A Comparative Expected Value Analysis Study to Determine the Cost Benefit or Cost Effectiveness of Early Discharge, Medical Transport, Home Health as Well as Home Care Devices, Services and Technologies in The United States

S. Eric Anderson, Jim Pinder, Elizabeth M. Dameff, Armond Manassian, Chuah, Kim-Liang
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Abstract

It was found that Amazon products (Alexa™, Echo™, Halo™), EMRs, fire extinguishers, genome sequencing test, on-line pharmacies, remote patient monitoring, provided economic value, while emergency medical service membership programs, fire alarm subscription services, helicopter emergency medical services, home fire insurance policies, home fire sprinklers, and home security systems were not found to have provided economic value. Tele-health (virtual office visits) would provide economic value if most tele-health visits replaced existing in-person visits and the low cost virtual didn’t drive demand for unnecessary visits. Robotic surgery technologies provide economic value if fully utilized (high patient demand to reduce overhead costs per procedure) in a facility with little excess capacity as long as it did not compete with non-robotic surgical offerings at the present facility. AEDs provide economic value if appropriately placed in high demand locales based on future probability of use.
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一项确定美国早期出院、医疗转运、家庭健康以及家庭护理设备、服务和技术的成本效益或成本效益的比较期望值分析研究
调查发现,亚马逊产品(Alexa™、Echo™、Halo™)、电子医疗器械、灭火器、基因组测序测试、在线药店、远程患者监护提供了经济价值,而紧急医疗服务会员计划、火灾报警订阅服务、直升机紧急医疗服务、家庭火灾保险政策、家庭消防喷头和家庭安全系统没有提供经济价值。如果大多数远程保健访问取代现有的面对面访问,并且低成本的虚拟访问不会推动不必要的访问需求,则远程保健(虚拟办公室访问)将提供经济价值。只要不与现有设施的非机器人手术产品竞争,机器人手术技术如果在没有多余容量的设施中充分利用(高患者需求以减少每次手术的间接费用),就会提供经济价值。如果根据未来使用的可能性,将aed适当地放置在高需求地区,则可以提供经济价值。
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