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The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks

Bech, Mickael ; Christiansen, Terkel ; Dunham, Kelly ; Lauridsen, Jorgen ; Lyttkens, Carl Hampus LU orcid ; McDonald, Kathryn and McGuire, Alistair (2009) In Health Economics 18(10). p.1114-1132
Abstract
The Technological Change in Health Care Research Network collected unique patient-level data on three procedures for treatment of heart attack patients (catheterization, coronary artery bypass grafts and percutaneous transluminal coronary angioplasty) for 17 countries over a 15-year period to examine the impact of economic and institutional factors on technology adoption. Specific institutional factors are shown to be important to the uptake of these technologies. Health-care systems characterized as public contract systems and reimbursement systems have higher adoption rates than public-integrated health-care systems. Central control of funding of investments is negatively associated with adoption rates and the impact is of the same... (More)
The Technological Change in Health Care Research Network collected unique patient-level data on three procedures for treatment of heart attack patients (catheterization, coronary artery bypass grafts and percutaneous transluminal coronary angioplasty) for 17 countries over a 15-year period to examine the impact of economic and institutional factors on technology adoption. Specific institutional factors are shown to be important to the uptake of these technologies. Health-care systems characterized as public contract systems and reimbursement systems have higher adoption rates than public-integrated health-care systems. Central control of funding of investments is negatively associated with adoption rates and the impact is of the same magnitude as the overall health-care system classification. GDP per capita also has a strong role in initial adoption. The impact of income and institutional characteristics on the utilization rates of the three procedures diminishes over time. Copyright (C) 2008 John Wiley, & Sons, Ltd. (Less)
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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
diffusion of technologies, technological change, economic incentives, and regulation
in
Health Economics
volume
18
issue
10
pages
1114 - 1132
publisher
John Wiley & Sons Inc.
external identifiers
  • wos:000269942100002
  • scopus:70350767547
ISSN
1099-1050
DOI
10.1002/hec.1417
language
English
LU publication?
yes
id
17b4e1b1-b25e-4fd7-854b-3f65c2243b2e (old id 1490710)
date added to LUP
2016-04-01 11:48:27
date last changed
2023-09-15 08:33:03
@article{17b4e1b1-b25e-4fd7-854b-3f65c2243b2e,
  abstract     = {{The Technological Change in Health Care Research Network collected unique patient-level data on three procedures for treatment of heart attack patients (catheterization, coronary artery bypass grafts and percutaneous transluminal coronary angioplasty) for 17 countries over a 15-year period to examine the impact of economic and institutional factors on technology adoption. Specific institutional factors are shown to be important to the uptake of these technologies. Health-care systems characterized as public contract systems and reimbursement systems have higher adoption rates than public-integrated health-care systems. Central control of funding of investments is negatively associated with adoption rates and the impact is of the same magnitude as the overall health-care system classification. GDP per capita also has a strong role in initial adoption. The impact of income and institutional characteristics on the utilization rates of the three procedures diminishes over time. Copyright (C) 2008 John Wiley, & Sons, Ltd.}},
  author       = {{Bech, Mickael and Christiansen, Terkel and Dunham, Kelly and Lauridsen, Jorgen and Lyttkens, Carl Hampus and McDonald, Kathryn and McGuire, Alistair}},
  issn         = {{1099-1050}},
  keywords     = {{diffusion of technologies; technological change; economic incentives; and regulation}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1114--1132}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Health Economics}},
  title        = {{The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks}},
  url          = {{http://dx.doi.org/10.1002/hec.1417}},
  doi          = {{10.1002/hec.1417}},
  volume       = {{18}},
  year         = {{2009}},
}