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Review
. 2017 Jun;10(2):233-239.
doi: 10.1007/s12178-017-9407-6.

Technology assessment and cost-effectiveness in orthopedics: how to measure outcomes and deliver value in a constantly changing healthcare environment

Jeremy M Burnham  1 , Fabien Meta  2 , Vincent Lizzio  2 , Eric C Makhni  2 , Kevin J Bozic  3
Affiliations
Review

Technology assessment and cost-effectiveness in orthopedics: how to measure outcomes and deliver value in a constantly changing healthcare environment

Jeremy M Burnham et al. Curr Rev Musculoskelet Med. 2017 Jun.

Abstract

Purpose of review: The purpose of this study is to review the basic concepts of healthcare value, patient outcome measurement, and cost-effectiveness analyses as they relate to the introduction of new surgical techniques and technologies in the field of orthopedic surgery.

Recent findings: An increased focus on financial stewardship in healthcare has resulted in a plethora of cost-effectiveness and patient outcome research. Recent research has made great progress in identifying orthopedic technologies that provide exceptional value and those that do not meet adequate standards for widespread adoption. As the pace of technological innovation advances in lockstep with an increased focus on value, orthopedic surgeons will need to have a working knowledge of value-based healthcare decision-making. Value-based healthcare and cost-effectiveness analyses can aid orthopedic surgeons in making ethical and fiscally responsible treatment choices for their patients.

Keywords: Cost-effectiveness; Healthcare; Patient-reported outcomes; Technology assessment; Time-driven activity-based cost identification; Value.

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Conflict of interest statement

Conflict of interest

Kevin J Bozic reports grants from Agency for Healthcare Research and Quality (AHRQ), grants from California Public Employees’ Retirement System (CalPERS), personal fees from Harvard Business School, personal fees from Centers for Medicare and Medicaid Services, other from American Joint Replacement Registry (AJRR), grants from National Institutes for Health (NIH), personal fees from Institute for Healthcare Improvement, other from American Academy of Orthopaedic Surgeons (AAOS), other from American Association of Hip and Knee Surgeons (AAHKS), other from Orthopaedic Research and Education Foundation (OREF), outside the submitted work.

All other authors declare no conflict of interest.

Human and animal rights and informed consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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