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

Bech M, Christiansen T, Dunham K, Lauridsen J, Lyttkens CH, McDonald K, McGuire A, TECH Investigators PI for the G team:, Gerhardus A (2009)
Health Econ 18(10): 1114-1132.

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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. Copyright © 2008 John Wiley & Sons, Ltd.
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Bech M, Christiansen T, Dunham K, et al. 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 Econ. 2009;18(10):1114-1132.
Bech, M., Christiansen, T., Dunham, K., Lauridsen, J., Lyttkens, C. H., McDonald, K., McGuire, A., et al. (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 Econ, 18(10), 1114-1132.
Bech, M., Christiansen, T., Dunham, K., Lauridsen, J., Lyttkens, C. H., McDonald, K., McGuire, A., TECH Investigators , P. I. for the G. team:, and Gerhardus, A. (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 Econ 18, 1114-1132.
Bech, M., et al., 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 Econ, 18(10), p 1114-1132.
M. Bech, et al., “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 Econ, vol. 18, 2009, pp. 1114-1132.
Bech, M., Christiansen, T., Dunham, K., Lauridsen, J., Lyttkens, C.H., McDonald, K., McGuire, A., TECH Investigators , P.I. for the G. team:, Gerhardus, A.: 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 Econ. 18, 1114-1132 (2009).
Bech, Mickael, Christiansen, Terkel, Dunham, Kelly, Lauridsen, Jorgen, Lyttkens, Carl Hampus, McDonald, Kathryn, McGuire, Alistair, TECH Investigators , PI for the German team:, and Gerhardus, Ansgar. “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 Econ 18.10 (2009): 1114-1132.
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