Ahrens T
Barnes Jewish Hospital, St. Louis, Missouri, USA.
Crit Care Nurs Clin North Am. 1998 Mar;10(1):117-25.
Technology is only as effective as the clinicians who employ the technology and the system in which they function. For any technology to change patient outcome, or be cost effective, clinicians must be educated and incented to change their practice. At this point in American health care, technology appears to vary widely in the effectiveness in which it is employed. Research consistently decries the lack of effective use of technology. Some authors have claimed this lack of consistent use of technology is near a crisis proportion, both in terms of the costs and impact on patient outcome. The wide variability in technology application is understandable owing to the lack of a unifying approach to the application, education, and evaluation of technology. Only when we have an organized system, lead by professional societies, will technology usage achieve standardization. Until that time, individual hospitals need to follow guidelines like the ones presented in this article to ensure patients are receiving optimal and cost-effective care.
技术的有效性取决于使用该技术的临床医生以及他们工作所处的系统。要使任何技术改变患者的治疗结果或具有成本效益,临床医生必须接受教育并受到激励以改变他们的医疗实践。在美国医疗保健的现阶段,技术在应用效果上似乎差异很大。研究一直谴责技术缺乏有效利用的情况。一些作者声称,无论是在成本方面还是对患者治疗结果的影响方面,这种技术使用缺乏一致性的情况已接近危机程度。由于缺乏对技术应用、教育和评估的统一方法,技术应用的广泛差异是可以理解的。只有当我们有一个由专业协会牵头的有组织的系统时,技术使用才能实现标准化。在此之前,各个医院需要遵循本文提出的指导方针,以确保患者得到最佳且具有成本效益的护理。