The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks

Mickael Bech*, Terkel Christiansen, Kelly Dunham, Jørgen Lauridsen, Carl Hampus Lyttkens, Kathryn Mcdonald, Alistair Mcguire, Michael Hobbs, Steve Ridout, Jeff Richardson, Iain Robertson, Marie Christine Closon, Julian Perelman, Konrad Fassbender, Jack Tu, Curry Grant, Peter C. Austin, Louise Pilote, Mark J. Eisenberg, Hugues RichardMette Madsen, Søren Rasmussen, Steen Z. Abildstrom, Michael Goldacre, David Yeates, Michael Robinson, Ilmo Keskimäki, Unto Häkkinen, Veikko Salomaa, Markku Mähönen, Brigitte Dormont, Carine Milcent, Isabelle Durand-Zaleski, Ansgar Gerhardus, Okyta Á Walelu, Thomas Grobe, Christian Krauth, Friedrich Wilhelm Schwartz, Hannelore Loewel, Allmut Hoermann, Christa Meisinger, Margit Heier, Ethel Sherry Gordon, Ziona Haklai, Jeremy D. Kark, Amir Shmueli, Vincenzo Atella, Daniele Fabbri, Diego Vanuzzo, Lorenza Pilotto, Laura Pilotto, Yuichi Imanaka, Tatsuro Ishizaki, Yoshihiro Kaneko, Haruko Noguchi, Young Hoon Kim, Bong Min Yang, Yong Kyun Roh, Kyung Hwan Cho, Hong Soon Lee, Charlotte Haug, Maria Raikou, Frank Windmeijer, James Boyd, Koon Hou Mak, Hong Phua Kai, Tze Pin Ng, Ling Sim Ling, Suok Kai Chew, Caren Tan, Alexander Dozet, Sören Höjgård, Anna Lindgren, Hans Öhlin, Fred Paccaud, Bernard Burnand, Vincent Wietlisbach, Alberto Holly, Lucien Gardiol, Yves Eggli, Mei Shu Lai, Joan C. Lo, Paul Heidenreich, Daniel Kessler, Mark McClellan, Abigail Moreland, Olga Saynina, Joseph Newhouse

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)


The Technological Change in Health Care Research Network collected unique patient-level data on three procedures for treatment of heart attack patients (catheterization, coronary artery bypass grafts and percutaneous transluminal coronary angioplasty) for 17 countries over a 15-year period to examine the impact of economic and institutional factors on technology adoption. Specific institutional factors are shown to be important to the uptake of these technologies. Health-care systems characterized as public contract systems and reimbursement systems have higher adoption rates than public-integrated health-care systems. Central control of funding of investments is negatively associated with adoption rates and the impact is of the same magnitude as the overall health-care system classification. GDP per capita also has a strong role in initial adoption. The impact of income and institutional characteristics on the utilization rates of the three procedures diminishes over time.

Original languageEnglish
Pages (from-to)1114-1132
Number of pages19
JournalHealth Economics
Issue number10
Publication statusPublished - 2009 Oct
Externally publishedYes


  • Diffusion of technologies
  • Economic incentives and regulation
  • Technological change

ASJC Scopus subject areas

  • Health Policy


Dive into the research topics of 'The influence of economic incentives and regulatory factors on the adoption of treatment technologies: A case study of technologies used to treat heart attacks'. Together they form a unique fingerprint.

Cite this