IDEAS home Printed from https://ideas.repec.org/p/hal/journl/halshs-01990752.html
   My bibliography  Save this paper

The Relationship Between Health Policies, Medical Technology Trends and Outcomes

Author

Listed:
  • Vincenzo Atella
  • Michael Hobbs
  • Steve Ridout
  • Jeff Richardson
  • Iain Robertson
  • Marie Closon
  • Julian Perelman
  • Konrad Fassbender
  • Jack Tu
  • Grant Curry
  • Peter Austin
  • Louise Pilote
  • Mark J. Eisenberg
  • Christiansen Terkel
  • Ivar Søndbø Kristiansen
  • Mette Madsen
  • Søren Rasmussen
  • Michael Goldacre
  • David G.R. Yeates
  • Michael Robinson
  • Ilmo Keskimäki
  • Unto Häkkinen
  • Salomaa Veikko
  • Markku Mähönen
  • Brigitte Dormont
  • Carine Milcent

    (PJSE - Paris-Jourdan Sciences Economiques - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique)

  • Isabelle Durand-Zaleski
  • Ethel-Sherry Gordon
  • Ziona Haklai
  • Jeremy Kark
  • Amir Shmueli
  • Daniele Fabbri
  • Diego Vanuzzo
  • Lorenza Pilotto
  • Laura Pilotto
  • Yuichi Imanaka
  • Tatsuro Ishizaki
  • Yoshihiro Kaneko
  • Haruko Noguchi
  • Kim Young-Hoon
  • Yang Bong-Min
  • Kyung-Hwan Cho
  • Charlotte Haug
  • Alistair Mcguire
  • Maria Raikou
  • Frank Windmeijer
  • James Boyd
  • Mak Koon Hou
  • Phua Kai Hong
  • Pin Ng Tze
  • Sim Ling Ling
  • Chew Suok-Kai
  • Caren Tan
  • Carl Hampus Lyttkens
  • Alexander Dozet
  • Anna Lindgren
  • Sören Höjgård
  • Hans Öhlin
  • Fred Paccaud
  • Bernard Burnand
  • Vincent Wietlisbach
  • Alberto Holly
  • Lucien Gardiol
  • Yves Eggli
  • Mei-Shu Lai
  • Joan C. Lo
  • Kelly Dunham
  • Paul Heidenreich
  • Daniel Kessler
  • Mark Mcclellan
  • Kathryn Mcdonald
  • Abigail Moreland
  • Olga Saynina
  • Joseph Newhouse

Abstract

The goal of this paper is to present new comparative evidence on heart attack care in 17 countries showing that changes in medical treatments are universal, but have differed greatly. We have collected a large body of comparable information that show how countries differ in treatment rates and why these differences are relatively marked. Countries appear to differ systematically in the time at which intensive cardiac procedures began to be widely used and in the rate of growth of the procedures. Our results show that differences in treatment rates are greatest for expensive medical technologies. Also strict financing limits and regulatory policies have affected the adoption of intensive technologies. These differences may have important economic and health consequences.

Suggested Citation

  • Vincenzo Atella & Michael Hobbs & Steve Ridout & Jeff Richardson & Iain Robertson & Marie Closon & Julian Perelman & Konrad Fassbender & Jack Tu & Grant Curry & Peter Austin & Louise Pilote & Mark J. , 2003. "The Relationship Between Health Policies, Medical Technology Trends and Outcomes," Post-Print halshs-01990752, HAL.
    • Handle: RePEc:hal:journl:halshs-01990752
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01990752
    as

    Download full text from publisher

    File URL: https://shs.hal.science/halshs-01990752/document
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. David A. Wise, 1994. "Studies in the Economics of Aging," NBER Books, National Bureau of Economic Research, Inc, number wise94-1.
    2. Mark McClellan, 1997. "Hospital Reimbursement Incentives: An Empirical Analysis," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 6(1), pages 91-128, March.
    3. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
    4. Weisbrod, Burton A, 1991. "The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment," Journal of Economic Literature, American Economic Association, vol. 29(2), pages 523-552, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daron Acemoglu & Amy Finkelstein, 2008. "Input and Technology Choices in Regulated Industries: Evidence from the Health Care Sector," Journal of Political Economy, University of Chicago Press, vol. 116(5), pages 837-880, October.
    2. Chalkley, Martin & Malcomson, James M., 2002. "Cost sharing in health service provision: an empirical assessment of cost savings," Journal of Public Economics, Elsevier, vol. 84(2), pages 219-249, May.
    3. repec:dau:papers:123456789/7972 is not listed on IDEAS
    4. repec:dau:papers:123456789/3883 is not listed on IDEAS
    5. Kurt Hornschild & Stephan Raab & Jörg-Peter Weiß, 2005. "Die Medizintechnik am Standort Deutschland: Chancen und Risiken durch technologische Innovationen, Auswirkungen auf und durch das nationale Gesundheitssystem sowie potentielle Wachstumsmärkte im Ausla," DIW Berlin: Politikberatung kompakt, DIW Berlin, German Institute for Economic Research, edition 2, volume 10, number pbk10.
    6. Wasem, Jurgen, 1997. "A study on decentralizing from acute care to home care settings in Germany," Health Policy, Elsevier, vol. 41(Supplemen), pages 109-129, September.
    7. Jacques H. Drèze, 1997. "Sur la spécificité économique des soins de santé," Économie et Prévision, Programme National Persée, vol. 129(3), pages 1-9.
    8. Djellal, Faridah & Gallouj, FaIz, 2005. "Mapping innovation dynamics in hospitals," Research Policy, Elsevier, vol. 34(6), pages 817-835, August.
    9. Laurence Baker & Joanne Spetz, 1999. "Managed Care and Medical Technology Growth," NBER Chapters, in: Frontiers in Health Policy Research, volume 2, pages 27-52, National Bureau of Economic Research, Inc.
    10. Gal-Or, Esther, 1994. "Excessive Investment in Hospital Capacities," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 53-70, Spring.
    11. Borger, Christine & Rutherford, Thomas F. & Won, Gregory Y., 2008. "Projecting long term medical spending growth," Journal of Health Economics, Elsevier, vol. 27(1), pages 69-88, January.
    12. Laurence C. Baker, 2000. "Managed Care and Technology Adoption in Health Care: Evidence from Magnetic Resonance Imaging," NBER Working Papers 8020, National Bureau of Economic Research, Inc.
    13. Karine Lamiraud & Stephane Lhuillery, 2016. "Endogenous Technology Adoption and Medical Costs," Health Economics, John Wiley & Sons, Ltd., vol. 25(9), pages 1123-1147, September.
    14. Kristopher J. Hult & Tomas J. Philipson, 2012. "Public Liabilities and Health Care Policy," NBER Working Papers 18571, National Bureau of Economic Research, Inc.
    15. Elisabet Rodriguez Llorian & Janelle Mann, 2022. "Exploring the technology–healthcare expenditure nexus: a panel error correction approach," Empirical Economics, Springer, vol. 62(6), pages 3061-3086, June.
    16. Freedman, Seth & Lin, Haizhen & Simon, Kosali, 2015. "Public health insurance expansions and hospital technology adoption," Journal of Public Economics, Elsevier, vol. 121(C), pages 117-131.
    17. Christian M. Ernst, 2003. "The interaction between cost‐management and learning for major surgical procedures – lessons from asymmetric information," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 199-215, March.
    18. David M. Cutler & Ellen Meara & Seth Richards-Shubik, 2012. "Induced Innovation and Social Inequality: Evidence from Infant Medical Care," Journal of Human Resources, University of Wisconsin Press, vol. 47(2), pages 456-492.
    19. Hofmarcher, Maria M., 1999. "Cross-Section Analysis of Health Spending with Special Regard to Trends in Austria," Economics Series 70, Institute for Advanced Studies.
    20. Astolfi, Roberto & Lorenzoni, Luca & Oderkirk, Jillian, 2012. "Informing policy makers about future health spending: A comparative analysis of forecasting methods in OECD countries," Health Policy, Elsevier, vol. 107(1), pages 1-10.
    21. Khwaja, Ahmed, 2010. "Estimating willingness to pay for medicare using a dynamic life-cycle model of demand for health insurance," Journal of Econometrics, Elsevier, vol. 156(1), pages 130-147, May.
    22. Brian Nolan, 1994. "Affordability versus Quality, Effectiveness and Equity in Health Care: Is there a Trade-Off?," Papers WP055, Economic and Social Research Institute (ESRI).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:halshs-01990752. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.