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Neglected Issues in the Diffusion of Health Care Technologies:The Role of Skills and Learning

Published online by Cambridge University Press:  10 March 2009

David Feeny
Affiliation:
McMaster University

Abstract

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Type
General Essays
Copyright
Copyright © Cambridge University Press 1985

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References

REFERENCES

1.Arrow, K. J.The economic implications of learning by doing. Review of Economic Studies, 1962, 29, 155–73.CrossRefGoogle Scholar
2.Baker, S. R.The diffusion of high technology medical innovation: The computed tomography scanner example. Social Science & Medicine, 1979, 13D, 155–62.Google Scholar
3.Banta, H. D.The diffusion of the computed tomography (CT) scanner in the United States. International Journal of Health Services, 1980, 10, 251–69.CrossRefGoogle ScholarPubMed
4.Banta, H. D., & Behney, C. J.Medical technology: Policies and problems. Health Care Management Review, 1980, 5, 4552.Google ScholarPubMed
5.Banta, H. D., & Behney, C. J.Policy formulation and technology assessment. Milbank Memorial Fund Quarterly, 1981, 59, 445–79.CrossRefGoogle ScholarPubMed
6.Banta, H. D., Behney, C. J., & Willems, J. S.Toward rational technology in medicine: Considerations for health policy. New York: Springer, 1981.Google Scholar
7.Banta, H. D., & McNeil, B. J.Evaluation of the CAT scanner and other diagnostic technologies. Health Care Management Review, 1978, 3, 719.CrossRefGoogle ScholarPubMed
8.Becker, M. H.Factors affecting diffusion of innovations among health professionals. American Journal of Public Health, 1970, 60, 294304.CrossRefGoogle ScholarPubMed
9.Benjamini, Y., Gafni, A., & Maital, S. The diffusion of medical technology: A ‘prisoner's dilemma’ trap? Unpublished manuscript, 1984.Google Scholar
10.Bredahl, M. E., Bryant, W. K., & Ruttan, V. W.Behavior and productivity implications of institutional and project funding of research. American Journal of Agriculture Economics, 1980, 62, 371–83.CrossRefGoogle Scholar
11.Bunker, J. P., Fowles, J., & Schaffarzick, R.Evaluation of medical technology and strategies. New England Journal of Medicine, 1982, 306, 620–24 and 687–92.CrossRefGoogle Scholar
12.Coleman, J., Katz, E., & Menzel, H.The diffusion of an innovation among physicians. Sociometry, 1957, 20, 253–79.CrossRefGoogle Scholar
13.Coleman, J., Katz, E., & Menzel, H.Medical innovation: A diffusion study. Indianapolis: Bobbs-Merrill, 1966.Google Scholar
14.Creditor, M. C., & Garrett, J. B.The information base for diffusion of technology: Computed tomography scanning. New England Journal of Medicine, 1977, 297, 4952.CrossRefGoogle ScholarPubMed
15.Davis, K.Economics theories and behavior in nonprofit private hospitals. Economics and Business Bulletin, 1972, 24, 113.Google Scholar
16.Eisenberg, J. M., & Williams, S. V.Cost containment and changing physicians' practice behavior: Can the fox learn to guard the chicken coop?” Journal of the American Medical Association, 1981, 246, 21952201.CrossRefGoogle ScholarPubMed
17.Evenson, R. E., & Kislev, Y.Agricultural research and productivity. New Haven: Yale University Press, 1975.CrossRefGoogle Scholar
18.Feeny, D., Guyatt, G., & Tugwell, P. (eds.), Health care technology: Effectiveness, efficiency and public policy. The Institute for Research on Public Policy. Submitted for publication.Google Scholar
19.Feldstein, M. S.Hospital cost inflation: A study of nonprofit price dynamics. American Economic Review, 1971, 61, 853–72.Google Scholar
20.Fineberg, H. V. Clinical chemistries: The high cost of low-cost diagnostic tests. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprit behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 144–65.Google Scholar
21.Fineberg, H. V., Gabel, R. A., & Sosman, M. B.Acquisition and application of new medical knowledge by anesthesiologists. Anesthesiology, 1978, 48, 430–36.CrossRefGoogle ScholarPubMed
22.Fineberg, H. V., & Hiatt, H. H.Evaluation of medical practices: The case for technology assessment. New England Journal of Medicine, 1979, 301, 1086–91.CrossRefGoogle ScholarPubMed
23.Gordon, G. et al. , Organizational structure, environmental diversity, and hospital adoption of medical innovations. In Kaluzny, Arnold D., Gentry, John J., & Veney, James E. (eds.), Innovation in health care organizations: An issue in organizational change. Department of Health Administration, School of Public Health, University of North Carolina at Chapel Hill, Monograph Series, No. 4, 1974, 5357.Google Scholar
24.Gordon, G., & Fisher, G. L.The diffusion of medical technology. Cambridge: Ballinger Publishing Company, 1975.Google Scholar
25.Greer, A. L.Advances in the study of diffusion innovation in health care organizations. Milbank Memorial Fund Quarterly, 1979, 55, 505–32.CrossRefGoogle Scholar
26.Greer, A. L., & Zakhar, A. A.Patient leverage theory proves to be false. Hospitals, 1979, 53, 98106.Google ScholarPubMed
27.Griliches, Z.Hybrid corn: An exploration in the economics of technological change. Econometrica, 1957, 25, 501–22.CrossRefGoogle Scholar
28.Griliches, Z.Hybrid corn and the economics of innovation. Science, 1960, 275–80; reprinted in Nathan Rosenberg (ed.), The economics of technological change. Baltimore: Penguin, 211–28.CrossRefGoogle ScholarPubMed
29.Iglehart, J. K.The cost and regulation of medical technology: Future policy directions. Milbank Memorial Fund Quarterly, 1977, 55, 2559.CrossRefGoogle ScholarPubMed
30.Kaluzny, A. D.Innovation in health services: Theoretical framework and review of research. Health Services Research, 1974, 9, 101–20.Google Scholar
31.Kaluzny, A. D., Gentry, J. T., & Veney, J. E. (eds.), Innovation in health care organizations: An issue in organizational change. Department of Health Administration, School of Public Health University of North Carolina at Chapel Hill, Monograph Series No. 4, 1974.Google Scholar
32.Kaluzny, A. D., & Sprague, J. B. Innovations in health and welfare organizations: A review and critique of current theory and research. In Kaluzny, Arnold D., Gentry, John T., & Veney, James E. (eds.), Innovations in health care organizations: An issue in organizational change. Department of Health Administration, School of Public Health University of North Carolina at Chapel Hill, Monograph Series No. 4, 1974, 114.Google Scholar
33.Kaluzny, A. D., Veney, J. E., & Gentry, J. T. Innovations of health services: A comparative study of hospitals and health departments. In Kaluzny, Arnold D., Gentry, John T., & Veney, James E. (eds.), Innovation in health care organizations: An issues in organizational change. Department of Health Administration, School of Public Health, University of North Carolina at Chapel Hill, Monograph Series No. 4, 1974, 77110.Google Scholar
34.Kimberly, J. R.Hospital adoption of innovation: The role of integration into external informational environments. Journal of Health and Social Behavior, 1978, 19, 361–73.CrossRefGoogle ScholarPubMed
35.Kislev, Y., & Schchori-Bachrach, N.The process of an innovation cycle. American Journal of Agricultural Economics, 1973, 55, 2837.Google Scholar
36.Kressley, K. M.Diffusion of high technology medical care and cost control—A public policy dilemma. Technology in Society, 1981, 3, 305–22.CrossRefGoogle ScholarPubMed
37.Lee, M. L.A conspicuous production theory of hospital behavior. Southern Economic Journal, 1971, 38, 4858.CrossRefGoogle Scholar
38.Manning, P. R., & Denson, T. A.How internists learned about cimetidine. Annals of Internal Medicine, 1980, 92, 690–92.CrossRefGoogle ScholarPubMed
39.Mansfield, E.Technical change and the rate of imitation. Econometrica, 1961, 741–66; reprinted in Nathan Rosenberg (ed.), The economics of technological change. Baltimore: Penguin, 284–314.CrossRefGoogle Scholar
40.Martin, D. L. Health technology: ‘Tiger or pussyCAT’. Ottawa: Health Services Directorate, Department of National Health and Welfare, 1980.Google Scholar
41.Mohr, L. B.Determinants of innovation in organization. American Political Science Review, 1969,63, 111–26.CrossRefGoogle Scholar
42.Moloney, T. W., & Rogers, D. E.Medical technology—A different view of the contentious debate over costs. New England Journal of Medicine, 1979, 301, 1413–19.CrossRefGoogle ScholarPubMed
43.Newhouse, J. P.Towards a theory of nonprofit institutions: An economic model of a hospital. American Economic Review, 1970, 60, 6474.Google Scholar
44.Newhouse, J. P.The economics of medical care: A policy perspective. Reading: Addison-Wesley, 1978.Google Scholar
45.Pauly, M. V.Medical staff characteristics and hospital costs. Journal of Human Resources, 1978, 13, 77111.CrossRefGoogle ScholarPubMed
46.Pauly, M. V., & Redisch, M.The not-for-profit hospital as a physicians' cooperative. American Economic Review, 1973, 63, 8799.Google Scholar
47.Pozen, M. W. et al. , Cardiac nuclear imaging: Adoption of an evolving technology. Medical Care, 1984, 22, 343–48.CrossRefGoogle ScholarPubMed
48.Rapoport, J.Diffusion of technological innovation among nonprofit firms: A case study of radioisotopes in U.S. hospitals. Journal of Economics and Business, 1978, 30, 108–18.Google ScholarPubMed
49.Reder, M. W.Some problems in the economics of hospitals. American Economic Review, 1965, 55, 472–80.Google Scholar
50.Relman, A. S.Assessment of medical practices: A simple proposal. New England Journal of Medicine, 1980, 303, 153–54.CrossRefGoogle ScholarPubMed
51.Relman, A. S.An institute for health-care evaluation. New England Journal of Medicine, 1982, 306, 669–70.CrossRefGoogle ScholarPubMed
52.Rettig, R. A. End-stage renal disease and the ‘costs’ of medical technology. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprits behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 88115.Google Scholar
53.Robbins, F. C. Assessing the consequences of biomedical research. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprit behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 166–77.Google Scholar
54.Roessner, J. D.Technological diffusion research and national policy issues. Knowledge: Creation, Diffusion, Utilization, 1980, 2, 179201.CrossRefGoogle Scholar
55.Rogers, E. M.Communication of innovations: A cross-cultural approach, second edition. New York: The Free Press, 1971.Google Scholar
56.Romeo, A. A., Wagner, J. L., & Lee, R. H.Prospective reimbursement and the diffusion of new technologies in hospitals. Journal of Health Economics, 1984, 3, 124.CrossRefGoogle ScholarPubMed
57.Rosenberg, N.Economic development and the transfer of technology: Some historical perspectives. Technology and Culture, 1970, 11, 550–75.CrossRefGoogle Scholar
58.Rosenberg, N. (ed.). The economics of technological change. Baltimore: Penguin, 1971.Google Scholar
59.Rosenberg, N.Learning by Using. Stanford: Stanford University, mimeo, 1980.Google Scholar
60.Rosett, R. N. Proprietary hospitals in the United States. In Perlman, Mark (ed.), The economics of health and medical care. London: MacMillan Press, 1974, 5765.CrossRefGoogle Scholar
61.Russell, L. B.The diffusion of new hospital technologies in the United States. International Journal of Health Services, 1976, 6, 557–80.CrossRefGoogle ScholarPubMed
62.Russell, L. B.The diffusion of hospital technologies: Some econometric evidence. Journal of Human Resources, 1977, 12, 482502.CrossRefGoogle ScholarPubMed
63.Russell, L. B.Regulating the diffusion of hospital technologies. Law and Contemporary Problems, 1979a, 43, 2642.Google ScholarPubMed
64.Russell, L. B.Technology in hospitals: Medical advances and their diffusion. Washington, DC: The Brooking Institution, 1979b.CrossRefGoogle Scholar
65.Russell, L. B., & Burke, C. S.Technological Diffusions in the Hospital Sector. Report prepared for the National Science Foundation, U.S. Department of Commerce, National Technical Information Service, PB-245 642, 1975.Google Scholar
66.Sanders, C. A. Technology and the hospital. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprit behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 5776.Google Scholar
67.Schneyer, S., Landefield, J., & Sandifer, F. H.Biomedical research and illness: 1909–1979. Milbank Memorial Fund Quarterly, 1981, 59, 4458.CrossRefGoogle Scholar
68.Schroeder, S. A., & Showstack, J. A.Financial incentives to perform medical procedures and laboratory tests: Illustrative models of office practice. Medical Care, 1978, 16, 289–98.CrossRefGoogle ScholarPubMed
69.Schroeder, S. A., & Showstack, J. A. The dynamics of medical technology use: An alysis and policy options. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprit behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 178212.Google Scholar
70.Scitovsky, A. A. Changes in the use of ancillary services for ‘common’ illness. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprit behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 3956.Google Scholar
71.Vernon, R.International investment and international trade in the product cycle. Quarterly Journal of Economics, 1966, 190207; reprinted in Nathan Rosenberg (ed.), The economics of technological change 440–60. Baltimore: Penguin.CrossRefGoogle Scholar
72.Warner, K. E. The diffusion of leukemia chemotherapy: A study in the nonmarket economics of medical care. Ph.D. Dissertation, Yale University, 1974a.Google Scholar
73.Warner, K. E.The need for some innovative concepts of innovation: An examination of research on the diffusion of innovations. Policy Sciences, 1974b, 5, 433–51.CrossRefGoogle Scholar
74.Warner, K. E.A ‘desperation–reaction’ model of medical diffusion. Health Services Research, 1975, 10, 369–83.Google ScholarPubMed
75.Warner, K. E.Treatment decision making in catastrophic illness. Medical Care, 1977, 15, 1933.CrossRefGoogle ScholarPubMed
76.Welch, F.Education in production. Journal of Political Economy, 1970, 78, 3539.CrossRefGoogle Scholar
77.Whitted, G. S.Medical technology diffusion and its effects on the modern hospital. Health Care Management Review, 1981, 6, 4554.CrossRefGoogle ScholarPubMed
78.Willems, J. S., Banta, H. D., Lukas, T. A., & Taylor, C. A. The computed tomography (CT) scanner. In Altman, Stuart H. & Blendon, Robert (eds.), Medical technology: The culprit behind health care costs? Washington, DC: U.S. Government Printing Office, 1979, 116–43.Google Scholar