensively on the field of health care, computer science and pure and applied mathematics. He spoke with HCB News about the challenges of cost containment.

“Cost containment is great, but you have to put it into context,” he says. “Health technology is advancing and cost advances with that. So ‘containment’ is always a moving target.”

Story Continues Below Advertisement

RaySafe helps you avoid unnecessary radiation

RaySafe solutions are designed to minimize the need for user interaction, bringing unprecedented simplicity & usability to the X-ray room. We're committed to establishing a radiation safety culture wherever technicians & medical staff encounter radiation.



The problem, according to Shar, is that health care’s goals are miscast too often. He believes the issue that has to be redefined is the desired outcomes. “Right now, most of health care’s success is defined as living longer. Living longer is always more expensive than living shorter. The cheapest health care is to let someone die, there’s no cost going forward after that.”

Of course, Shar is channeling his Jonathan Swift. The point is that a difficult conversation needs to take place, albeit not as extreme as the satirically proposed solution for cutting costs. “What we really need is to put in a measure of quality for the patient. Living longer isn’t always necessarily good.”

He believes it’s easy to set up what the priorities for care should be. For instance, a physician obviously shouldn’t introduce a treatment that doesn’t work or won’t help. And each patient is an individual and should be treated as such (even if some of the conversations around big data are about patterns among patient cohorts to help determine course of care). Additionally, it’s an ethical given to choose the less expensive of two equal treatments and to eliminate redundancies. But once you delve further, those simple pieces become problematic.

“We spend the most on health care in the last years of life,” says Shar. “We need to change the culture of what people realize they want,” he says.

By that, he means that health care providers need to have honest conversations with patients before they’re in their most vulnerable state (i.e. cognitively impaired or terminally ill). He thinks that when presented with the facts in an honest conversation, most people don’t want to live without anything they define as quality in their life.

“Physicians aren’t trained to think about quality of life, they’re trained to preserve life. People fear death, so trying to educate people and physicians to have a rational conversation around that is really a spectacularly important piece and would probably save a fair amount of money.”
  Pages: 1 - 2 >>

Related:


You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2019 DOTmed.com, Inc.
ALL RIGHTS RESERVED