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Technology Assessment and Adoption in Orthopaedics: Lessons Learned

¹ Department of Orthopaedic Surgery
and Philip R. Lee Institute for Health Policy Studies
University of California at San Francisco
San Francisco, California
² Department of Orthopaedic Surgery
Rush University Medical Center
Chicago, Illinois

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The rising cost and variable quality of health-care delivery in the U.S. have become the subject of great debate among policymakers, providers, payers, and patients¹. Although health-policy experts and health-care researchers have identified numerous factors that contribute to rising costs, there is widespread agreement that the adoption and use of new health-care technologies are a major contributor to escalating health-care costs in the U.S.². In addition to concerns about cost, the introduction of new medical technologies raises questions related to quality and safety, including how to minimize complications during the "learning curve" period through appropriate training and/or credentialing, how to appropriately communicate potential risks associated with new interventions to patients, and who should be responsible for postmarket surveillance and reporting.

Over the past half century, the introduction of many orthopaedic technologies, including the Charnley low-friction arthroplasty, arthroscopy, and internal fixation devices for the treatment of fractures, has . . . [Full Text of this Article]

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