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 Hampus Lyttkens , Kathryn Mcdonald , Alistair Mcguire , Carine Milcent (1)

1 PSE - Paris School of Economics

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.

Domaines: Economies et finances; Economies et finances

Terkel Christiansen, Kelly Dunham, Jørgen Lauridsen, Carl Hampus Lyttkens, Kathryn Mcdonald, 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 Economics, 2009, 18 (10), pp.1114 - 1132. ⟨10.1002/hec.1417⟩. ⟨halshs-03168477⟩