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The Relationship Between Health Policies, Medical Technology Trends and Outcomes


  • Vincenzo Atella
  • 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
  • Ivar Søndbø Kristiansen
  • Mette Madsen
  • Søren Rasmussen
  • Michael Goldacre
  • David G.R. Yeates
  • Michael Robinson
  • Ilmo Keskimäki
  • Unto Häkkinen
  • Salomaa Veikko
  • Markku Mähönen
  • Brigitte Dormont
  • Carine Milcent

    () (PJSE - Paris-Jourdan Sciences Economiques - ENS Paris - École normale supérieure - Paris - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique)

  • Isabelle Durand-Zaleski
  • Ethel-Sherry Gordon
  • Ziona Haklai
  • Jeremy Kark
  • Amir Shmueli
  • Daniele Fabbri
  • Diego Vanuzzo
  • Lorenza Pilotto
  • Laura Pilotto
  • Yuichi Imanaka
  • Tatsuro Ishizaki
  • Yoshihiro Kaneko
  • Haruko Noguchi
  • Kim Young-Hoon
  • Yang Bong-Min
  • Kyung-Hwan Cho
  • 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
  • Caren Tan
  • Carl Hampus Lyttkens
  • Alexander Dozet
  • Anna Lindgren
  • Sören Höjgård
  • Hans Öhlin
  • Fred Paccaud
  • Bernard Burnand
  • Vincent Wietlisbach
  • Alberto Holly
  • Lucien Gardiol
  • Yves Eggli
  • Mei-Shu Lai
  • Joan C. Lo
  • Kelly Dunham
  • Paul Heidenreich
  • Daniel Kessler
  • Mark Mcclellan
  • Kathryn Mcdonald
  • Abigail Moreland
  • Olga Saynina
  • Joseph Newhouse


The goal of this paper is to present new comparative evidence on heart attack care in 17 countries showing that changes in medical treatments are universal, but have differed greatly. We have collected a large body of comparable information that show how countries differ in treatment rates and why these differences are relatively marked. 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. Our results show that differences in treatment rates are greatest for expensive medical technologies. Also strict financing limits and regulatory policies have affected the adoption of intensive technologies. These differences may have important economic and health consequences.

Suggested Citation

  • Vincenzo Atella & Michael Hobbs & Steve Ridout & Jeff Richardson & Iain Robertson & Marie Closon & Julian Perelman & Konrad Fassbender & Jack Tu & Grant Curry & Peter Austin & Louise Pilote & Mark J. , 2003. "The Relationship Between Health Policies, Medical Technology Trends and Outcomes," Post-Print halshs-01990752, HAL.
  • Handle: RePEc:hal:journl:halshs-01990752
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    References listed on IDEAS

    1. Mark McClellan, 1997. "Hospital Reimbursement Incentives: An Empirical Analysis," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 6(1), pages 91-128, March.
    2. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
    3. Weisbrod, Burton A, 1991. "The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment," Journal of Economic Literature, American Economic Association, vol. 29(2), pages 523-552, June.
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