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

Mickael Bech; Terkel Christiansen; Kelly Dunham; Jørgen Lauridsen; Carl Hampus Lyttkens; Kathryn Mcdonald; Alistair Mcguire; Michael Hobbs; Steve Ridout; Jeff Richardson; Iain Robertson; Marie Christine Closon; Julian Perelman; Konrad Fassbender; Jack Tu; Curry Grant; Peter C. Austin; Louise Pilote; Mark J. Eisenberg; Hugues Richard; Mette Madsen; Søren Rasmussen; Steen Z. Abildstrom; Michael Goldacre; David Yeates; Michael Robinson; Ilmo Keskimäki; Unto Häkkinen; Veikko Salomaa; Markku Mähönen; Brigitte Dormont; Carine Milcent; Isabelle Durand-Zaleski; Ansgar Gerhardus; Okyta Á Walelu; Thomas Grobe; Christian Krauth; Friedrich Wilhelm Schwartz; Hannelore Loewel; Allmut Hoermann; Christa Meisinger; Margit Heier; Ethel Sherry Gordon; Ziona Haklai; Jeremy D. Kark; Amir Shmueli; Vincenzo Atella; Daniele Fabbri; Diego Vanuzzo; Lorenza Pilotto; Laura Pilotto; Yuichi Imanaka; Tatsuro Ishizaki; Yoshihiro Kaneko; Haruko Noguchi; Young Hoon Kim; Bong Min Yang; Yong Kyun Roh; Kyung Hwan Cho; Hong Soon Lee; Charlotte Haug; Maria Raikou; Frank Windmeijer; James Boyd; Koon Hou Mak; Hong Phua Kai; Tze Pin Ng; Ling Sim Ling; Suok Kai Chew; Caren Tan; Alexander Dozet; Sören Höjgård; Anna Lindgren; Hans Öhlin; Fred Paccaud; Bernard Burnand; Vincent Wietlisbach; Alberto Holly; Lucien Gardiol; Yves Eggli; Mei Shu Lai; Joan C. Lo; Paul Heidenreich; Daniel Kessler; Mark McClellan; Abigail Moreland; Olga Saynina; Joseph Newhouse

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

Mickael Bech^*
, Terkel Christiansen
, Kelly Dunham
, Jørgen Lauridsen
, Carl Hampus Lyttkens
, Kathryn Mcdonald
, Alistair Mcguire
, Michael Hobbs
, Steve Ridout
, Jeff Richardson
, Iain Robertson
, Marie Christine Closon
, Julian Perelman
, Konrad Fassbender
, Jack Tu
, Curry Grant
, Peter C. Austin
, Louise Pilote
, Mark J. Eisenberg
, Hugues Richard

Mette Madsen, Søren Rasmussen, Steen Z. Abildstrom, Michael Goldacre, David Yeates, Michael Robinson, Ilmo Keskimäki, Unto Häkkinen, Veikko Salomaa, Markku Mähönen, Brigitte Dormont, Carine Milcent, Isabelle Durand-Zaleski, Ansgar Gerhardus, Okyta Á Walelu, Thomas Grobe, Christian Krauth, Friedrich Wilhelm Schwartz, Hannelore Loewel, Allmut Hoermann, Christa Meisinger, Margit Heier, Ethel Sherry Gordon, Ziona Haklai, Jeremy D. Kark, Amir Shmueli, Vincenzo Atella, Daniele Fabbri, Diego Vanuzzo, Lorenza Pilotto, Laura Pilotto, Yuichi Imanaka, Tatsuro Ishizaki, Yoshihiro Kaneko, Haruko Noguchi, Young Hoon Kim, Bong Min Yang, Yong Kyun Roh, Kyung Hwan Cho, Hong Soon Lee, Charlotte Haug, Maria Raikou, Frank Windmeijer, James Boyd, Koon Hou Mak, Hong Phua Kai, Tze Pin Ng, Ling Sim Ling, Suok Kai Chew, Caren Tan, Alexander Dozet, Sören Höjgård, Anna Lindgren, Hans Öhlin, Fred Paccaud, Bernard Burnand, Vincent Wietlisbach, Alberto Holly, Lucien Gardiol, Yves Eggli, Mei Shu Lai, Joan C. Lo, Paul Heidenreich, Daniel Kessler, Mark McClellan, Abigail Moreland, Olga Saynina, Joseph Newhouse

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

42 Scopus citations

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
Pages (from-to)	1114-1132
Number of pages	19
Journal	Health Economics (United Kingdom)
Volume	18
Issue number	10
DOIs	https://doi.org/10.1002/hec.1417
State	Published - Oct 2009
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 8 Decent Work and Economic Growth

Keywords

Diffusion of technologies
Economic incentives and regulation
Technological change

Access to Document

10.1002/hec.1417

Cite this

Bech, M., Christiansen, T., Dunham, K., Lauridsen, J., Lyttkens, C. H., Mcdonald, K., Mcguire, A., Hobbs, M., Ridout, S., Richardson, J., Robertson, I., Closon, M. C., Perelman, J., Fassbender, K., Tu, J., Grant, C., Austin, P. C., Pilote, L., Eisenberg, M. J., ... Newhouse, J. (2009). The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks. Health Economics (United Kingdom), 18(10), 1114-1132. https://doi.org/10.1002/hec.1417

@article{dcda883b0e12460aac63b7306c44a5b7,

title = "The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks",

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.",

keywords = "Diffusion of technologies, Economic incentives and regulation, Technological change",

author = "Mickael Bech and Terkel Christiansen and Kelly Dunham and J{\o}rgen Lauridsen and Lyttkens, \{Carl Hampus\} and Kathryn Mcdonald and Alistair Mcguire and Michael Hobbs and Steve Ridout and Jeff Richardson and Iain Robertson and Closon, \{Marie Christine\} and Julian Perelman and Konrad Fassbender and Jack Tu and Curry Grant and Austin, \{Peter C.\} and Louise Pilote and Eisenberg, \{Mark J.\} and Hugues Richard and Mette Madsen and S{\o}ren Rasmussen and Abildstrom, \{Steen Z.\} and Michael Goldacre and David Yeates and Michael Robinson and Ilmo Keskim{\"a}ki and Unto H{\"a}kkinen and Veikko Salomaa and Markku M{\"a}h{\"o}nen and Brigitte Dormont and Carine Milcent and Isabelle Durand-Zaleski and Ansgar Gerhardus and Walelu, \{Okyta {\'A}\} and Thomas Grobe and Christian Krauth and Schwartz, \{Friedrich Wilhelm\} and Hannelore Loewel and Allmut Hoermann and Christa Meisinger and Margit Heier and Gordon, \{Ethel Sherry\} and Ziona Haklai and Kark, \{Jeremy D.\} and Amir Shmueli and Vincenzo Atella and Daniele Fabbri and Diego Vanuzzo and Lorenza Pilotto and Laura Pilotto and Yuichi Imanaka and Tatsuro Ishizaki and Yoshihiro Kaneko and Haruko Noguchi and Kim, \{Young Hoon\} and Yang, \{Bong Min\} and Roh, \{Yong Kyun\} and Cho, \{Kyung Hwan\} and Lee, \{Hong Soon\} and Charlotte Haug and Maria Raikou and Frank Windmeijer and James Boyd and Mak, \{Koon Hou\} and Kai, \{Hong Phua\} and Ng, \{Tze Pin\} and Ling, \{Ling Sim\} and Chew, \{Suok Kai\} and Caren Tan and Alexander Dozet and S{\"o}ren H{\"o}jg{\aa}rd and Anna Lindgren and Hans {\"O}hlin and Fred Paccaud and Bernard Burnand and Vincent Wietlisbach and Alberto Holly and Lucien Gardiol and Yves Eggli and Lai, \{Mei Shu\} and Lo, \{Joan C.\} and Paul Heidenreich and Daniel Kessler and Mark McClellan and Abigail Moreland and Olga Saynina and Joseph Newhouse",

year = "2009",

month = oct,

doi = "10.1002/hec.1417",

language = "אנגלית",

volume = "18",

pages = "1114--1132",

journal = "Health Economics (United Kingdom)",

issn = "1057-9230",

publisher = "John Wiley and Sons Ltd",

number = "10",

}

Bech, M, Christiansen, T, Dunham, K, Lauridsen, J, Lyttkens, CH, Mcdonald, K, Mcguire, A, Hobbs, M, Ridout, S, Richardson, J, Robertson, I, Closon, MC, Perelman, J, Fassbender, K, Tu, J, Grant, C, Austin, PC, Pilote, L, Eisenberg, MJ, Richard, H, Madsen, M, Rasmussen, S, Abildstrom, SZ, Goldacre, M, Yeates, D, Robinson, M, Keskimäki, I, Häkkinen, U, Salomaa, V, Mähönen, M, Dormont, B, Milcent, C, Durand-Zaleski, I, Gerhardus, A, Walelu, OÁ, Grobe, T, Krauth, C, Schwartz, FW, Loewel, H, Hoermann, A, Meisinger, C, Heier, M, Gordon, ES, Haklai, Z, Kark, JD, Shmueli, A, Atella, V, Fabbri, D, Vanuzzo, D, Pilotto, L, Pilotto, L, Imanaka, Y, Ishizaki, T, Kaneko, Y, Noguchi, H, Kim, YH, Yang, BM, Roh, YK, Cho, KH, Lee, HS, Haug, C, Raikou, M, Windmeijer, F, Boyd, J, Mak, KH, Kai, HP, Ng, TP, Ling, LS, Chew, SK, Tan, C, Dozet, A, Höjgård, S, Lindgren, A, Öhlin, H, Paccaud, F, Burnand, B, Wietlisbach, V, Holly, A, Gardiol, L, Eggli, Y, Lai, MS, Lo, JC, Heidenreich, P, Kessler, D, McClellan, M, Moreland, A, Saynina, O & Newhouse, J 2009, 'The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks', Health Economics (United Kingdom), vol. 18, no. 10, pp. 1114-1132. https://doi.org/10.1002/hec.1417

TY - JOUR

T1 - The influence of economic incentives and regulatory factors on the adoption of treatment technologies

T2 - A case study of technologies used to treat heart attacks

AU - Bech, Mickael

AU - Christiansen, Terkel

AU - Dunham, Kelly

AU - Lauridsen, Jørgen

AU - Lyttkens, Carl Hampus

AU - Mcdonald, Kathryn

AU - Mcguire, Alistair

AU - Hobbs, Michael

AU - Ridout, Steve

AU - Richardson, Jeff

AU - Robertson, Iain

AU - Closon, Marie Christine

AU - Perelman, Julian

AU - Fassbender, Konrad

AU - Tu, Jack

AU - Grant, Curry

AU - Austin, Peter C.

AU - Pilote, Louise

AU - Eisenberg, Mark J.

AU - Richard, Hugues

AU - Madsen, Mette

AU - Rasmussen, Søren

AU - Abildstrom, Steen Z.

AU - Goldacre, Michael

AU - Yeates, David

AU - Robinson, Michael

AU - Keskimäki, Ilmo

AU - Häkkinen, Unto

AU - Salomaa, Veikko

AU - Mähönen, Markku

AU - Dormont, Brigitte

AU - Milcent, Carine

AU - Durand-Zaleski, Isabelle

AU - Gerhardus, Ansgar

AU - Walelu, Okyta Á

AU - Grobe, Thomas

AU - Krauth, Christian

AU - Schwartz, Friedrich Wilhelm

AU - Loewel, Hannelore

AU - Hoermann, Allmut

AU - Meisinger, Christa

AU - Heier, Margit

AU - Gordon, Ethel Sherry

AU - Haklai, Ziona

AU - Kark, Jeremy D.

AU - Shmueli, Amir

AU - Atella, Vincenzo

AU - Fabbri, Daniele

AU - Vanuzzo, Diego

AU - Pilotto, Lorenza

AU - Pilotto, Laura

AU - Imanaka, Yuichi

AU - Ishizaki, Tatsuro

AU - Kaneko, Yoshihiro

AU - Noguchi, Haruko

AU - Kim, Young Hoon

AU - Yang, Bong Min

AU - Roh, Yong Kyun

AU - Cho, Kyung Hwan

AU - Lee, Hong Soon

AU - Haug, Charlotte

AU - Raikou, Maria

AU - Windmeijer, Frank

AU - Boyd, James

AU - Mak, Koon Hou

AU - Kai, Hong Phua

AU - Ng, Tze Pin

AU - Ling, Ling Sim

AU - Chew, Suok Kai

AU - Tan, Caren

AU - Dozet, Alexander

AU - Höjgård, Sören

AU - Lindgren, Anna

AU - Öhlin, Hans

AU - Paccaud, Fred

AU - Burnand, Bernard

AU - Wietlisbach, Vincent

AU - Holly, Alberto

AU - Gardiol, Lucien

AU - Eggli, Yves

AU - Lai, Mei Shu

AU - Lo, Joan C.

AU - Heidenreich, Paul

AU - Kessler, Daniel

AU - McClellan, Mark

AU - Moreland, Abigail

AU - Saynina, Olga

AU - Newhouse, Joseph

PY - 2009/10

Y1 - 2009/10

N2 - 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.

AB - 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.

KW - Diffusion of technologies

KW - Economic incentives and regulation

KW - Technological change

UR - https://www.scopus.com/pages/publications/70350767547

U2 - 10.1002/hec.1417

DO - 10.1002/hec.1417

M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???

C2 - 18972326

AN - SCOPUS:70350767547

SN - 1057-9230

VL - 18

SP - 1114

EP - 1132

JO - Health Economics (United Kingdom)

JF - Health Economics (United Kingdom)

IS - 10

ER -

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

Abstract

UN SDGs

Keywords

Access to Document

Other files and links

Fingerprint

Cite this