. 2020 Oct; 123(11):856-861.
doi: 10.1007/s00113-020-00891-7.

[Economic aspects of digitalization in orthopedics and trauma surgery]

Dominik Pförringer 1 David Matusiewicz 2 Serafeim Tsitsilonis 3 Tobias Gehlen 3 David A Back 4 
  • PMID: 33079219
  •     23 References


Introduction: In addition to the advantages for patients and physicians, the progression of digitalization will also have economic implications for healthcare systems in toto worldwide. The integration of digital innovations enables healthcare institutions to transform their current activities and processes and to create a new form of patient care.

Important Economic Topics Of Digitalization: Using digital applications process optimization can be achieved by increased efficiency and therefore a reduction in costs in the healthcare system. Improved processes can in turn achieve an increase in quality in the treatment of patients. Simultaneously, a duplication of investigations can be avoided through digital interfaces and the communication among the healthcare professions involved can be improved, which would result in a conservation of resources. Finally, these influences can lead to more precision in medicine, acceleration of healing processes and represent an advantage for all parties involved.

Perspectives: Economic redistribution due to digitalization of medicine will become increasingly apparent in the future. Ethical considerations as well as data protection will be important topics. At the same time investments and digital innovations must be sponsored by the government and industry. Scientific studies are necessary to secure the evidence of new methods for practice in orthopedics and trauma surgery.

Keywords: Economic development; Health resources; Precision medicine; Process optimization; Quality of health care.

Evolution and Current Applications of Robot-Assisted Fracture Reduction: A Comprehensive Review.
Jing-Xin Zhao, Changsheng Li, +3 authors, Pei-Fu Tang.
Ann Biomed Eng, 2019 Jul 31; 48(1). PMID: 31359265
Big data in health care: using analytics to identify and manage high-risk and high-cost patients.
David W Bates, Suchi Saria, +2 authors, Gabriel Escobar.
Health Aff (Millwood), 2014 Jul 10; 33(7). PMID: 25006137
Highly Cited.
Supervised Machine-learning Predictive Analytics for Prediction of Postinduction Hypotension.
Samir Kendale, Prathamesh Kulkarni, Andrew D Rosenberg, Jing Wang.
Anesthesiology, 2018 Aug 04; 129(4). PMID: 30074930
Challenges and Solutions to Academic Orthopaedics in Current Health-Care Economics: AOA Critical Issues.
William T Obremskey, Sanford E Emery, Benjamin A Alman.
J Bone Joint Surg Am, 2020 May 08; 102(9). PMID: 32379126
Can electronic medical record systems transform health care? Potential health benefits, savings, and costs.
Richard Hillestad, James Bigelow, +4 authors, Roger Taylor.
Health Aff (Millwood), 2005 Sep 16; 24(5). PMID: 16162551
Highly Cited.
Can digital pathology result in cost savings? A financial projection for digital pathology implementation at a large integrated health care organization.
Jonhan Ho, Stefan M Ahlers, +6 authors, Anil V Parwani.
J Pathol Inform, 2014 Sep 25; 5(1). PMID: 25250191    Free PMC article.
Utilization and cost savings of a wide-area computer network for neurosurgical consultation.
J E Bailes, C C Poole, +2 authors, T Fukushima.
Telemed J, 1997 Jul 01; 3(2). PMID: 10168279
Where's the revolution? Digital technology and health care in the internet age.
Edward Alan Miller, Darrell M West.
J Health Polit Policy Law, 2009 Mar 12; 34(2). PMID: 19276318
Medication errors: prevention using information technology systems.
Abha Agrawal.
Br J Clin Pharmacol, 2009 Jul 15; 67(6). PMID: 19594538    Free PMC article.
The economics of telemedicine.
D Lobley.
J Telemed Telecare, 1997 Jan 01; 3(3). PMID: 9489105
Healthcare technology, economics, and policy: an evolving balance.
Steven E Kern, Dov Jaron.
IEEE Eng Med Biol Mag, 2003 Apr 10; 22(1). PMID: 12683057
Digital health interventions for the prevention of cardiovascular disease: a systematic review and meta-analysis.
R Jay Widmer, Nerissa M Collins, +3 authors, Amir Lerman.
Mayo Clin Proc, 2015 Apr 07; 90(4). PMID: 25841251    Free PMC article.
Highly Cited. Systematic Review.
Development assistance for health: trends and prospects.
Christopher J L Murray, Brent Anderson, +4 authors, Raymond Zhang.
Lancet, 2011 Apr 13; 378(9785). PMID: 21481450
Defining digital medicine.
Eric Elenko, Lindsay Underwood, Daphne Zohar.
Nat Biotechnol, 2015 May 13; 33(5). PMID: 25965750
Merging Digital Medicine and Economics: Two Moving Averages Unlock Biosignals for Better Health.
Mohamed Elgendi.
Diseases, 2018 Jan 11; 6(1). PMID: 29316626    Free PMC article.
Accuracy of a Chatbot (Ada) in the Diagnosis of Mental Disorders: Comparative Case Study With Lay and Expert Users.
Stefanie Maria Jungmann, Timo Klan, Sebastian Kuhn, Florian Jungmann.
JMIR Form Res, 2019 Oct 31; 3(4). PMID: 31663858    Free PMC article.
Economics and health.
A Sen.
Lancet, 2000 Feb 26; 354 Suppl. PMID: 10691431
[Digital speech recognition in dermatology: a pilot study with regard to medical and economic aspects].
P Thumann, S Topf, +3 authors, V Mahler.
Hautarzt, 2008 Jan 23; 59(2). PMID: 18210002
Estimated financial savings associated with health information exchange and ambulatory care referral.
Mark E Frisse, Rodney L Holmes.
J Biomed Inform, 2007 Oct 19; 40(6 Suppl). PMID: 17942374
Early Recognition of Burn- and Trauma-Related Acute Kidney Injury: A Pilot Comparison of Machine Learning Techniques.
Hooman H Rashidi, Soman Sen, +3 authors, Nam K Tran.
Sci Rep, 2020 Jan 16; 10(1). PMID: 31937795    Free PMC article.
Deep neural network improves fracture detection by clinicians.
Robert Lindsey, Aaron Daluiski, +8 authors, Hollis Potter.
Proc Natl Acad Sci U S A, 2018 Oct 24; 115(45). PMID: 30348771    Free PMC article.
Highly Cited.
Designing and Undertaking a Health Economics Study of Digital Health Interventions.
Paul McNamee, Elizabeth Murray, +5 authors, Lucy Yardley.
Am J Prev Med, 2016 Oct 18; 51(5). PMID: 27745685
Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants.
Navjit W Dullet, Estella M Geraghty, +5 authors, James P Marcin.
Value Health, 2017 Apr 15; 20(4). PMID: 28407995