Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Big ticket health technology: is rational utilization possible?

K S Johansen¹, N T Racoveanu

¹Quality of Care and technologies, World Health Organization, Copenhagen, Denmark.

Medical Progress Through Technology

|January 1, 1991

Summary

Big Ticket Technologies in medicine include high-cost equipment and widely used, lower-cost innovations. Evaluating medical technology usefulness now includes cost-effectiveness and patient outcome impacts.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Structural and electronic determinants of lytic polysaccharide monooxygenase reactivity on polysaccharide substrates.

Nature communications·2017

Same author

On the formation and role of reactive oxygen species in light-driven LPMO oxidation of phosphoric acid swollen cellulose.

Carbohydrate research·2017

Same author

Light-driven oxidation of polysaccharides by photosynthetic pigments and a metalloenzyme.

Nature communications·2016

Same author

Domestic abuse in a central Mediterranean pregnant population.

European journal of obstetrics, gynecology, and reproductive biology·2001

Same author

Nutritionally relevant parameters in low-phytate barley (hordeumvulgare L.) grain mutants.

Journal of agricultural and food chemistry·2001

Same author

Lessons from Europe on quality improvement: report on the Velen Castle WHO meeting.

The Joint Commission journal on quality improvement·1999

Area of Science:

Health Technology Assessment
Medical Innovation
Healthcare Economics

Background:

Traditionally, 'Big Ticket Technologies' refer to high-cost medical equipment.
This perspective overlooks lower-cost technologies with extensive patient care utilization, which also function as 'Big Ticket' items.
Innovations in medical technology can be product-based (new services) or process-based (alternative care delivery).

Purpose of the Study:

To broaden the definition of 'Big Ticket Technologies' in medicine.
To examine factors influencing the availability and adoption of medical technologies globally.
To highlight the growing importance of cost-effectiveness and health outcomes in technology evaluation.

Main Methods:

Conceptual analysis of medical technology classification.
Review of examples in radiology, radiation oncology, and critical care.
Discussion of global disparities in technology access based on economic and regulatory factors.

Main Results:

Identified both high-cost and high-utilization, lower-cost technologies as 'Big Ticket' items.
Highlighted computed tomography (CT) scanners, magnetic resonance imaging (MRI) units, linear accelerators, extracorporeal shock wave lithotripsy, and critical care technologies as key examples.
Noted that financial incentives, healthcare expectations, and regulatory frameworks significantly impact technology diffusion.

Conclusions:

The definition of 'Big Ticket Technologies' should encompass both initial cost and widespread clinical impact.
Global availability of medical technologies is shaped by economic, societal, and regulatory environments.
Cost-effectiveness and patient outcomes are increasingly critical for evaluating medical technology value.

Related Experiment Videos