Technological adoption in health care - The role of payment systems


Autoria(s): Barros, Pedro; Martinez-Giralt, Xavier
Data(s)

17/10/2013

17/10/2013

2013

Resumo

This paper examines the incentive to adopt a new technology given by some popular reimbursement systems, namely 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, adoption may arise in the absence of patients benefits when the differential reimbursement for the old vs. new technology is large enough. Also, cost reimbursement leads to higher adoption under some conditions on the differential reimbursement levels and patient benefits. In policy terms, cost reimbursement system may be more effective than a DRG payment system. 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.

Identificador

http://hdl.handle.net/10362/10599

Idioma(s)

eng

Relação

Ação Integrada E97/04 and PTDC/Eco/71867/2006 (Pedro P. Barros); Research projects 2009SGR-169, ECO2012-31962, Severo Ochoa Programme for Centres of Excellence in R&D - SEV-2011-0075 (Xavier Martinez-Giralt).

Direitos

openAccess

Palavras-Chave #health technology #payment system
Tipo

other