Technological Change Around The World: Evidence From Heart Attack Care - HAL-SHS - Sciences de l'Homme et de la Société Access content directly
Journal Articles Health Affairs Year : 2001

Technological Change Around The World: Evidence From Heart Attack Care

Abigail Moreland
  • Function : Author
Mark Mcclellan
  • Function : Author
Daniel Kessler
  • Function : Author
Olga Saynina
  • Function : Author
Michael Hobbs
  • Function : Author
Steve Ridout
  • Function : Author
Jeff Richardson
  • Function : Author
Iain Robertson
  • Function : Author
Marie Closon
  • Function : Author
Julian Perelman
  • Function : Author
Konrad Fassbender
  • Function : Author
Jack Tu
  • Function : Author
Grant Curry
  • Function : Author
Peter Austin
  • Function : Author
Louise Pilote
  • Function : Author
Mark J. Eisenberg
  • Function : Author
Christiansen Terkel
  • Function : Author
Kristiansen Ivar Søndbø
  • Function : Author
Mette Madsen
  • Function : Author
Søren Rasmussen
  • Function : Author
Goldacre Michael
  • Function : Author
David G.R. Yeates
  • Function : Author
Michael Robinson
  • Function : Author
Ilmo Keskimäki
  • Function : Author
Unto Häkkinen
  • Function : Author
Salomaa Veikko
  • Function : Author
Markku Mähönen
  • Function : Author
Brigitte Dormont
  • Function : Author
Carine Milcent
Isabelle Durand-Zaleski
  • Function : Author
Gordon Ethel-Sherry
  • Function : Author
Ziona Haklai
  • Function : Author
Jeremy Kark
  • Function : Author
Amir Shmueli
  • Function : Author
Vincenzo Atella
  • Function : Author
Daniele Fabbri
  • Function : Author
Diego Vanuzzo
  • Function : Author
Lorenza Pilotto
  • Function : Author
Laura Pilotto
  • Function : Author
Yuichi Imanaka
  • Function : Author
Kaneko Yoshihiro
  • Function : Author
Haruko Noguchi
  • Function : Author
Eiwa Toyo
  • Function : Author
Kim Young-Hoon
  • Function : Author
Yang Bong-Min
  • Function : Author
Charlotte Haug
  • Function : Author
Alistair Mcguire
  • Function : Author
Frank Windmeijer
  • Function : Author
James Boyd
  • Function : Author
Mak Koon Hou
  • Function : Author
Phua Kai Hong
  • Function : Author
Pin Ng Tze
  • Function : Author
Sim Ling Ling
  • Function : Author
Chew Suok-Kai
  • Function : Author
Tan Caren
  • Function : Author
Lyttkens Carl Hampus
  • Function : Author
Alexander Dozet
  • Function : Author
Anna Lindgren
  • Function : Author
Sören Höjgård
  • Function : Author
Hans Öhlin
  • Function : Author
Fred Paccaud
  • Function : Author
Bernard Burnand
  • Function : Author
Vincent Wietlisbach
  • Function : Author
Alberto Holly
  • Function : Author
Lucien Gardiol
  • Function : Author
Yves Eggli
  • Function : Author
Lai Mei-Shu
  • Function : Author
Lo Joan C.
  • Function : Author
Paul Heidenreich
  • Function : Author
Kathryn Mcdonald
  • Function : Author
Joseph Newhouse
  • Function : Author

Abstract

"Supply side" incentives to curtail health care spending are closely linked with trends in the use of costly treatments. by the Technological Change in Health Care (TECH) Research Network ABSTRACT: Although technological change is a hallmark of health care worldwide , relatively little evidence exists on whether changes in health care differ across the very different health care systems of developed countries. We present new comparative evidence on heart attack care in seventeen countries showing that technological change-changes in medical treatments that affect the quality and cost of care-is universal but has differed greatly around the world. Differences in treatment rates are greatest for costly medical technologies , where strict financing limits and other policies to restrict adoption of intensive technologies have been associated with divergences in medical practices over time. 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. The differences appear to be related to economic and regulatory incentives of the health care systems and may have important economic and health consequences. H ea lt h c ar e is an i ndu st ry that is becoming part of a global economy. Biomedical knowledge and technologies are already "global" in the sense that leading physicians in all developed countries read the same journals and electronic reviews and participate in international consortia to encourage best practices. For the most part, the same drugs and devices are available worldwide, at least within a few years of each other. Leading clinical researchers and experts collaborate internationally; leading drug and biotechnology firms think globally. As worldwide policy interest in quality of care continues to rise, international comparisons of health care systems are becoming common. Yet health care also remains a local industry, with care delivered by physicians influenced by their local peers, practice settings, and health care policies.
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Dates and versions

halshs-01990623 , version 1 (28-01-2019)

Identifiers

  • HAL Id : halshs-01990623 , version 1

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Abigail Moreland, Mark Mcclellan, Daniel Kessler, Olga Saynina, Michael Hobbs, et al.. Technological Change Around The World: Evidence From Heart Attack Care. Health Affairs, 2001, 20 (3), pp.25-42. ⟨halshs-01990623⟩
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