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Technological Change Around the World: Evidence from Heart Attack Care

Lyttkens, Carl Hampus LU (2001) In Health Affairs 20(3). p.25-42
Abstract
Although technological change is a hallmark of health care worldwide, relatively little evidence exists on whether changes in health care differ across the very different health care systems of developed countries. We present new comparative evidence on heart attack care in seventeen countries showing that technological change—changes in medical treatments that affect the quality and cost of care—is universal but has differed greatly around the world. Differences in treatment rates are greatest for costly medical technologies, where strict financing limits and other policies to restrict adoption of intensive technologies have been associated with divergences in medical practices over time. Countries appear to differ systematically in the... (More)
Although technological change is a hallmark of health care worldwide, relatively little evidence exists on whether changes in health care differ across the very different health care systems of developed countries. We present new comparative evidence on heart attack care in seventeen countries showing that technological change—changes in medical treatments that affect the quality and cost of care—is universal but has differed greatly around the world. Differences in treatment rates are greatest for costly medical technologies, where strict financing limits and other policies to restrict adoption of intensive technologies have been associated with divergences in medical practices over time. Countries appear to differ systematically in the time at which intensive cardiac procedures began to be widely used and in the rate of growth of the procedures. The differences appear to be related to economic and regulatory incentives of the health care systems and may have important economic and health consequences. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Health Affairs
volume
20
issue
3
pages
25 - 42
publisher
Project HOPE
external identifiers
  • scopus:0242485576
ISSN
0278-2715
DOI
10.1377/hlthaff.20.3.25
language
English
LU publication?
yes
id
8c7dfc60-5262-4165-8d5e-946c97afa4ba (old id 1384693)
alternative location
http://content.healthaffairs.org/content/20/3/25.full
date added to LUP
2009-04-20 12:27:14
date last changed
2018-01-07 05:59:50
@article{8c7dfc60-5262-4165-8d5e-946c97afa4ba,
  abstract     = {Although technological change is a hallmark of health care worldwide, relatively little evidence exists on whether changes in health care differ across the very different health care systems of developed countries. We present new comparative evidence on heart attack care in seventeen countries showing that technological change—changes in medical treatments that affect the quality and cost of care—is universal but has differed greatly around the world. Differences in treatment rates are greatest for costly medical technologies, where strict financing limits and other policies to restrict adoption of intensive technologies have been associated with divergences in medical practices over time. Countries appear to differ systematically in the time at which intensive cardiac procedures began to be widely used and in the rate of growth of the procedures. The differences appear to be related to economic and regulatory incentives of the health care systems and may have important economic and health consequences.},
  author       = {Lyttkens, Carl Hampus},
  issn         = {0278-2715},
  language     = {eng},
  number       = {3},
  pages        = {25--42},
  publisher    = {Project HOPE},
  series       = {Health Affairs},
  title        = {Technological Change Around the World: Evidence from Heart Attack Care},
  url          = {http://dx.doi.org/10.1377/hlthaff.20.3.25},
  volume       = {20},
  year         = {2001},
}