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.
Original language | English |
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Pages (from-to) | 1114-1132 |
Number of pages | 19 |
Journal | Health Economics (United Kingdom) |
Volume | 18 |
Issue number | 10 |
DOIs | |
State | Published - Oct 2009 |
Externally published | Yes |
Keywords
- Diffusion of technologies
- Economic incentives and regulation
- Technological change