Technological change around the world: Evidence from heart attack care

Abigail Moreland, Mark McClellan, Daniel Kessler, Olga Saynina, 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, Kristiansen Ivar Søndbø, Mette Madsen, Søren RasmussenGoldacre Michael, David G.R. Yeates, Michael Robinson, Ilmo Keskimäki, Unto Hakkinen, Salomaa Veikko, Markku Mähönen, Brigitte Simone Dormont, Carine Milcent, Isabelle Durand Zaleski, Gordon Ethel-Sherry, Ziona Haklai, Jeremy Kark, Amir Shmueli, Vincenzo Atella, Daniele Fabbri, Diego Vanuzzo, Lorenza Pilotto, Laura Pilotto, Yuichi Imanaka, Kaneko Yoshihiro, Haruko Noguchi, Eiwa Toyo, Kim Young-Hoon, Yang Bong-min, 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, Tan Caren, Lyttkens Carl Hampus, Alexander Dozet, Anna Lindgren, Sören Höjgård, Hans Öhlin, Fred Michel Paccaud, Bernard Burnand, Vincent Wietlisbach, Alberto Holly, Lucien Gardiol, Yves Eggli, Lai Mei-Shu, C. Lo Joan, Paul Heidenreich, Kathryn M. Mcdonald, Joseph P. Newhouse

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Although technological change is a hallmark of health care world-wide, relatively little evidence exists on whether changes in health care differ across the very different health care systems of developed countries. We present new comparative evidence on heart attack care in seventeen countries showing that technological change-changes in medical treatments that affect the quality and cost of care - is universal but has differed greatly around the world. Differences in treatment rates are greatest for costly medical technologies, where strict financing limits and other policies to restrict adoption of intensive technologies have been associated with divergences in medical practices over time. 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. The differences appear to be related to economic and regulatory incentives of the health care systems and may have important economic and health consequences.

Original languageEnglish (US)
Pages (from-to)25-42
Number of pages18
JournalHealth Affairs
Issue number3
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy


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