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

Summary, in English

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.

• Författare: Mickael Bech; Terkel Christiansen; Kelly Dunham; Jorgen Lauridsen; Carl Hampus Lyttkens; Kathryn McDonald; Alistair McGuire
• Avdelning/ar: Nationalekonomiska institutionen; Centrum för ekonomisk demografi
• Publiceringsår: 2009
• Språk: Engelska
• Sidor: 1114-1132
• Publikation/Tidskrift/Serie: Health Economics
• Volym: 18
• Issue: 10
• Länkar: http://dx.doi.org/10.1002/hec.1417
• Dokumenttyp: Artikel i tidskrift
• Förlag: John Wiley & Sons Inc.
• Ämne: Economic History; Economics
• Nyckelord: diffusion of technologies; technological change; economic incentives; and regulation
• Status: Published
• ISBN/ISSN/Övrigt: ISSN: 1099-1050