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![Page 1: Disruptive versus incremental innovation in healthcare … twitter/medicalfutures Andy Goldberg MD FRCS(Tr&Orth) Consultant Orthopaedic Surgeon Royal National.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e7a5503460f94b7b08c/html5/thumbnails/1.jpg)
Disruptive versus incremental innovation in healthcare…
twitter/medicalfutures
Andy Goldberg MD FRCS(Tr&Orth)Consultant Orthopaedic Surgeon
Royal National Orthopaedic Hospital NHS Trust
Deputy Director R&DUCL Institute of Orthopaedics & Musculoskeletal Science
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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?Better?
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Market cap $340BnLargest company in the world
T/o - $65Bn, $14Bn Profits Making it 111th company in size
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Market cap $340BnLargest company in the world
T/o - $65Bn, $14Bn Profits Making it 111th company in size
T/o $350Bn with $30Bn Profits
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Disruptive Technology
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Everett Rogers, Professor of Rural Sociology, Iowa (Rogers, Everett M. (1962) Diffusion of Innovations)
Adoption of Innovation
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Everett Rogers, Professor of Rural Sociology, Iowa (Rogers, Everett M. (1962) Diffusion of Innovations)
Adoption of Innovation
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Everett Rogers, Professor of Rural Sociology, Iowa (Rogers, Everett M. (1962) Diffusion of Innovations)
JVC VHS
Sony’s BetaCam
Adoption of Innovation
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Adopter’s willingness to
participate
AwarenessInterestEvaluation (evidence base)Tendency to risk
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Adopter’s willingness to
participate
AwarenessInterestEvaluation (evidence base)Tendency to risk
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
![Page 26: Disruptive versus incremental innovation in healthcare … twitter/medicalfutures Andy Goldberg MD FRCS(Tr&Orth) Consultant Orthopaedic Surgeon Royal National.](https://reader035.fdocuments.us/reader035/viewer/2022062423/56649e7a5503460f94b7b08c/html5/thumbnails/26.jpg)
Uncemented Hips
MeyerBurutaranL.S Barouk
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Uncemented Hips
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Uncemented Hips
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Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
Uncemented Hips
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Stepwise Introduction
of Technology*Preclinical TestingFirst In ManClinical TrialsPost Market Surveillance
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
* Malchau 1995 (modified)
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Stepwise Introduction
of Technology*Preclinical TestingFirst In ManClinical TrialsPost Market Surveillance
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
* Malchau 1995 (modified)
– FDA & MHRA
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Are we joined up?
FDA/MHRAClinical GroupsNICEInsurers/CommissionersIndustry
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
* Malchau 1995 (modified)
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New Proposal
Industry has commercial pressuresNHS funds research (circa £1Bn)Quid Pro Quo
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
* Malchau 1995 (modified)
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New ProposalNew Technology Panel (composed of stakeholders (ie regulators, clinicians, commissioners, industry and patients)
Identify what evidence could be developed at the outset
Joint funding of research (NHS & Industry)
Limited marketing authorisation granted to industry (to trial centres who pay for product)
Full marketing authorisation granted after agreed time period
Andy Goldberg MD FRCS(Tr&Orth)www.medicalfutures.co.uk
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