By H. David Banta, Annetine Gelijns (auth.)

ISBN-10: 9048158176

ISBN-13: 9789048158171

ISBN-10: 9401707413

ISBN-13: 9789401707411

As famous within the Foreword, this file is among the volumes due to this learn of health and wellbeing care expertise. the aim of the examine, as formulated through the STG, was once to research healthiness care expertise. a part of the duty used to be to enhance an 'early caution process' for overall healthiness care know-how. the first aim of the venture was once to increase a listing or description of a couple of attainable and possible health and wellbeing care applied sciences, in addition to details on their value. in the limits of time and cash, this has been performed. besides the fact that, given the gigantic variety of attainable health care applied sciences, entire info at the significance of every quarter couldn't be constructed in any intensity for all know-how. for this reason, 4 particular applied sciences have been selected and have been prospectively assessed. those destiny applied sciences have been tested in additional intensity, taking a look really at their overall healthiness and coverage implications. for that reason, the undertaking was once prolonged to September 1986, and extra applied sciences have been selected for assessment.

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The second question concerns the situation if the costs increase, either because costs are higher with digital imaging or because the quantity of the services provided increases, and whether this increase is associated with any demonstrable benefits in patient outcome or benefit (26). The answer to these questions is not known. Drew (23) has estimated direct annual savings from installation of a PACS, to accompany his estimate of US$1 million costs for a fully 36 integrated system. He estimates savings of US40,000 in capital costs, US$20,000 in maintenance costs, US$80,000 a year in consumables (especially x-ray film), and US$60,000 a year in staff savings (those previously required to manage the film archive).

This set of digital modalities would create approximately 620 megabytes of new data daily. This production reflects actual average image production per bed in the United States. The PAC system would consist of 6 work stations to enable radiologists to display, process, interpret, and annotate images, and 42 read-only display stations to be located mainly in nurses' stations, but also in intensive care units, operating rooms, emergency rooms, outpatient departments, and imaging departments. The requirements for work stations present enormous technical challenges.

This requires retrieval systems and view boxes. Access must be relatively simple, so that physicians will use the system (47). However, easy access makes the problem of confidentiality more difficult. The normal method of control of such data is to have passwords or user-computer dialogues that require the entry of information before privileged patient information can be obtained. However, even a simple password system delays access and may not be acceptable to physicians. Technological developments such as magnetic cards or chip cards might solve this problem by providing automatic identification and access limitation.

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Anticipating and Assessing Health Care Technology: Computer Assisted Medical Imaging The Case of Picture Archiving and Communications Systems (PACS) A report, commissioned by the Steering Committee on Future Health Scenarios by H. David Banta, Annetine Gelijns (auth.)


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H. David Banta, Annetine Gelijns (auth.)'s Anticipating and Assessing Health Care Technology: Computer PDF
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