PROFESSIONAL DILEMMA IN

FACING NEW TECHNOLOGY

By Group B4 CVS 2012
Faculty of Medicine
Padjadjaran University

The Members
Rizkia Arifianne

130110090125
Amila Hanifan
130110100020
Dwi Bandang Saskia
130110100045
Aang Setiawan
130110100057
Egie Rahmalaelani
130110100062
Adrianshah Sudarmin
130110100066
Fariz Dwiky Aditya
130110100071
Scholastica Diana
130110100120
Ivan Kurnianto
130110100130
Arlinda De Hafsari
130110100204
Desy Anggraini
130110100215

Whats The New Technology?

Innovations in medicine, whether they be medications,
diagnostic equipment, or surgical procedures, fall into 2
broad categories:
1. Evolutionary
2. Revolutionary

Barney Clarks Artificial Heart

A Seattle dentist named Barney Clark becomes the first

human recipient of a permanent artificial heart. He

survives the heart, and the accompanying media circus,
for 112 days.
Clark understood going in that his chance of long-term
survival was virtually nil, but agreed to undergo the
surgery in the interest of advancing science.

All the principals involved agreed beforehand that there

would be no individual talking to the media, that all
information would be sent out through the universitys
press office. Despite the moderate approach, reporters
swiftly glommed onto the story, and Barney Clarks
saga became international news. Doctors were
dunned for continual progress reports, while reporters
turned Clark and his stoic wife into folk heroes.
This was all beyond Clark, though, who died March 23,
1983. He had survived for 112 days.

Should a Doctor Always Use New

Technology, Left Old Technology
Behind?
Every technology is new to

every practitioner when he or

she first encounters it.
Multiple studies have shown
that experience in any
procedure decreases the
length of time needed for its
use, complications are
recognized and handled more
quickly, there is greater
accuracy when using
diagnostic devices, and there
is less harm to patients.

The excellence are how the

practitioners can manage

the new technology for the
patients needed include the
efficacy, cost, and the aim.
In a remote and low

economic town, encouraging

the town to buy the latestmost accurate diagnostic
equipments or use older
diagnostis technology?

'excellence' in medical practice

Excellence is defined as the state, quality, or condition of
excelling; superiority, with excel being defined as to be
better than; surpass-- to surpass or do better than others.

If work as a doctor in a remote and low economic town, what would you decide: encouraging the
town to buy the latest-most accurate diagnostic equipments or use older diagnostis technology?

Health technology assessment(HTA)

We will make a decision base on the health technology

assessment
HTA is a multidisciplinary activity that systematically
examines the safety, clinical efficacy and effectiveness,
cost, cost-effectiveness, organisational implications, social
consequences, legal and ethical considerations of the
application of a health technology usually a drug,
medical device or clinical/surgical procedure.

 HTA broadly focuses on two questions:

- Clinical effectiveness how do the health outcomesof

the technology compare with available treatment

alternatives?
- Cost-effectiveness are these improvements in health
outcomes commensurate with the additional costs of the
technology?

 HTA can help policy-makers decide which technologies

are effective and which are not, and define the most
appropriate indications for their use. HTA can reduce or
eliminate interventions that are unsafe and ineffective, or
whose cost is too high compared with the benefits. That
said, to date, most international HTA activity has been
directed at quantifying the use of new and expensive
pharmaceuticals.

Thank You

Resource:
http://www.wired.com/thisdayintech/2009/12/dayintech_12

02jarvikheart/
http://www.essayandscience.com/article/15/excellence-inhealthcare-professions/
http://www.consortiuminfo.org/linked/AIAA2008RenoTech
nicalExcellenceFinal2.pdf
http://www.medicine.ox.ac.uk/bandolier/painres/download/
whatis/What_is_health_tech.pdf
The Ethics of Applying New Medical Technologies
Kenneth V. Iserson and Patrick M. Chiasson