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Innovation and Standards in Clinical Practice: The Case of HIV Treatments

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  • Monica Merito
  • Andrea Bonaccorsi

Abstract

The goal of this study was to analyze the emergence of treatment standards associated with the adoption of anti-HIV drug innovations in the empirical setting of Italian clinical practice. Due to the rapid pace of technological change and the initial uncertainty concerning capabilities and indications of new treatments, the emergence of standard patterns of care turned out to be far from predictable and straightforward. Health providers' links to an international medicine and their internal coordination mechanisms were found to be associated with clinical decisions. Effectiveness and health costs of diverging treatment strategies were also compared.

Suggested Citation

  • Monica Merito & Andrea Bonaccorsi, 2005. "Innovation and Standards in Clinical Practice: The Case of HIV Treatments," LEM Papers Series 2005/24, Laboratory of Economics and Management (LEM), Sant'Anna School of Advanced Studies, Pisa, Italy.
  • Handle: RePEc:ssa:lemwps:2005/24
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    File URL: http://www.lem.sssup.it/WPLem/files/2005-24.pdf
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    References listed on IDEAS

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    1. Geroski, P. A., 2000. "Models of technology diffusion," Research Policy, Elsevier, vol. 29(4-5), pages 603-625, April.
    2. Merito, Monica & Bonaccorsi, Andrea & Pammolli, Fabio & Riccaboni, Massimo & Baio, Gianluca & Arici, Claudio & Monforte, Antonella D'Arminio & Pezzotti, Patrizio & Corsini, Dario & Tramarin, Andrea & , 2005. "Economic evaluation of HIV treatments: The I.CO.N.A. cohort study," Health Policy, Elsevier, vol. 74(3), pages 304-313, November.
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    Keywords

    Medical innovation; Treatment standard; Clinical guidelines; HIV/AIDS; Sequence analysis;

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