QUALITY / ISSUES   (Q/I)

Technology has been identified as one of the primary contributors to the increase in health care costs. This technology includes equipment (e.g. scanners), processes (e.g. transplants), and medications (e.g. prescription drugs). In some years it has been found to be the largest contributor to increased costs. Technology generally improves the outcomes of health care. Thus new technology has, overall, meant improvements in the objective of quality at the expense of the objective of cost control.

But technology can also reduce health care costs, as has been the case for the polio vaccine and many other immunizations. The increased concerns about costs have produced new interests in using quality improvements to reduce costs. These interests include (but are not limited to) the substitution of medications for surgeries, new equipment and procedures for less invasive surgeries, and improvements in practice patterns. The (for further information) I.O.M. attention to medical errors hopes to show possibilities of improving quality as well as saving costs.