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

https://arctichealth.org/en/permalink/ahliterature91447
Source
Health Econ. 2008 Oct 28;
Publication Type
Article
Date
Oct-28-2008
Author
BechMickael
ChristiansenTerkel
DunhamKelly
LauridsenJørgen
LyttkensCarl Hampus
McDonaldKathryn
McGuireAlistair
Author Affiliation
Institute of Public Health, University of Southern Denmark, Odense C, Denmark.
Source
Health Econ. 2008 Oct 28;
Date
Oct-28-2008
Language
English
Publication Type
Article
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.
PubMed ID
18972326 View in PubMed
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