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dc.contributor.author Sloan, FA
dc.contributor.author Valvona, J
dc.contributor.author Perrin, JM
dc.contributor.author Adamache, KW
dc.coverage.spatial Netherlands
dc.date.accessioned 2010-03-09T15:32:52Z
dc.date.issued 1986-03
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/10317759
dc.identifier.citation J Health Econ, 1986, 5 (1), pp. 31 - 61
dc.identifier.issn 0167-6296
dc.identifier.uri http://hdl.handle.net/10161/1950
dc.description.abstract The study presents an empirical analysis of the diffusion patterns of five surgical procedures. Roles of payer mix, regulatory policies, physician diffusion, competition among hospitals, and various hospital characteristics such as size and the spread of technologies are examined. The principal data base is a time series cross-section of 521 hospitals based on discharge abstracts sent to the Commission on Professional and Hospital Activities. Results on the whole are consistent with a framework used to study innovations in other contexts in which the decisions of whether to innovate and timing depend on anticipated streams of returns and cost. Innovation tends to be more likely to occur in markets in which the more generous payers predominate. But the marginal effects of payer mix are small compared to effects of location and hospital characteristics, such as size and teaching status. Hospital rate-setting sometimes retarded diffusion. Certificate of need programs did not.
dc.format.extent 31 - 61
dc.language eng
dc.language.iso en_US
dc.relation.ispartof J Health Econ
dc.subject Communication
dc.subject Diffusion of Innovation
dc.subject Hospitals, Community
dc.subject Medical Laboratory Science
dc.subject Statistics as Topic
dc.subject Surgical Procedures, Operative
dc.subject United States
dc.title Diffusion of surgical technology. An exploratory study.
dc.type Journal Article
dc.department Economics
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/10317759
pubs.issue 1
pubs.organisational-group /Duke
pubs.organisational-group /Duke/Institutes and Provost's Academic Units
pubs.organisational-group /Duke/Institutes and Provost's Academic Units/University Institutes and Centers
pubs.organisational-group /Duke/Institutes and Provost's Academic Units/University Institutes and Centers/Global Health Institute
pubs.organisational-group /Duke/Sanford School of Public Policy
pubs.organisational-group /Duke/Sanford School of Public Policy/Center for Child and Family Policy
pubs.organisational-group /Duke/Sanford School of Public Policy/Duke Population Research Institute
pubs.organisational-group /Duke/Sanford School of Public Policy/Duke Population Research Institute/Center for Population Health & Aging
pubs.organisational-group /Duke/Sanford School of Public Policy/Duke Population Research Institute/Duke Population Research Center
pubs.organisational-group /Duke/School of Nursing
pubs.organisational-group /Duke/School of Nursing/School of Nursing - Secondary Group
pubs.organisational-group /Duke/Trinity College of Arts & Sciences
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Economics
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Institute of Public Policy
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Institute of Public Policy/Public Policy Studies
pubs.publication-status Published
pubs.volume 5

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