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

Terkel Christiansen, Kelly Dunham, Jørgen Lauridsen, Carl Lyttkens, Kathryn Mcdonald, Alistair Mcguire and Carine Milcent

PSE-Ecole d'économie de Paris (Postprint) from HAL

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.

Date: 2009-10
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-03168477v1
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Published in Health Economics, 2009, 18 (10), pp.1114 - 1132. ⟨10.1002/hec.1417⟩

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Working Paper: The influence of economic incentives and regulatory factors on the adoption of treatment technologies: a case study of technologies used to treat heart attacks (2009)
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Persistent link: https://EconPapers.repec.org/RePEc:hal:pseptp:halshs-03168477

DOI: 10.1002/hec.1417

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