Journal
HEALTH ECONOMICS
Volume 18, Issue 10, Pages 1114-1132Publisher
WILEY
DOI: 10.1002/hec.1417
Keywords
diffusion of technologies; technological change; economic incentives and regulation
Funding
- National Institute on Aging
- Commonwealth Fund
- European Science Foundation
- Canadian Institute of Health Research
- Australian Commonwealth Department of Health and Aged Care
- Health Department of Western Australia
- Fonds de la Recherche en Sante du Quebec
- Danish Medical Research Council [9802812]
- Swiss National Science Foundation [3.856.0.83, 3.938.0.85, 32-9271.87, 32-30110.90]
- Swiss Heart Foundation
- Cantons of Vaud and Ticino, Switzerland
- Apoteksbolagets fond fur studier och forskning i halsoekonomi och socialfarmaci, Sweden
- Swedish Council for Social Research [F0119/1998]
- Swedish Medical Research Council [K94/00-27P-10737]
- la Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques
- Ministry of Labor and Solidarity, France
- German Research Foundation [4902-1]
- Stanford University Graduate School of Business
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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.
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