By H. David Banta, Annetine Gelijns (auth.)

As famous within the Foreword, this document is among the many volumes caused by this learn of healthiness care know-how. the aim of the examine, as formulated through the STG, was once to research well-being care expertise. a part of the duty used to be to advance an 'early caution process' for health and wellbeing care know-how. the first aim of the venture used to be to enhance a listing or description of a few attainable and possible overall healthiness care applied sciences, in addition to info on their significance. in the limits of time and cash, this has been performed. notwithstanding, given the great variety of attainable health and wellbeing care applied sciences, whole info at the significance of every sector couldn't be built in any intensity for all know-how. hence, 4 particular applied sciences have been selected and have been prospectively assessed. those destiny applied sciences have been tested in additional intensity, taking a look fairly at their health and wellbeing and coverage implications. consequently, the undertaking was once 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

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A wound, injury, or one of the individual points or patches of a multifocal disease. Lymphatic vessel: Vessels in the body in which the lymph, a clear yellowish fluid, circulates. Malignant: Applied to cancer, resistant to treatment or tending to grow worse or recur after removal. Malignant cancers often spread both locally and through the blood stream. See Metastasis. Medical device: Any instrument, apparatus, or similar or related article that is intended to prevent, diagnose, mitigate, or treat disease or to affect the structure or function of the body.

The scenario presented in Figure 6 assumes, because of laser success, a gradual change among those going to further intervention, to increase the percentage with a laser/PTCA procedure to 60 percent (point 2 in the model) in the year 2000. This might be a reasonable upper limit of the impact of effective laser therapy. In this case, the number of candidates falls more rapidly, and capacity for coronary artery bypass graft exceeds the number of candidates by 1998. The number of coronary artery bypass procedures also falls more rapidly after 1996 in this scenario.

000 ----------------~~-------------------- --------04-------~--------+_------_r------_+------~r_-------- 1990 Figure 6 1992 1994 1998 1996 2000 Scenario Following Introduction of Laser Angioplasty in 1990 Financial Estimates. Table 2 shows the financial implications of these differences. The cost of each procedure was taken from estimates in the STG report (61). The cost of a laser/PTCA procedure was assumed to be somewhat more than a PTCA procedure because of the capital investment in the laser.

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