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Health care for the elderly: two cases of technology diffusion.

Dozet, Alexander LU ; Lyttkens, Carl Hampus LU and Nystedt, Paul LU (2002) In Social Science and Medicine 54(1). p.49-64
Abstract
Diffusion of medical technology and the growing proportion of elderly people in the population are generally regarded as major contributors to the increasing health care expenditure in the industrialised world. This study explores the importance of one specific factor in this process, the change in the use of technology among elderly patients. In some instances, a new technology is first used among younger patients and then gradually extended to the elderly. Two such cases are studied, both representing costly procedures: coronary bypass surgery (treatment of coronary heart disease) and dialysis (treatment of uraemia). In both cases, we demonstrate significant diffusion to older age groups. It is also tentatively concluded that the... (More)
Diffusion of medical technology and the growing proportion of elderly people in the population are generally regarded as major contributors to the increasing health care expenditure in the industrialised world. This study explores the importance of one specific factor in this process, the change in the use of technology among elderly patients. In some instances, a new technology is first used among younger patients and then gradually extended to the elderly. Two such cases are studied, both representing costly procedures: coronary bypass surgery (treatment of coronary heart disease) and dialysis (treatment of uraemia). In both cases, we demonstrate significant diffusion to older age groups. It is also tentatively concluded that the diffusion of technology could have an important effect on per capita health care expenditure among the oldest of the old. (Less)
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published
subject
keywords
Cohort Studies, *Diffusion of Innovation, Health Services Needs and Demand/economics/statistics & numerical data/*trends, Health Services Research, Health Services for the Aged/economics/*utilization, Infant, Human, Newborn, Middle Age, National Health Programs/economics, Registries, Population Dynamics, Reimbursement, Incentive, Support, Renal Dialysis/economics/*utilization, Non-U.S. Gov't, Universal Coverage, Sweden/epidemiology, Coronary Artery Bypass/economics/*utilization, Preschool, Child, 80 and over, Aged, Age Distribution, Adult, Adolescence
in
Social Science and Medicine
volume
54
issue
1
pages
49 - 64
publisher
Elsevier
external identifiers
  • pmid:11820681
  • wos:000172663600005
  • scopus:0036131591
ISSN
1873-5347
DOI
10.1016/S0277-9536(01)00006-5
language
English
LU publication?
yes
id
7936866e-79d7-43fd-bc6f-56270a36e07f (old id 106276)
date added to LUP
2007-07-20 14:39:14
date last changed
2017-07-02 03:35:40
@article{7936866e-79d7-43fd-bc6f-56270a36e07f,
  abstract     = {Diffusion of medical technology and the growing proportion of elderly people in the population are generally regarded as major contributors to the increasing health care expenditure in the industrialised world. This study explores the importance of one specific factor in this process, the change in the use of technology among elderly patients. In some instances, a new technology is first used among younger patients and then gradually extended to the elderly. Two such cases are studied, both representing costly procedures: coronary bypass surgery (treatment of coronary heart disease) and dialysis (treatment of uraemia). In both cases, we demonstrate significant diffusion to older age groups. It is also tentatively concluded that the diffusion of technology could have an important effect on per capita health care expenditure among the oldest of the old.},
  author       = {Dozet, Alexander and Lyttkens, Carl Hampus and Nystedt, Paul},
  issn         = {1873-5347},
  keyword      = {Cohort Studies,*Diffusion of Innovation,Health Services Needs and Demand/economics/statistics & numerical data/*trends,Health Services Research,Health Services for the Aged/economics/*utilization,Infant,Human,Newborn,Middle Age,National Health Programs/economics,Registries,Population Dynamics,Reimbursement,Incentive,Support,Renal Dialysis/economics/*utilization,Non-U.S. Gov't,Universal Coverage,Sweden/epidemiology,Coronary Artery Bypass/economics/*utilization,Preschool,Child,80 and over,Aged,Age Distribution,Adult,Adolescence},
  language     = {eng},
  number       = {1},
  pages        = {49--64},
  publisher    = {Elsevier},
  series       = {Social Science and Medicine},
  title        = {Health care for the elderly: two cases of technology diffusion.},
  url          = {http://dx.doi.org/10.1016/S0277-9536(01)00006-5},
  volume       = {54},
  year         = {2002},
}