Technological adoption in health care - The role of payment systems

This paper examines the incentive to adopt a new technology resulting from common payment systems, namely mixed cost reimbursement and DRG reimbursement. Adoption is based on a cost-benefit criterion. We find that retrospective payment systems require a large enough patient benefit to yield adoption...

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Autores: Barros, Pedro Pita|||0000-0002-0881-4928, Martínez Giralt, Xavier|||0000-0002-5185-8395
Formato: artículo
Fecha de publicación:2015
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:137383
Acesso em linha:https://ddd.uab.cat/record/137383
https://dx.doi.org/urn:doi:10.1515/bejeap-2014-0113
Access Level:acceso abierto
Palavra-chave:Serveis sanitaris
Healthcare
Technology adoption
Reimbursement systems
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spelling Technological adoption in health care - The role of payment systemsBarros, Pedro Pita|||0000-0002-0881-4928Martínez Giralt, Xavier|||0000-0002-5185-8395Serveis sanitarisHealthcareTechnology adoptionReimbursement systemsThis paper examines the incentive to adopt a new technology resulting from common payment systems, namely mixed cost reimbursement and DRG reimbursement. Adoption is based on a cost-benefit criterion. We find that retrospective payment systems require a large enough patient benefit to yield adoption, while under DRG-linked payment, adoption may arise in the absence of patients benefits when the differential reimbursement for the old vs new technology is large enough. Also, mixed cost reimbursement leads to higher adoption under conditions on the differential reimbursement levels and patient benefits. In policy terms, mixed cost reimbursement system may be more effective than a DRG payment system to induce technology adoption. Our analysis also shows that current economic evaluation criteria for new technologies do not capture the different ways payment systems influence technology adoption. This gives a new dimension to the discussion of prospective vs retrospective payment systems of the last decades centered on the debate of quality vs cost containment. 22015-01-0120152015-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/137383https://dx.doi.org/urn:doi:10.1515/bejeap-2014-0113reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Economía y Competitividad https://doi.org/10.13039/501100003329 ECO2012-31962open accesshttp://purl.org/coar/access_right/c_abf2Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.https://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1373832026-06-06T12:50:31Z
dc.title.none.fl_str_mv Technological adoption in health care - The role of payment systems
title Technological adoption in health care - The role of payment systems
spellingShingle Technological adoption in health care - The role of payment systems
Barros, Pedro Pita|||0000-0002-0881-4928
Serveis sanitaris
Healthcare
Technology adoption
Reimbursement systems
title_short Technological adoption in health care - The role of payment systems
title_full Technological adoption in health care - The role of payment systems
title_fullStr Technological adoption in health care - The role of payment systems
title_full_unstemmed Technological adoption in health care - The role of payment systems
title_sort Technological adoption in health care - The role of payment systems
dc.creator.none.fl_str_mv Barros, Pedro Pita|||0000-0002-0881-4928
Martínez Giralt, Xavier|||0000-0002-5185-8395
author Barros, Pedro Pita|||0000-0002-0881-4928
author_facet Barros, Pedro Pita|||0000-0002-0881-4928
Martínez Giralt, Xavier|||0000-0002-5185-8395
author_role author
author2 Martínez Giralt, Xavier|||0000-0002-5185-8395
author2_role author
dc.subject.none.fl_str_mv Serveis sanitaris
Healthcare
Technology adoption
Reimbursement systems
topic Serveis sanitaris
Healthcare
Technology adoption
Reimbursement systems
description This paper examines the incentive to adopt a new technology resulting from common payment systems, namely mixed cost reimbursement and DRG reimbursement. Adoption is based on a cost-benefit criterion. We find that retrospective payment systems require a large enough patient benefit to yield adoption, while under DRG-linked payment, adoption may arise in the absence of patients benefits when the differential reimbursement for the old vs new technology is large enough. Also, mixed cost reimbursement leads to higher adoption under conditions on the differential reimbursement levels and patient benefits. In policy terms, mixed cost reimbursement system may be more effective than a DRG payment system to induce technology adoption. Our analysis also shows that current economic evaluation criteria for new technologies do not capture the different ways payment systems influence technology adoption. This gives a new dimension to the discussion of prospective vs retrospective payment systems of the last decades centered on the debate of quality vs cost containment.
publishDate 2015
dc.date.none.fl_str_mv 2
2015-01-01
2015
2015-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/137383
https://dx.doi.org/urn:doi:10.1515/bejeap-2014-0113
url https://ddd.uab.cat/record/137383
https://dx.doi.org/urn:doi:10.1515/bejeap-2014-0113
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 ECO2012-31962
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://rightsstatements.org/vocab/InC/1.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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