| Diffusion of new technology and payment policies: coronary stents. | |
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MedLine Citation:
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PMID: 18997213 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medicare payment is often cited as a major driver of medical technology diffusion. Stakeholders claimed that beneficiaries would be denied access to stents because Medicare payment did not initially cover the cost of stents. Nevertheless, stents diffused rapidly, including to untested indications. Outcomes with stents improved over time, primarily because of a fundamental property of technology diffusion termed "reinvention," in which new technology is modified by users. The traditional system of regulatory approval and reimbursement does not account for this dynamic process. There has been no incentive for systematic collection of data to determine which modifications are most beneficial. |
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Authors:
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Chuck Shih; Elise Berliner |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health affairs (Project Hope) Volume: 27 ISSN: 1544-5208 ISO Abbreviation: Health Aff (Millwood) Publication Date: 2008 Nov-Dec |
Date Detail:
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Created Date: 2008-11-10 Completed Date: 2009-02-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8303128 Medline TA: Health Aff (Millwood) Country: United States |
Other Details:
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Languages: eng Pagination: 1566-76 Citation Subset: IM |
Affiliation:
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Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diffusion of Innovation* Disclosure* Drug-Eluting Stents / economics* Medicare Organizational Policy Reimbursement Mechanisms United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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