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Breaking The Addiction To Technology Adoption

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  • Stirling Bryan
  • Craig Mitton
  • Cam Donaldson

Abstract

A major driver of cost growth in health care is the rapid increase in the utilisation of existing technology and not simply the adoption of new technology. Health economists and their health technology assessment colleagues have become obsessed by technology adoption questions and have largely ignored ‘technology management’ questions. Technology management would include the life‐cycle assessment of technologies in use, to assess their real‐world performance; and monitoring of technology indication creep. A rebalancing of focus might serve to encourage a more self‐critical and learning culture amongst those involved in technology evaluation analysis. Further, health economists and health technology assessment analysts could make a more significant contribution to system efficiency through rebalancing their efforts away from technology adoption questions towards technology management issues. Copyright © 2014 John Wiley & Sons, Ltd.

Suggested Citation

  • Stirling Bryan & Craig Mitton & Cam Donaldson, 2014. "Breaking The Addiction To Technology Adoption," Health Economics, John Wiley & Sons, Ltd., vol. 23(4), pages 379-383, April.
    • Handle: RePEc:wly:hlthec:v:23:y:2014:i:4:p:379-383
    DOI: 10.1002/hec.3034
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    References listed on IDEAS

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    1. Tim Callan & Brian Nolan & John Walsh, 2011. "The Economic Crisis, Public Sector Pay and the Income Distribution," Research in Labor Economics, in: Who Loses in the Downturn? Economic Crisis, Employment and Income Distribution, pages 207-225, Emerald Group Publishing Limited.
    2. Nancy Devlin;John Appleby, 2010. "Getting the Most out of PROMs: Putting Health Outcomes at the Heart of NHS Decision-Making," Monograph 000220, Office of Health Economics.
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    1. Maximilian H. M. Hatz & Jonas Schreyögg & Aleksandra Torbica & Giuseppe Boriani & Carl R. B. Blankart, 2017. "Adoption Decisions for Medical Devices in the Field of Cardiology: Results from a European Survey," Health Economics, John Wiley & Sons, Ltd., vol. 26(S1), pages 124-144, February.
    2. Baker, Rachel & Mason, Helen & McHugh, Neil & Donaldson, Cam, 2021. "Public values and plurality in health priority setting: What to do when people disagree and why we should care about reasons as well as choices," Social Science & Medicine, Elsevier, vol. 277(C).
    3. Chiranjeev Sanyal & Paul Stolee & Don Juzwishin & Don Husereau, 2018. "Economic evaluations of eHealth technologies: A systematic review," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-11, June.
    4. Hensher, Martin & Tisdell, John & Zimitat, Craig, 2017. "“Too much medicine”: Insights and explanations from economic theory and research," Social Science & Medicine, Elsevier, vol. 176(C), pages 77-84.
    5. Hofmann, Bjørn, 2020. "Biases distorting priority setting," Health Policy, Elsevier, vol. 124(1), pages 52-60.
    6. MacNeil, Maggie & Koch, Melissa & Kuspinar, Ayse & Juzwishin, Don & Lehoux, Pascale & Stolee, Paul, 2019. "Enabling health technology innovation in Canada: Barriers and facilitators in policy and regulatory processes," Health Policy, Elsevier, vol. 123(2), pages 203-214.

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