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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

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Author

  • Mickael Bech
  • Terkel Christiansen
  • Kelly Dunham
  • Jorgen Lauridsen
  • Carl Hampus Lyttkens
  • Kathryn McDonald
  • Alistair McGuire

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.

Publishing year

2009

Language

English

Pages

1114-1132

Publication/Series

Health Economics

Volume

18

Issue

10

Document type

Journal article

Publisher

John Wiley & Sons Inc.

Topic

  • Economic History
  • Economics

Keywords

  • diffusion of technologies
  • technological change
  • economic incentives
  • and regulation

Status

Published

ISBN/ISSN/Other

  • ISSN: 1099-1050