Three Ways to Get Involved with Social Media at ECR 2013

This time last year we posted on social media at ECR with lots of hints and tips about how to interact and make the most of the experience online as well as in person. Lots of that information stands up today and if you’re a relative newbie to the social media scene it’s worth having a read.

ECR 2013At #ECR2013 we’re doing lots more to create an interactive experience and we’re looking forward to you getting involved. Here’s how!

1. Like us on Facebook – join the Carestream community. We’ll be posting our album of images from the stand so look out for those and tag yourself, and why not take part in our online #QuizECR2013 – one question a day for every day that the show runs.

2. Join the conversation on Twitter –  follow us and use the hashtag #ECR2013 to get involved. At the show we’ll be asking the questions below – tweet us your answers using the hashtags provided and we’ll retweet them to our followers:

  • What are the biggest issues in Healthcare today? #RADChallenge
  •  How will the healthcare horizon have evolved by 2020? #2020vision
  • Which single piece of kit has had the most radical effect on radiology in practice? #RADical

3. Come and meet us on the stand to tell us about your experiences as a Carestream customer. Our production team is ready and waiting to capture your   thoughts on the products and technology on the #CarestreamCam to appear on the Carestream YouTube channel.

Most importantly – enjoy your #ECR2013 experience and come and say hello to us in Expo B, booth 211!

Live Interview from RSNA: MidCentral District Health Board in New Zealand

Diane Orange, Radiology Department Manager, MidCentral District Health Board in New Zealand, traveled a far distance to attend RSNA this week in Chicago, but it has been well worth the trip. A highlight for Di has been the opportunity to see how her radiology department is at the forefront of many of the themes discussed as imperatives for radiology like expanding the reach of diagnostic imaging into other clinical specialties and innovative approaches to image exchange.

In the video interview featured below, Di  shares how an integrated RIS/PACS system from Carestream has reduced report turnaround. Orange also offers feedback on the new technologies she’s seen at RSNA, including the DRX-Revolution and Carestreams CS 9300 conebeam CT system. Also hear her vision for the future of image sharing.

Q&A: Getting a Look at Imaging IT Strategies in Poland

Krzysztof Kęsek

Krzysztof Kęsek, Medical IT Project Consultant

Editor’s Note:  Earlier this summer Carestream hosted a summit  for journalists and industry consultants at Zakopane University Hospital set in the beautiful Tatras mountains of Poland. The two day workshop focused on new imaging technology strategies being deployed in today’s modern healthcare . Prof. zw. dr hab. med. Daniel Zarzycki, director of the hospital,  led key elements of the workshop including a look at hospital performance before and after the implementation of innovative radiography and health IT systems. Krzysztof Kęsek, a medical IT project consultant, attended the summit and shares his feedback on the experience below. 

Q: Krzysztof, please tell us about you, your history and your current role. 

My current areas of interest, both professional and private, are applying IT solutions for technical organization of highly-specialized medical imaging labs. It is also my scientific area of study. The subject of my current PhD thesis is the application of Business Intelligence solutions to optimize the work of a hospital’s medical imaging division (a combination of HIS, radiology software and CAD-like systems).

I’ve developed these interest over the course of my professional career. My Master thesis covered a model of an electronic patient record — which resulted in the Medical Information Systems Department Collegium Medicum Jagiellonian University employing me as an teaching assistant. My later experience includes 3 years in an IT company, and the creation of a complex Diagnostics Imaging Centre and outpatient clinic, where the IT vendor intends to develop its own systems for medical facilities and CAD tools (mainly for cardiology).

I am currently still working in the Zakład Medycznych Systemów Informacyjnych UJ CM (The Medical Information Systems Department, Jagiellonian University, Collegium Medicum), and am also a Tender Specialist for the University Hospital in Cracow (medical imaging equipment only) and a Project Manager for a medical complex being erected by a private investor (Hospital as well as Diagnostics and Therapy Centre with an outpatient clinic).

Q: What struck you most from the radiology workshop?

I can answer with full confidence that the first 6 hours spent in the company of the radiologist. The radiologist, who was in the Emergency Department processed radiographic images acquired by computer tomography and magnetic resonance, often using advanced tools and analyses, convinced me that the domain between informatics and medical equipment is what I want to devote my next few years to. I perceive this domain as one of the pillars of modern medicine.

 Q:  Did the workshop can your opinion on the role of radiology in the modern hospital? 

It would be untrue if I argued that the meeting changed my vision of a modern hospital of the future. It was more of an affirmation of the hospital model I have been maintaining for years. However, it should be noted that the complexity of Carestream solutions (basing them on the newest technologies of transmitting and storage of images) has calmed my fears that there are too few “leaders of change,”  able to deliver complex solutions which are adapted to Polish legislative requirements. Carestream products have all the features I expected them to have in this regard, but they are able to fulfill sophisticated expectations of the most important user group — the doctors. I am also happy about the very fact that such conferences are being organized, since medical circles are often unaware of the existence of products that could significantly reduce the time of medical procedures and cut costs of a modern medical imaging laboratory.

Day 1 UKRC: A Look at Radiology Trends and Cone beam CT R&D Projects

David H. Foos, Clinical Applications Research, Carestream

Editor’s note:   UKRC opens today in Manchester, UK. The annual Congress of  The British Institute of RadiologyThe Society and College of Radiographers, and The Institute of Physics and Engineering in Medicine, covers all aspects of diagnostic imaging. Before heading to the show,  David H. Foos, Clinical Applications Research, Carestream, weighed in on the hot topics and R&D projects he’ll be focused on during his time at UKRC.

Q: UKRC opens today.  How many times have you visited the show?

I’ve had the opportunity to participate in a variety of scientific conferences and trade shows over many years, including the RSNA, SIIM, SPIE Medical Imaging, European Congress of Thoracic Radiology, CARS, ECR, and Society of Thoracic Radiologists. However, this will be my first time attending the UKRC.  I am very much looking forward to the scientific component of the congress.

UKRCQ: Give us your take on the current trends in radiology. What’s your view on radiation dose?  

One of the important trends in radiology is the increasing attention that is being given to issues surrounding radiation dose. Much of this attention has focused on CT and fluoroscopy procedures, but the Image Gently initiative, whose goal is to change practice by promoting radiation protection in the imaging of children, includes projection x-ray as well. A promising new approach the emergence of quantitative imaging, for instance, measurement from imagery of the extent of COPD. Such techniques offer the potential for improving the staging of disease, which, in turn, can help physicians in making treatment decisions and in communicating prognoses to patients.

Q: What’s happening in the world of R&D at Carestream?  What projects will you be discussing at UKRC? 

We have a number of exciting projects, including an ongoing project on cone beam CT for volumetric imaging of extremities. The system design is unique in that it has the capability to obtain isotropic high-resolution 3D images of weight-bearing knees and ankles, which is a procedure that is currently unable to be performed with standard diagnostic CT systems. This is a collaborative project with Johns Hopkins University Hospital. A clinical system is currently installed at the hospital, and patients are being imaged under a study protocol. In addition, there are a number of other novel advanced 3D and spectral imaging technologies we are investigating in that have potential applications for improved imaging in the ICU, ED, and orthopaedics, and in areas outside the hospital such as in veterinary medicine.

Attending UKRC? Come see us in stand 99

Q&A: The Future of Radiology and Impressions from SERAM 2012

Editor’s Note: At the end of May, Spain’s radiology community converged in Granada at the Sociedad Espanola de Radiologia Medica (SERAM). Dr. Francisco Javier Rodríguez Recio, Head of Radiodiagnostics at the Hospital of Segovia and Communication Director for the SERAM Board of Directors, graciously shares his reflections on the Congress and the state of healthcare and radiology in Spain. 

Dr. Francisco Javier Rodríguez Recio

Dr. Francisco Javier Rodríguez Recio, Head of Radiodiagnostics, Hospital of Segovia

Q:  You’ve had time to reflect on SERAM. What do you think of this year’s show and the changes that were made?

Since training as a radiology resident, I have attended the SERAM Congress every two years. For many years I took full advantage of the extensive educational content and for the past decade I have been responsible for the digitization of the Congress. In recent years I have focused on the exchange of knowledge in management and ICT.

This year, the SERAM Congress had both highly scientific content and excellent levels of participation. It would appear that the Congress was not affected by the crisis. However, we need to prepare for the changes to come in the next few years. Some hospitals are reducing the number of training days, and the resources that the industry can provide are dwindling due to a drop in investment. I believe that over the next few years we need to incorporate new ways of collaboration between the scientific community and the industry. Promoting online training and incorporating new technologies in the Congress are important challenges.

Q: Which new technologies are you most excited about for both your hospital and in the industry?

I am a general radiologist both by training and in practice. I carry out clinic duties as far as possible. It is in emergency medicine that the radiologist is developing most of his knowledge. I am an avid defender of the use of radiology in the clinical process, as well as the information gained from all the radiological studies.  At my hospital, the Hospital of Segovia, we have collected information for 100% of the studies that we have carried out, including in emergency medicine. And I can not stress enough the importance of collaboration between primary and specialist healthcare providers.

Our hospital has 400 beds. The radiology department has been fully digital since 2007 and we also have ultrasound equipment, CT and 1.5 T MRI systems. We work with the mentality of being a public hospital that has to make use of all the resources available, and so we schedule appointments both morning and evening. When necessary, the teams also work weekends.

Two years ago we installed some equipment in our emergency radiology room that was highly innovative at the time: a CARESTREAM DRX-1 System with 2 panel detectors. The collaboration with Carestream also gave rise to the study: Wireless digital radiography detectors in the emergency area: an efficacious solution. Radiologia. 2011.

Q:  There has been a lot of talk recently about the future of radiology in Spain. What are your thoughts?

The proposed cuts in public health in Spain are leading to a complete halt in the investment in health infrastructure, including in some cases a reduction in maintenance.  Health professionals and the industry have to find new forms of collaboration to make the most of the resources at our disposal. A big piece of that is finding new ways of purchasing that are modeled more closely on technology partnership agreements with companies in the sector. The current model of purchasing technology (tenders and annual maintenance) needs to give way to other formulas that have already been employed in the private health sector. We have to find new management formulas that make the system more efficient. Radiologists, the scientific community and the industry need to work together to offer health administrators new scenarios of collaboration.

The level of radiology in Spain is excellent, a view that runs counter to those people who think that our speciality is going to disappear, absorbed by others. I am an optimist. We can maintain our identity as clinical radiologists and not isolate ourselves as mere purveyors of information by taking a leadership role in the integration of the diagnostic process, demonstrating the efficiency of our work and making appropriate use of ICT… the future looks promising. This crisis could be our opportunity!

A Spanish version of this post can be found below.

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Acabamos de regresar de la SERAM por otro año. ¿Cuántas veces ha visitado la feria? ¿Qué piensas de la edición de este año y cómo ha visto el cambio?

Desde mi formación como residente de radiología, cada 2 años asisto a todos los Congresos de la SERAM, durante muchos años aprovechando el extenso contenido docente, hace más de una década me responsabilicé de la digitalización del Congreso, en los últimos años me he dedicadoespecialmente a intercambiar conocimiento en Gestión y TICs.

Este año el Congreso de la SERAM ha tenido un alto contenido científico y una participación excelente, parece que la crisis no ha llegado al Congreso; pero debemos estar atentos a la evolución en los próximos años, hay hospitales en los que se están reduciendo los días para formación, los recursos que puede dedicar la Industria son menores debido a la disminución en inversiones. En mi opinión para los próximos años deberemos incorporar nuevas fórmulas de colaboración entre sociedades científicas e industria, fomentar la formación online, incorporar novedades tecnológicas al congreso… los retos son importantes.

¿Qué tecnologías se te va más entusiasmado, tanto para su hospital, y en general en la industria? ¿Cómo las nuevas tecnologías que se ofrecen Carestream encajar en sus planes?

Por formación y práctica soy un radiólogo general, en lo posible sigo haciendo asistencia y guardias, en la urgencia es dónde el radiólogo desarrolla todos sus conocimientos; soy un ferviente defensor del radiólogo implicado en el proceso clínico, del informe de todos los estudios radiológicos (en mi hospital hemos conseguido el informe del 100% de todos los estudios que realizamos, incluida la urgencia), de la colaboración con atención primaria y especializada.

Nuestro hospital tiene 400 camas, Radiología está completamente digitalizada desde el año 2007, disponemos además de los equipos radiológicos y de ecografía, TCMC y RM de 1,5T, trabajamos con la mentalidad de ser un hospital público que debe aprovechar todos los recursos disponibles, por eso tenemos agendas de mañana y tarde, cuando es necesario los equipos también trabajan en fin de semana.

Hace dos años realizamos una instalación, en ese momento novedosa, del sistema DRX1 con 2 paneles en nuestra sala de radiología de urgencias, de la colaboración con Carestream surgió el estudio: Wireless digital radiography detectors in the emergency area: an efficacious solution. Radiologia. 2011.

3 / Ha habido mucha charla últimamente sobre el futuro de la radiología en España. ¿Cuáles son sus pensamientos? ¿Estamos haciendo lo suficiente para a prueba de futuro de nuestra industria?

Los recortes presupuestarios en la sanidad pública en España, están produciendo un parón en las inversiones en infraestructuras sanitarias, incluso en algunos momentos se están reduciendo los mantenimientos; los profesionales sanitarios y de la industria debemos buscar nuevas formas de colaboración para aprovechar al máximo los recursos disponibles y buscar nuevas fórmulas de compra más cercanas a modelos de acuerdos tecnológico con las empresas del sector, el modelo actual de compra de tecnología (concurso y mantenimientos anuales) debe dejar paso a otras fórmulas que ya se han empleado en la sanidad privada.

España gasta poco de su PIB en sanidad y los resultados han sido excelentes en los últimos años, evidentemente se deben buscar nuevas fórmulas de gestión que hagan el sistema más eficiente, radiólogos, sociedades científicas e industria debemos trabajar de forma conjunta para ofrecer a los gestores sanitarios nuevos escenarios de colaboración.

El nivel de la radiología en España es excelente, contra los que opinan que nuestra especialidad va a desaparecer absorbida por otras, yo soy optimista, mientras seamos capaces de mantener nuestra identidad de radiólogos clínicos, no aislarnos como meros realizadores de informes, mantener nuestro liderazgo en la integración del proceso diagnóstico, presentar la eficiencia de nuestro trabajo, aprovechar adecuadamente las TICs… el futuro es prometedor, en la crisis está la oportunidad!

Our Focus is Your Success – Meet Our Employees and Customers

Helen Titus

Helen Titus, Marketing Director, Digital Capture Solutions, Carestream

It’s an exciting and challenging time to be in the medical profession. Change is happening fast. New treatments.  Competing reform priorities. Evolving technologies.

Yet, a patient’s hopes, fears, and need for expert care remain constant—as does a doctor’s commitment to providing exactly that.

It’s our shared commitment to improving the health and lives of people around the world that drives our focus on innovation to continually raise the bar for image capture and management. At Carestream, our focus begins with listening and we look at issues from your perspective. Every day, we learn from providers large and small about the constraints you face and the problems you need to solve.

When you succeed, we succeed.  You are the beginning and the end of everything we do. We focus our research and innovation, design and manufacturing, and global approach to service and support precisely on your needs.

We know, for example, that providers are under intense pressure to restrain capital. We respond by focusing our energy on solutions that can help providers do  more with less, enhance efficiency and boost productivity—all while helping improve patient care.

In today’s environment, commitment must be more than a word. I invite you to view the video below to meet our people and hear from customers like Blessing Hospital in Illinois what Carestream’s focus means to them.  For Steve McDonald, Superintendent Radiographer at Royal Liverpool University Hospital in England, Carestream’s focus means:  “It used to take a staff of seven and three CR rooms to handle our 66,000 patients each year. Our upgrade to two CARESTREAM DRX-Evolution Systems now lets us serve the same number of patients with only a staff of four and redeploy the additional staff to meet other critical needs of the hospital. It also means having access to Carestream’s service team around the globe to troubleshoot any problems and maximize uptime.”

What do you look for in a technology partner? How do you define focus at your facility?

Preview: SIRM 2012 Congress in Torino

SIRM 2012

Editor’s Note:  Italy’s largest gathering of radiology professionals, the SIRM 2012 Congress , begins today, June 1 in Torino, and runs through June 5.  Carestream’s Italian Marketing Manager, Lucilla Mariani, offers a preview of the event.

Lucilla Mariani, Marketing Manager, Carestream Italy

Q: What emerging technologies do you expect to see at this year’s SIRM? How will this show differ from previous years?

SIRM is Italy’s premier radiology congress and takes place every two years. Quite a bit has happened since SIRM 2010, one of the biggest developments being that medical technology has advanced rapidly. In fact, at this year’s show, we’ll see many solutions unimaginable just two years ago. Consider, for example, the success of flat panel DR technology. Our DRX-1 System was a breakthrough at the time of SIRM 2010, but almost all competitors have since followed our path. Indeed, we’ll see DR detectors from many vendors this year!

The impacts of the broad economic issues that currently overwhelm Italy will also be apparent at SIRM 2012. Healthcare capital budgets have tightened significantly, and customers will come to the show searching for solutions that offer a clear return on their investment. As far as orchestrating their presence at SIRM 2012, vendors are also paying strict attention to costs and waste. Some expensive activities (parties usually hosted by vendors, for example) won’t take place this year.

Q: Carestream is hosting a symposium at SIRM about cone-beam CT technology. What can attendees expect to hear?

On Monday, June 4, Carestream will host a symposium that will feature Prof. Gino Ghigi, a luminary in dental technology. Prof. Ghigi, who has conducted a six-month trial with our CS 9300  volumetric CT scanner, will share his experience with this cone-beam CT unit and also present and comment on various images taken with the scanner.

Q: You’ve been in the healthcare industry for a number of years and are a veteran of SIRM. What advice would you give to someone attending for the first time?

The congress offers a unique opportunity to meet a broad cross-section of radiology professionals, including clinicians and technologists. The expo area itself has almost 90 different booths that range from small (16 sqm) to very large exhibits. Pharma companies consist of at least 30% of the space. It’s very interesting to keep an eye on the smaller booths in the expo area. They have a feeling of entrepreneurship that exemplifies our market.

Also, don’t forget to browse among the many lectures that are delivered. You can often find original contributions dealing with new testing areas, sometimes also from the technology point of view. There are also sessions on general/management topics, such as structured reporting (a hot topic in Italy), outsourcing radiology (perfect for cloud services) and use of tablets, such as iPads, in radiology – just to mention a few.

Will you be at SIRM this year? If so, what are you expecting to gain from the experience?

HIT Paris 2012: Loire Region Cloud Project Draws Attention

Hugues Trousseau, Marketing Manager, France & Belgium, Carestream

“Cloud” was the buzz of last week’s HIT Paris 2012. And show-goers found particular interest in Carestream’s Vue Cloud services.

We demonstrated seamless access to patient data and integrated workflow across the continuum of care via our Vue Cloud Archive, Vue Cloud PACS and Vue Cloud Community.  We also highlighted the low initial costs and predictable total operating cost associated with our cloud services. Customers and prospects showed tremendous interest not only in these services, but also in how some of them are applied in France’s Loire Region.

The Loire Region recently began operating one of the country’s first hosted data and software applications networks using our Vue Cloud PACS and Vue Cloud Archive. When the project is fully implemented over the next several months, a minimum of nine private and public healthcare facilities will use our cloud services.

Loire As part of the project, data is hosted at the Roanne NumeriParc secure data centre (ISO27001 certified) and built around the Axione high-speed telecommunications network (optical fiber).

Saint Etienne University Hospital and Mutualité Française de la Loire led the group coordinating this ambitious project, which involved all major economic, political, technical and health players of the Loire. The group aims to share the purchase of services and equipment enabling medical image archiving, communication and diagnostic services to meet the needs of group members and aid cooperation between institutions and their partners. The group chose cloud-based services for the project instead of capital investment as these services enhance productivity and patient care, and the fee-per-study structure provides a predictable total cost of ownership (TCO).

A French version of this post can be found below.

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Le “Cloud” a fait le buzz sur le congrès HIT de Paris ! et les nombreux participants ont trouvé un réel intérêt pour les services « Vue Cloud » de Carestream.

Nous avons présenté nos solutions Vue Cloud Archive, Vue Cloud PACS et Vue Cloud Community qui permettent un accès transparent aux données du patient ainsi qu’un workflow intégré tout au long du parcours de soins. Nous avons également mis en évidence le très faible coût de l’investissement initial de nos services de cloud computing ainsi que le caractère complètement prévisible des coûts d’exploitation. Les différents visiteurs ont montré un grand intérêt, non seulement dans ces services, mais surtout dans la façon dont certains sont mis en application, notamment dans le département de la Loire.

Le département de la Loire a récemment mis en route la première plateforme mutualisée d’échange de dossiers d’imagerie médicale à l’échelle d’un territoire de santé, en utilisant nos applications Vue Cloud PACS et Vue Cloud Archive. Lorsque le projet sera complètement opérationnel, ce sera un minimum de neuf établissements de santé privés et publics qui utiliseront nos services de cloud computing.

Projet eSante de la LoireDans le cadre de ce projet, les données sont hébergées au NumeriParc de Roanne, centre de données sécurisé certifié ISO27001, construit autour du réseau de télécommunications très haut débit de la société Axione (fibre optique).

Le CHU de Saint-Etienne et la Mutualité Française de la Loire conduisent le groupe de coordination de ce projet ambitieux, qui a impliqué tous les grands acteurs économiques, politiques, et médicaux de la Loire. Ce projet a pour but de mutualiser l’utilisation d’infrastructures et de services d’archivage d’images médicales, de communication et de diagnostic, et de permettre la collaboration entre les différents établissements et leurs partenaires. Le groupement a choisi, pour ce projet, une solution en mode service de type cloud computing plutôt qu’une solution en mode investissement  notamment parce qu’elle permet à chaque établissement de souscrire le niveau de services correspondant à ses besoins et à ses contraintes à travers le « paiement à l’examen » qui offre, de plus, une visibilité complète sur le cout total de possession (TCO).

Inside IT Strategies – Moving Radiology Workflows to the Cloud

Cristine Kao

Cristine Kao, Global Marketing Manager, Healthcare IT, Carestream

Last May I was interviewed by Imaging Economics for a story about healthcare trends driving “The Cloud’s Clout” and its application in diagnostic imaging. A year later and many of the issues challenging providers remain the same – an explosion of big data, system consolidation and performance degradation, and scarce IT resources.  Add in healthcare reform, the emphasis on accountable care and value-based purchasing, and cloud is becoming even more prevalent in CIO conversations.

So it’s no surprise that cloud computing continues to dominate the discussion at health IT conferences like World of Health IT in Copenhagen or the upcoming SIIM event in Orlando. And in social media the cloud conversation is at a fever pitch with more than 125 tweets per hour sent with the #cloud hashtag.

But I am seeing a shift in the discussion. When I talk to healthcare CIOs we are no longer focused on cloud computing as a service that provides cost effective image archiving for diagnostic imaging. The conversation has shifted to virtualization of the complete radiology workflow. Can this infrastructure drive scalable performance? Distribute images to remote radiologists?  Provide access to advanced reading tools? Deliver reports to referring physicians? Act as redundant data storage? All while unlocking better resource utilization and lower operating costs?

These CIOs also want to understand how cloud-service providers are collaborating with the IT vendor ecosystem to protect them from technology obsolescence and ensure new levels of data performance, reliability and security. And they demand proof that the cloud’s early adopters have seen the promise of ehealth become a reality.

Our recent collaboration with Intel speaks to the growth and maturation of the cloud in diagnostic imaging. With 10 data centers worldwide and our study count rising to 80 Million, we regularly need to increase our processing power to account for ever-more-detailed images and the larger file sizes they bring. With the Intel® Xeon® processor E5 family, we can significantly boost the processing output that can be achieved with each server. Compared to the previous generation of Intel Xeon processors, the latest models can process images up to 28 percent faster and can handle 24 percent more users.

Watch the video below to see how three diagnostic image providers across the globe are reaping the benefits of cloud in their IT strategy and the impact the Carestream and Intel partnership has on their performance.

Enhanced security and disaster recovery drove Orleans Regional Hospital to be the first hospital in France to have chosen an off-site data center for medical image archiving and retrieval.

Cloud-based PACS system improves data availability for Klinik Dr. Hancken in Germany.

Renaissance Imaging Medical Associates in the U.S. coordinates the work of many radiologists in multiple locations through a private cloud solution.

How do you think the cloud buzz has evolved? What IT strategies for moving medical images to the cloud have caught your attention?

Healthcare Reform, Digital X-Ray and Continuing Education Opinion from Chile

Boris Alvarez

Boris Alvarez, project consultant, Medical Technology School, Universidad San Sebastián

Editor’s Note:  Boris Alvarez, project consultant for Medical Technology School, Universidad San Sebastián , in Santiago Chile, shared his thoughts with us on the difference between public and private healthcare, digital x-ray technology and the importance of continuing education and networking.

Q: Having lived in both the United States and Chile, can you give us a snapshot of the differences you see in planned healthcare reforms?

In my opinion, healthcare reforms in both countries address the need to achieve better access to care, especially for those more vulnerable citizens.

On one hand, the USA has been the most important country in the development of technologies for the whole world. This is increasing healthcare costs by transferring research costs to American patients. The US government expects to use strategies that reduce healthcare prices for the population with fewer alternatives to pay for it.

In contrast, the Chilean government is addressing healthcare access through a framework that allows public and private investment to give access to better technology to the people who can not afford it.

I think the biggest challenges for healthcare institutions are in their capacity to adapt to the new scenario. In the American case, institutions must be able to fit their cost structure in order to be more competitive. In the Chilean case, institutions must follow the technologic vanguard, in spite of the limitations in budget of the Chilean market.

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