(), Terkel Christiansen
(), Kelly Dunham
(), Jørgen Lauridsen
(), Carl Hampus Lyttkens
(), Kathryn McDonald
(), Alistair McGuire
() and the TECH investigators
Mickael Bech: Institute of Public Health, University of Southern Denmark
Terkel Christiansen: Institute of Public Health, University of Southern Denmark
Kelly Dunham: Center for Health Policy, Stanford University
Jørgen Lauridsen: Department of Business and Economics, University of Southern Denmark
Carl Hampus Lyttkens: Department of Economics, Lund University, Postal: Department of Economics, School of Economics and Management, Lund University, Box 7082, S-220 07 Lund, Sweden
Kathryn McDonald: Center for Health Policy, Stanford University
Alistair McGuire: LSE Health & Social Care, London School of Economics
the TECH investigators: various
Abstract: The TECH research network collected patient-level data on three procedures for treatment of heart attack patients, (catheterization, coronary artery by-pass grafts and percutaneous transluminal coronary angioplasty), for seventeen countries over an eighteen year period to examine the impact of economic and institutional factors on technology adoption. Specific institutional factors are shown to be important to the up-take 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 funding of investments was negatively associated with adoption rates. GDP per capita also has a strong role in initial adoption. The impact of income and institutional characteristics on the utilization rates of these procedures diminishes over time.
55 pages, February 14, 2006
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