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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

Författare:
Publiceringsår: 2009
Språk: Engelska
Sidor: 1114-1132
Publikation/Tidskrift/Serie: Health Economics
Volym: 18
Nummer: 10
Dokumenttyp: Artikel
Förlag: Wiley

Sammanfattning

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.

Disputation

Nyckelord

  • Medicine and Health Sciences
  • Business and Economics
  • diffusion of technologies
  • technological change
  • economic incentives
  • and regulation

Övriga

Published
Yes
  • ISSN: 1057-9230

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