Technological change around the world: Evidence from heart attack care

Abigail Moreland; Mark McClellan; Daniel Kessler; Olga Saynina; 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; Kristiansen Ivar Søndbø; Mette Madsen; Søren Rasmussen; Goldacre Michael; David G.R. Yeates; Michael Robinson; Ilmo Keskimäki; Unto Hakkinen; Salomaa Veikko; Markku Mähönen; Brigitte Simone Dormont; Carine Milcent; Isabelle Durand Zaleski; Gordon Ethel-Sherry; Ziona Haklai; Jeremy Kark; Amir Shmueli; Vincenzo Atella; Daniele Fabbri; Diego Vanuzzo; Lorenza Pilotto; Laura Pilotto; Yuichi Imanaka; Kaneko Yoshihiro; Haruko Noguchi; Eiwa Toyo; Kim Young-Hoon; Yang Bong-min; 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; Tan Caren; Lyttkens Carl Hampus; Alexander Dozet; Anna Lindgren; Sören Höjgård; Hans Öhlin; Fred Michel Paccaud; Bernard Burnand; Vincent Wietlisbach; Alberto Holly; Lucien Gardiol; Yves Eggli; Lai Mei-Shu; C. Lo Joan; Paul Heidenreich; Kathryn M. Mcdonald; Joseph P. Newhouse

doi:10.1377/hlthaff.20.3.25

Technological change around the world: Evidence from heart attack care

Abigail Moreland, Mark McClellan, Daniel Kessler, Olga Saynina, 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, Kristiansen Ivar Søndbø, Mette Madsen, Søren RasmussenGoldacre Michael, David G.R. Yeates, Michael Robinson, Ilmo Keskimäki, Unto Hakkinen, Salomaa Veikko, Markku Mähönen, Brigitte Simone Dormont, Carine Milcent, Isabelle Durand Zaleski, Gordon Ethel-Sherry, Ziona Haklai, Jeremy Kark, Amir Shmueli, Vincenzo Atella, Daniele Fabbri, Diego Vanuzzo, Lorenza Pilotto, Laura Pilotto, Yuichi Imanaka, Kaneko Yoshihiro, Haruko Noguchi, Eiwa Toyo, Kim Young-Hoon, Yang Bong-min, 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, Tan Caren, Lyttkens Carl Hampus, Alexander Dozet, Anna Lindgren, Sören Höjgård, Hans Öhlin, Fred Michel Paccaud, Bernard Burnand, Vincent Wietlisbach, Alberto Holly, Lucien Gardiol, Yves Eggli, Lai Mei-Shu, C. Lo Joan, Paul Heidenreich, Kathryn M. Mcdonald, Joseph P. Newhouse

Research output: Contribution to journal › Article › peer-review

52 Scopus citations

Abstract

Although technological change is a hallmark of health care world-wide, 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.

Original language	English (US)
Pages (from-to)	25-42
Number of pages	18
Journal	Health Affairs
Volume	20
Issue number	3
DOIs	https://doi.org/10.1377/hlthaff.20.3.25
State	Published - 2001
Externally published	Yes

ASJC Scopus subject areas

Health Policy

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Moreland, A., McClellan, M., Kessler, D., Saynina, O., Hobbs, M., Ridout, S., Richardson, J., Robertson, I., Closon, M., Perelman, J., Fassbender, K., Tu, J., Curry, G., Austin, P., Pilote, L., Eisenberg, M. J., Terkel, C., Søndbø, K. I., Madsen, M., ... Newhouse, J. P. (2001). Technological change around the world: Evidence from heart attack care. Health Affairs, 20(3), 25-42. https://doi.org/10.1377/hlthaff.20.3.25

Moreland, A, McClellan, M, Kessler, D, Saynina, O, Hobbs, M, Ridout, S, Richardson, J, Robertson, I, Closon, M, Perelman, J, Fassbender, K, Tu, J, Curry, G, Austin, P, Pilote, L, Eisenberg, MJ, Terkel, C, Søndbø, KI, Madsen, M, Rasmussen, S, Michael, G, Yeates, DGR, Robinson, M, Keskimäki, I, Hakkinen, U, Veikko, S, Mähönen, M, Dormont, BS, Milcent, C, Zaleski, ID, Ethel-Sherry, G, Haklai, Z, Kark, J, Shmueli, A, Atella, V, Fabbri, D, Vanuzzo, D, Pilotto, L, Pilotto, L, Imanaka, Y, Yoshihiro, K, Noguchi, H, Toyo, E, Young-Hoon, K, Bong-min, Y, Haug, C, Mcguire, A, Raikou, M, Windmeijer, F, Boyd, J, Hou, MK, Hong, PK, Tze, PN, Ling, SL, Suok-kai, C, Caren, T, Hampus, LC, Dozet, A, Lindgren, A, Höjgård, S, Öhlin, H, Paccaud, FM, Burnand, B, Wietlisbach, V, Holly, A, Gardiol, L, Eggli, Y, Mei-Shu, L, Lo Joan, C, Heidenreich, P, Mcdonald, KM & Newhouse, JP 2001, 'Technological change around the world: Evidence from heart attack care', Health Affairs, vol. 20, no. 3, pp. 25-42. https://doi.org/10.1377/hlthaff.20.3.25

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abstract = "Although technological change is a hallmark of health care world-wide, 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.",

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AU - Kessler, Daniel

AU - Saynina, Olga

AU - Hobbs, Michael

AU - Ridout, Steve

AU - Richardson, Jeff

AU - Robertson, Iain

AU - Closon, Marie

AU - Perelman, Julian

AU - Fassbender, Konrad

AU - Tu, Jack

AU - Curry, Grant

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AU - Pilote, Louise

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AU - Veikko, Salomaa

AU - Mähönen, Markku

AU - Dormont, Brigitte Simone

AU - Milcent, Carine

AU - Zaleski, Isabelle Durand

AU - Ethel-Sherry, Gordon

AU - Haklai, Ziona

AU - Kark, Jeremy

AU - Shmueli, Amir

AU - Atella, Vincenzo

AU - Fabbri, Daniele

AU - Vanuzzo, Diego

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AU - Mei-Shu, Lai

AU - Lo Joan, C.

AU - Heidenreich, Paul

AU - Mcdonald, Kathryn M.

AU - Newhouse, Joseph P.

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Technological change around the world: Evidence from heart attack care

Abstract

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