The Effect of Medical Technology Innovations on Patient Outcomes, 1990-2015: Results of a Physician Survey

Wamble, David; Ciarametaro, Michael; Dubois, Robert W.

doi:10.18553/jmcp.2018.18083

Cited by 16 publications

(9 citation statements)

References 4 publications

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“…The world population is considerably aged due to the decline in birth rate and the improvement in survival, and consequent increase in the average life expectancy, associated with the medical and technological developments achieved over the last decades [ 1 , 2 ]. The global population aged 60 or above is expected to reach about 2.1 billion by 2050, representing an increase of approximately twofold from 2017, and the number of people aged 80 or over is expected to nearly triple in the same period [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Bioactive Bacterial Nanocellulose Membranes Enriched with Eucalyptus globulus Labill. Leaves Aqueous Extract for Anti-Aging Skin Care Applications

et al. 2022

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Bacterial nanocellulose (BNC) membranes, with remarkable physical and mechanical properties, emerged as a versatile biopolymeric carrier of bioactive compounds for skin care applications. In this study, BNC membranes were loaded with glycerol (as plasticizer and humectant agent) and different doses (1–3 μg cm−2) of an aqueous extract obtained from the hydro-distillation of Eucalyptus globulus Labill. leaves (HDE), for application as sheet facial masks. All membranes are resistant and highly malleable at dry and wet states, with similar or even better mechanical properties than those of a commercial BNC mask. Moreover, the HDE was found to confer a dose-dependent antioxidant activity to pure BNC. Additionally, upon 3 months of storage at 22–25 °C and 52% relative humidity (RH) or at 40 °C and 75% RH, it was confirmed that the antioxidant activity and the macroscopic aspect of the membrane with 2 μg cm−2 of HDE were maintained. Membranes were also shown to be non-cytotoxic towards HaCaT and NIH/3T3 cells, and the membrane with 2 μg cm−2 of HDE caused a significant reduction in the senescence-associated β-galactosidase activity in NIH/3T3 cells. These findings suggest the suitability and potential of the obtained membranes as bioactive facial masks for anti-aging applications.

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Section: Introductionmentioning

confidence: 99%

Bioactive Bacterial Nanocellulose Membranes Enriched with Eucalyptus globulus Labill. Leaves Aqueous Extract for Anti-Aging Skin Care Applications

et al. 2022

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“…The demand for geriatric care has been on the increase throughout the world, especially in the developing, low-and middle-income countries, due to increasing life expectancy and improvement in technology in healthcare industry [9,10]. Studies in Ghana have also reported a tandem-like increase in the aged population with the global pattern [11,12].…”

Section: Discussionmentioning

confidence: 99%

Advancing Age in Africa, the Urgent Need for Institutional Geriatric Care in a Low Resource Setting: A Case Report

Edzie¹,

Dzefi-Tettey²,

Gorleku³

et al. 2021

World J. Adv. Res. Rev.

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Background: The demand for geriatric care has been on the increase throughout the world, especially in the developing, low- and middle-income countries (LMICs), due to increasing life expectancy, improvement in technology in healthcare industry coupled with increasing numbers of healthcare personnel. Nonetheless, these increases in the resources to the healthcare industry are still woefully inadequate in the developing and LMICs, compared to the high demand for such services, thereby exposing the drastic challenges and gaps in geriatric services in these countries. Case Presentation: A 74-year-old woman apparently well, who was relocated from the rural area by her biological daughter, with the intention of giving her better care in a comfortable city environment. She was initially appreciative of the relocation. However, the situation went sour when her daughter and son-in-law resumed work after their annual leave period. They started locking her up in a well-furnished mansion with everything she may need until they returned from work. Consistently for eight working days, she was kept under lock and key because they did not want her to roam around the community, they thought was not familiar to her with the intention of keeping her safe. Everything was fine until they returned from work one day to find that she had soiled the house with her excrement, apparently as a protest against her consistent lock-up. This necessitated their visit to the hospital. A diagnosis of social isolation was made after clinical and mental state examination and appropriate interventions were instituted. The patient consequently became fine in the new environment. Conclusion: This case has been presented in order to emphasize the need to improve the systems for geriatric care which is of public health concern, especially as the life expectancy of the developing, low- and middle-income countries keep improving.

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“…Increased investments in medical technology have been associated with improved patient outcomes, thus supporting the value of investments in the field, on the basis of specific assessments of the value of medical technologies 32,33 In recent years, new strategies and approaches have been proposed to improve implementation of highly effective but costly treatments through a shift toward alternative models for payment and reimbursement, such as value-based arrangements for both expensive drugs and medical devices, in the form of "outcomesbased contracts", "payment by results", "performance-based contracts" or "risk-sharing agreements", all characterized by linking coverage, reimbursement, or payment for the innovative treatment to attainment of prespecified clinical outcomes 1,34 .…”

Section: Risk Sharing Arrangements As a New Perspectivementioning

confidence: 99%

Performance-based risk-sharing arrangements for devices and procedures in cardiac electrophysiology: an innovative perspective

et al. 2022

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There is an increasing pressure on demonstrating the value of medical interventions and medical technologies resulting in the proposal of new approaches for implementation in the daily practice of innovative treatments that might carry a substantial cost. While originally mainly adopted by pharmaceutical companies, in recent years medical technology companies have initiated novel value-based arrangements for using medical devices, in the form of ‘outcomes-based contracts’, ‘performance-based contracts’, or ‘risk-sharing agreements’. These are all characterized by linking coverage, reimbursement, or payment for the innovative treatment to the attainment of pre-specified clinical outcomes. Risk-sharing agreements have been promoted also in the field of electrophysiology and offer the possibility to demonstrate the value of specific innovative technologies proposed in this rapidly advancing field, while relieving hospitals from taking on the whole financial risk themselves. Physicians deeply involved in the field of devices and technologies for arrhythmia management and invasive electrophysiology need to be prepared for involvement as stakeholders. This may imply engagement in the evaluation of risk-sharing agreements and specifically, in the process of assessment of technology performances or patient outcomes. Scientific Associations may have an important role in promoting the basis for value-based assessments, in promoting educational initiatives to help assess the determinants of the learning curve for innovative treatments, and in promoting large-scale registries for a precise assessment of patient outcomes and of specific technologies’ performance.

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The Effect of Medical Technology Innovations on Patient Outcomes, 1990-2015: Results of a Physician Survey

Cited by 16 publications

References 4 publications

Bioactive Bacterial Nanocellulose Membranes Enriched with Eucalyptus globulus Labill. Leaves Aqueous Extract for Anti-Aging Skin Care Applications

Bioactive Bacterial Nanocellulose Membranes Enriched with Eucalyptus globulus Labill. Leaves Aqueous Extract for Anti-Aging Skin Care Applications

Advancing Age in Africa, the Urgent Need for Institutional Geriatric Care in a Low Resource Setting: A Case Report

Performance-based risk-sharing arrangements for devices and procedures in cardiac electrophysiology: an innovative perspective

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