New Health Technologies

Managing Access, Value and Sustainability

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This report discusses the need for an integrated and cyclical approach to managing health technology in order to mitigate clinical and financial risks, and ensure acceptable value for money. The analysis considers how health systems and policy makers should adapt in terms of development, assessment and uptake of health technologies. The first chapter provides an examination of adoption and impact of medical technology in the past and how health systems are preparing for continuation of such trends in the future. Subsequent chapters examine the need to balance innovation, value, and access for pharmaceuticals and medical devices, respectively, followed by a consideration of their combined promise in the area of precision medicine. The final chapter examines how health systems can make better use of health data and digital technologies. The report focuses on opportunities linked to new and emerging technologies as well as current challenges faced by policy makers, and suggests a new governance framework to address these challenges.



Digital technology: Making better use of health data

Modern health care systems produce mountains of electronic data, which are now also generated outside health care systems as most aspects of human activity and interaction become digitalised in the modern global economy. The information potentially residing in these data can be very useful to promote health, and to improve health care – a particularly information- and knowledge-intensive industry. This chapter describes various opportunities for harnessing health data, citing examples where the potential is being realised. It discusses the challenges of using health data and sets out a policy framework for managing risks while realising the benefits of health data. The costs of implementing digital technology across societies and health care systems are discussed. This is followed by a more in-depth discussion of the electronic health record (EHR), an important foundation of health information infrastructure. Drawing on the findings from a 2016 study of EHR development and use in 30 OECD countries, health care systems’ readiness to use EHR data collected for various purposes – performance monitoring, quality improvement and research – is examined.



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