By H. David Banta, Annetine Gelijns (auth.)
As famous within the Foreword, this file is one of many volumes as a result of this research of wellbeing and fitness care expertise. the aim of the learn, as formulated by way of the STG, used to be to investigate wellbeing and fitness care expertise. a part of the duty was once to improve an 'early caution approach' for healthiness care expertise. the first aim of the undertaking was once to boost a listing or description of a few attainable and possible well-being care applied sciences, in addition to info on their significance. in the limits of time and cash, this has been performed. besides the fact that, given the huge variety of attainable well-being care applied sciences, entire info at the value of every region couldn't be constructed in any intensity for all know-how. as a result, 4 particular applied sciences have been selected and have been prospectively assessed. those destiny applied sciences have been tested in additional intensity, having a look quite at their wellbeing and fitness and coverage implications. thus, the venture used to be prolonged to September 1986, and extra applied sciences can be assessed.
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Extra info for Anticipating and Assessing Health Care Technology: Health Care Application of Lasers: The Future Treatment of Coronary Artery Disease. A report, commissioned by the Steering Committee on Future Health Scenarios
Cytofluorometry: Studying cells using fluorescent material to 'tag' them. Dermatology: The specialty of medicine dealing with the skin. DNA: Deoxyribonucleic acid. The nucleic acid in chromosomes that codes for genetic information. Doppler: The term refers to the phenomenon of the pitch of sound being higher when the object is approaching the listener, as is obvious with a locomotive whistle. The phenomenon is used to study blood flow in arteries (and sometimes in veins) and in the heart. Echocardiography: A method of imaging the heart walls and internal structures of the heart by the echo obtained from beams of ultrasonic waves directed through the heart wall.
Coronary artery bypass graft is assumed to cost 25,000 guilders (including hospitalization), PTCA is assumed to cost 2,000 guilders (including 2 days of hospitalization), and laser/PTCA is assumed to cost 2,500 guilders. These estimates are subject to many possible criticisms. First, they are not based on careful studies of costs, but are estimates based on 31 Table 2 Financial Costs of Alternate Scenarios in the Year 2000 Assumptions Financial Costs Cost of C~G Cost of PTCA Cost of laser/PTCA 25,000 guilders 2,000 guilders 2,500 guilders Cost of Base Case 184 million guilders Cost of Laser Success Case 169 million guilders Difference (Saving) 15 million guilders limited available data.
Each must be carefully evaluated. This raises difficult problems of evaluation. For example, the laser needs to be evaluated in every form of surgery for which it has been proposed, in comparison with conventional surgical therapy. This report has focused on treatment of coronary artery disease with lasers. Coronary disease is one of the most costly conditions for society, and more efficient and effective methods are very much needed. Lasers offer the possibility of a more effective treatment, associated with less pain for the patient and lower cost for society.