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Economic Forces and Hospital Technology

A Perspective from Europe

Published online by Cambridge University Press:  10 March 2009

Martin J. Buxton
Martin J. Buxton
Affiliation:
Brunel University, Uxbridge, Middlesex
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Abstract

The paper considers the economic characteristics of technology and suggests a categorization based on the economic nature of particular technologies and their effect on the product health care that may be helpful in considering the economics of technology in hospitals.

It reviews the range of economic forces that might be expected to apply to the use of technology in the hospital setting, and notes some of the evidence to support such hypotheses. In considering the limited evidence from the United Kingdom and elsewhere in Europe, the paper contrasts its focus on socio-political, institutional, and organizational factors, rather than the direct economic factors considered in the United States work.

It suggests that the multiplicity of forces at work make cross-national, empirical, and policy analyses very difficult. Indeed, without more economic appraisal the effect of differences in technology adoption cannot be evaluated.

Type
Special Section: The Organization and Use of Technology in the Hospital Part I: Social, Economic, and Political Issues
Information
International Journal of Technology Assessment in Health Care , Volume 3 , Issue 2 , April 1987 , pp. 241 - 251
Copyright
Copyright © Cambridge University Press 1987

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References

1.Aaron, H. J., & Schwartz, W. B.The painful prescription: Rationing hospital care. Washington, DC: The Brookings Institute, 1984.Google Scholar
2.Abel-Smith, B.Cost containment in health care: The experience of 12 European countries 1977–83. Luxembourg: Office for Official Publications of the European Communities, 1984.Google Scholar
3.Coleman, J., Katz, E., & Menzel, H.The diffusion of an innovation among physicians. Sociometry, 1959, 20, 253–270.CrossRefGoogle Scholar
4.Committee on Technology and Health Care, National Academy of Sciences. Medical technology and the health care system. Washington, DC: National Academy of Sciences, 1979.Google Scholar
5.Council for Science and Society. Expensive medical techniques. London: Council for Science and Society, 1982.Google Scholar
6.Dasgupta, P., & David, P. A.Information disclosure and the economics of science and technology, Discussion Paper no. 73. London: Centre for Economic Policy Research.Google Scholar
7.Drummond, M. F., & Hutton, J. Economic appraisal of health technology in the UK. In Drummond, M. F. (ed.), Economic appraisal of health technology in the European community. Oxford: Oxford University Press, 1987.Google Scholar
8.Evans, R. G.Strained mercy: The economics of Canadian health care. Toronto: Butterworths, 1984.Google Scholar
9.Finkelstein, S. N., Scheetman, S. B., Sondik, E. J., & Gilbert, D. Clinical trials and established medical practice: Two examples. In Roberts, E. B.Levy, R. I., & Finkelstein, S. N. (eds.), Biomedical innovations. Cambridge, Mass.: MIT Press, 1981.Google Scholar
10.Finkler, S. A.Cost-effectiveness of regionalisation: The heart surgery example. Inquiry, 1979, 16, 264.Google Scholar
11.Finkler, S. A.Cost-effectiveness of regionalisation: Further results for heart surgery. Health Services Research, 1981, 16, 325–333.Google Scholar
12.Goddeeris, J. H.Economic forces on hospital technology: Lessons from the U.S. experience. International Journal of Technology Assessment in Health Care, 1987, 3, 223–240.Google Scholar
13.Groot, L. M. J., Lacronique, J. F., & Stocking, B.Report of the second phase of the study of medical technology. European Commission: Directorate General V, 1983 (mimeo).Google Scholar
14.Jennett, B.High technology medicine: Benefits and burdens. Oxford: Oxford University Press, 1986.Google Scholar
15.Klein, R.Rationing health care. British Medical Journal, 1984, 289, 143–144.CrossRefGoogle ScholarPubMed
16.Kregel, J. A.The theory of economic growth. London: Macmillan, 1972.CrossRefGoogle Scholar
17.Luft, H., Bunker, J., & Enthoven, A. C.Should operations be regionalised? The empirical relationship between surgical volume and mortality. New England Journal of Medicine, 1979, 301, 1364–69.CrossRefGoogle Scholar
18.Office of Technology Assessment. Diagnosis Related Groups (DRGs) and the Medicare program: Implications for medical technology. Washington, DC: U.S. Government Printing Office (OTA-TM-H-17), 1983.Google Scholar
19.Office of Technology Assessment. Medical technology and costs of Medicare program. Washington, DC: U.S. Government Printing Office (OTA-H-227), 1984.Google Scholar
20.Office of Technology Assessment. Federal policies and the medical device industry. Washington, DC: U.S. Government Printing Office (OTA-H-320), 1984.Google Scholar
21.Rogers, E.Diffusion of innovations, 3rd ed.New York: Free Press, 1983.Google Scholar
22.Romeo, A. A., Wagner, J. R., & Lee, R. H.Prospective reimbursement and the diffusion of new technologies in hospital. Journal of Health Economics, 1984, 3, 1–24.CrossRefGoogle Scholar
23.Russell, L. B.Technology in hospitals, Washington, DC: The Brookings Institute, 1979.Google Scholar
24.Scherer, F.Innovation and growth: Schumpeterian perspectives. Cambridge, MA: MIT Press, 1984.Google Scholar
25.Sloan, F. A., Valvona, J., Perrin, J. M., & Adamache, K. W.Diffusion of surgical technology. Journal of Health Economics, 1986, 5, 31–61.CrossRefGoogle ScholarPubMed
26.Stocking, B.Initiative and inertia: Case studies in the NHS. London: Nuffield Provincial Hospitals Trust, 1985.Google Scholar
27.Stocking, B., & Morrison, S. L.The image and the reality. Oxford: Oxford University Press for Nuffield Provincial Hospitals Trust, 1978.Google Scholar
28.Thomas, L.The technology of medicine. New England Journal of Medicine, 1971, 284, 1366–68.CrossRefGoogle Scholar