THE INFLUENCE OF ECONOMIC INCENTIVES AND REGULATORY FACTORS ON THE ADOPTION OF TREATMENT TECHNOLOGIES: A CASE STUDY OF TECHNOLOGIES USED TO TREAT HEART ATTACKS

被引：35

作者：

Bech, Mickael ^{[1
]}

Christiansen, Terkel ^{[1
]}

Dunham, Kelly ^{[2
]}

Lauridsen, Jorgen ^{[3
]}

Lyttkens, Carl Hampus ^{[4
]}

McDonald, Kathryn ^{[2
]}

McGuire, Alistair ^{[5
]}

机构：

[1] Univ So Denmark, Inst Publ Hlth, DK-5000 Odense C, Denmark

[2] Stanford Univ, Ctr Hlth Policy, Stanford, CA 94305 USA

[3] Univ So Denmark, Dept Econ & Business, DK-5000 Odense C, Denmark

[4] Lund Univ, Dept Econ, S-22100 Lund, Sweden

[5] London Sch Econ, LSE Hlth & Social Care, London, England

来源：

HEALTH ECONOMICS | 2009年 / 18卷 / 10期

基金：

瑞士国家科学基金会; 英国医学研究理事会;

关键词：

diffusion of technologies; technological change; economic incentives and regulation; HEALTH-CARE; CORONARY ANGIOPLASTY; DIFFUSION; COSTS;

D O I：

10.1002/hec.1417

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

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.

引用

页码：1114 / 1132

页数：19

共 34 条

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