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The Spread of Upper Gastrointestinal Endoscopy in Japan and the United States: An International Comparative Analysis of Technology Diffusion

Published online by Cambridge University Press:  10 March 2009

William T. Kasumi ,
Asao Kasumi  and
Benjamin Ishikawa
William T. Kasumi
Affiliation:
Stanford University
Asao Kasumi
Affiliation:
Thomas Jefferson University
Benjamin Ishikawa
Affiliation:
Tokyo University
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Abstract

The use of upper gastrointestinal (Gl) fiberoptic endoscopy has spread at different times and rates in Japan than in the United States. Factors that explain this disparity and its effects on patient outcomes are reported. This essay outlines Japanese data in gastroenterology, giving an account of the resources and time that were spent on the development of upper Gl endoscopy in Japan. It also draws implications for the assessment of endoscopy for populations at high risk for gastric cancer.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 9 , Issue 3 , Summer 1993 , pp. 416 - 425
Copyright
Copyright © Cambridge University Press 1993

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