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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 publication

DOI

10.1002/hec.1417

Type

Journal article

Journal

Health Econ

Publication Date

10/2009

Volume

18

Pages

1114 - 1132

Keywords

Developed Countries, Diffusion of Innovation, Humans, Medical Laboratory Science, Myocardial Ischemia, Organizational Case Studies, Reimbursement, Incentive