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Health Econ. 2009 Oct;18(10):1114-32. doi: 10.1002/hec.1417.

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

Author information

1
Institute of Public Health, University of Southern Denmark, Odense C, Denmark. mbe@sam.sdu.dk

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.

PMID:
18972326
PMCID:
PMC2740812
DOI:
10.1002/hec.1417
[Indexed for MEDLINE]
Free PMC Article
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