| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w23530 |
| 来源ID | Working Paper 23530 |
| The Role of Hospital and Market Characteristics in Invasive Cardiac Service Diffusion | |
| Jill R. Horwitz; Charleen Hsuan; Austin Nichols | |
| 发表日期 | 2017-06-26 |
| 出版年 | 2017 |
| 语种 | 英语 |
| 摘要 | Little is known about how the adoption and diffusion of medical innovation is related to and influenced by market characteristics such as competition. The particular complications involved in investigating these relationships in the health care sector may explain the dearth of research. We examine diagnostic angiography, percutaneous coronary interventions (PCI), and coronary artery bypass grafting (CABG), three invasive cardiac services. We document the relationship between the adoption by hospitals of these three invasive cardiac services and the characteristics of hospitals, their markets, and the interactions among them, from 1996-2014. The results show that the probability of hospitals adopting a new cardiac service depends on competition in two distinct ways: 1) hospitals are substantially more likely to adopt an invasive cardiac service if competitor hospitals also adopt new services; 2) hospitals are less likely to adopt a new service if a larger fraction of the nearby population already has geographic access to the service at a nearby hospital. The first effect is stronger, leading to the net effect of hospitals duplicating access rather than expanding access to care. In addition, for-profit hospitals are considerably more likely to adopt these cardiac services than either nonprofit or government-owned hospitals. Nonprofit hospitals in high for-profit markets are also more likely to adopt them relative to other nonprofits. These results suggest that factors other than medical need, such as a medical arms race, partially explain technological adoption. |
| 主题 | Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance ; Firm Behavior ; Nonprofits ; Industry Studies |
| URL | https://www.nber.org/papers/w23530 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/581205 |
| 推荐引用方式 GB/T 7714 | Jill R. Horwitz,Charleen Hsuan,Austin Nichols. The Role of Hospital and Market Characteristics in Invasive Cardiac Service Diffusion. 2017. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w23530.pdf（769KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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