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假肢与矫形器行业的创新经济学

The Economics of Innovation in the Prosthetic and Orthotics Industry.

作者信息

Andrysek J

机构信息

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.

Institute of Biomedical Engineering, Faculty of Applied Science and Engineering, University of Toronto, Toronto, Canada.

出版信息

Can Prosthet Orthot J. 2021 Sep 21;4(2):35203. doi: 10.33137/cpoj.v4i2.35203. eCollection 2021.

DOI:10.33137/cpoj.v4i2.35203
PMID:37614992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10443472/
Abstract

Innovation is an important part of the prosthetic and orthotics (P&O) industry. Innovation has the potential to improve health care services and outcomes, however, it can also be a burden to the system if misdirected. This paper explores the interaction of innovation and economics within the P&O industry, focusing on its current state and future opportunities. Technological advancement, industry competition and pursuit of better patient outcomes drive innovation, while challenges in ensuring better P&O health care include lagging clinical evidence, limited access to data, and existing funding structures. There exists a greater need for inclusive models and frameworks for rehabilitation care, that focus on the use of appropriate technology as supported by research and evidence of effectiveness and cost-effectiveness. Additionally, innovative business models based on social entrepreneurism could open access to untapped and underserved markets and provide greater access to assistive technology.

摘要

创新是假肢与矫形器(P&O)行业的重要组成部分。创新有潜力改善医疗保健服务及成果,然而,如果方向错误,它也可能成为系统的负担。本文探讨了P&O行业内创新与经济的相互作用,重点关注其当前状况和未来机遇。技术进步、行业竞争以及对更好患者治疗效果的追求推动着创新,而确保更好的P&O医疗保健面临的挑战包括临床证据滞后、数据获取有限以及现有的资金结构。对于包容性的康复护理模式和框架有更大的需求,这些模式和框架应注重使用经研究以及有效性和成本效益证据支持的适当技术。此外,基于社会企业家精神的创新商业模式可以打开进入未开发和服务不足市场的通道,并提供更多获取辅助技术的机会。

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本文引用的文献

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Dexterity, activity performance, disability, quality of life, and independence in upper limb Veteran prosthesis users: a normative study.上肢假肢使用者的灵巧性、活动表现、残疾、生活质量和独立性:一项规范研究。
Disabil Rehabil. 2022 Jun;44(11):2470-2481. doi: 10.1080/09638288.2020.1829106. Epub 2020 Oct 18.
2
Assessment of publication bias and outcome reporting bias in systematic reviews of health services and delivery research: A meta-epidemiological study.系统评价健康服务和提供研究中发表偏倚和结局报告偏倚的评估:一项meta 流行病学研究。
PLoS One. 2020 Jan 30;15(1):e0227580. doi: 10.1371/journal.pone.0227580. eCollection 2020.
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Cost-effectiveness and budget impact of the microprocessor-controlled knee C-Leg in transfemoral amputees with and without diabetes mellitus.微处理器控制的C型膝关节在有或无糖尿病的经股骨截肢者中的成本效益和预算影响。
Eur J Health Econ. 2020 Apr;21(3):437-449. doi: 10.1007/s10198-019-01138-y. Epub 2020 Jan 2.
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Canada's universal health-care system: achieving its potential.加拿大的全民医疗保健系统:发挥其潜力。
Lancet. 2018 Apr 28;391(10131):1718-1735. doi: 10.1016/S0140-6736(18)30181-8. Epub 2018 Feb 23.
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Lower-limb prosthetic technologies in the developing world: A review of literature from 1994-2010.发展中世界的下肢假肢技术:1994 - 2010年文献综述
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Quality function deployment: application to rehabilitation services.质量功能展开:在康复服务中的应用
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