Adoption and spread of new imaging technology: A case study: The data suggest that hospitals with higher operating margins were more likely to adopt 64-slice computed tomography

Health Affairs

Volumn 28, Issue 6, 2009, Pages w1122-w1132

  Ladapo, Joseph A ^a   Horwitz, Jill R ^b   Weinstein, Milton C ^c   Gazelle, G Scott ^d   Cutler, David M ^e  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^b UNIVERSITY OF MICHIGAN LAW SCHOOL   (United States)

^c HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e HARVARD UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOPTION; ADULT; ARTICLE; CARDIAC PATIENT; COMPUTER ASSISTED TOMOGRAPHY; HEART; HUMAN; ANGIOCARDIOGRAPHY; HEALTH CARE SURVEY; HEALTH ECONOMICS; HEALTH SERVICES RESEARCH; HOSPITAL; MASS COMMUNICATION; METHODOLOGY; UNITED STATES; UTILIZATION REVIEW;

CORONARY ANGIOGRAPHY; DIFFUSION OF INNOVATION; ECONOMICS, HOSPITAL; HEALTH CARE SURVEYS; HOSPITALS; HUMANS; ORGANIZATIONAL CASE STUDIES; TOMOGRAPHY, X-RAY COMPUTED; UNITED STATES;

EID: 77955924052     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.6.w1122     Document Type: Article

References (48)

1. Newhouse JP. Medical care costs: How much welfare loss? J Econ Persp. 1992;6(3):3–21.
2. Cutler DM, Mc Clellan M. Is technological change in medicine worth it? Health Aff (Millwood). 2001;20(5):11–29.
3. Cutler DM. Yourmoney or your life: Strongmedicine for America’s health care system. New York (NY): Oxford University Press; 2004.
4. Berndt ER, Bir A, Busch SH, Frank RG, Normand SL. The medical treatment of depression, 1991– 1996: Productive inefficiency, expected outcome variations, and price indexes. J Health Econ. 2002;21(3):373–96.
5. Berwick DM. Disseminating innovations in health care. JAMA. 2003;289(15):1969–75.
6. Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654–63.
7. Wilson CB. Adoption of new surgical technology. BMJ. 2006;332(7533):112–4.
8. Mitka M. CT angiography: Clearer picture, fuzzier reception. JAMA. 2006;295(17):1989–90.
9. Mitka M. Radiologists adjusting to revolution in CT. JAMA. 2006;295(7):745–6.
10. Ladapo JA, Hoffmann U, Bamberg F, Nagurney JT, Cutler DM, Weinstein MC, et al. Cost-effectiveness of coronary MDCT in the triage of patients with acute chest pain. AJR Am J Roentgenol. 2008;191(2):455–63.
11. Ryan, Douglas (Toshiba America Medical Systems Inc., Tustin, CA). Personal communication. 2008 Feb 25.
12. Leidecker, Christianne (Siemens, New York, NY). Personal communication. 2008 Mar 1.
13. Haas, De Ann (GE Healthcare, Waukesha, WI). Personal communication. 2008 Feb 25.
14. American Hospital Association. AHA annual survey of hospitals 1997–2006. Chicago (IL): AHA; 2006.
15. Goldstein JA, Gallagher MJ, O’Neill WW, Ross MA, O’Neil BJ, Raff GL. Arandomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain. J Am Coll Cardiol. 2007;49(8):863–71.
16. Hoffmann U, Nagurney JT, Moselewski F, Pena A, Ferencik M, Chae CU, et al. Coronary multidetector computed tomography in the assessment of patients with acute chest pain. Circulation. 2006;114(21):2251–60.
17. Kuntz KM, Fleischmann KE, Hunink MG, Douglas PS. Cost-effectiveness of diagnostic strategies for patients with chest pain. Ann Intern Med. 1999;130(9):709–18.
18. Achenbach S. Computed tomography coronary angiography. J Am Coll Cardiol. 2006;48(10): 1919–28.
19. Gorman C, Park A. How new heart-scanning technology could save your life. Time. 2005;166 (10):58–61, 67–8, 71.
20. Wolbarst AB, Hendee WR. Evolving and experimental technologies in medical imaging. Radiology. 2006;238(1):16–39.
21. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA. 2007;298(3):317–23.
22. Rumberger JA. Noncardiac abnormalities in diagnostic cardiac computed tomography: Within normal limits or we never looked! J Am Coll Cardiol. 2006;48(2):407–8.
23. Garcia MJ. Noninvasive coronary angiography: Hype or new paradigm? JAMA. 2005;293(20): 2531–3.
24. Budoff MJ, Fischer H, Gopal A. Incidental findings with cardiac CT evaluation: Should we read beyond the heart? Catheter Cardiovasc Interv. 2006;68(6):965–73.
25. Redberg RF, Walsh J. Pay now, benefits may follow— the case of cardiac computed tomographic angiography. N Engl J Med. 2008;359(22):2309–11.
26. Iglehart JK. Health insurers and medical-imaging policy—a work in progress. N Engl JMed. 2009; 360(10):1030–7.
27. Rothenberg BM. Medical technology as a driver of healthcare costs: Diagnostic imaging. Chicago (IL): Blue Cross and Blue Shield Association; 2003.
28. Iglehart JK. The new era of medical imaging— progress and pitfalls. N Engl J Med. 2006;354 (26):2822–8.
29. Teplensky JD, Pauly MV, Kimberly JR, Hillman AL, Schwartz JS. Hospital adoption of medical technology: An empirical test of alternative models. Health Serv Res. 1995;30(3):437–65.
30. Coleman JS, Katz E, Menzel H. Medical innovation: A diffusion study. New York (NY): Bobbs- Merrill Company; 1966.
31. Budoff MJ, Achenbach S, Blumenthal RS, Carr JJ, Goldin JG, Greenland P, et al. Assessment of coronary artery disease by cardiac computed tomography: A scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation. 2006;114(16): 1761–91.
32. Luft HS, Robinson JC, Garnick DW, Hughes RG, Mc Phee SJ, Hunt SS, et al. Hospital behavior in a local market context. Med Care Rev. 1986;43(2): 217–51.
33. Pauly MV, Redisch M. The not-for-profit hospital as a physician’s cooperative. Am Econ Rev. 1973;15(1):87–99.
34. Hillman AL, Schwartz JS. The diffusion of MRI: Patterns of siting and ownership in an era of changing incentives. AJR Am J Roentgenol. 1986; 146(5):963–9.
35. Robinson JC, Luft HS. Competition and the cost of hospital care, 1972 to 1982. JAMA. 1987;257 (23):3241–5.
36. Kessler DP, Mc Clellan MB. Is hospital competition socially wasteful? Quar J Econ. 2000;115(2): 577–615.
37. Centers for Medicare and Medicaid Services. Healthcare Cost Report Information System (HCRIS) [Internet]. Baltimore (MD): CMS; 2005 [cited 2008 Mar 7]. Available from: Http://www.cms.hhs.gov/CostReports
38. Centers for Medicare and Medicaid Services. Medicare provider analysis and review (Med PAR) file [Internet]. Baltimore(MD):CMS; 2004 [cited 2008 Jan 16]. Available from: Http://www.cms.hhs.gov/IdentifiableDataFiles/05_MedicareProviderAnalysisandReviewFile.asp
39. Flood, Kathleen, and Mc Cants, Henry (American College of Cardiology, Washington, DC). Personal communication. 2008 Mar 16.
40. Porter ME. Competitive advantage: Creating and sustaining superior performance. Old Tappan (NJ): Free Press; 1985.
41. Bietendorf J. FDG PET reimbursement. J Nucl Med Technol. 2004;32(1):33–8.
42. Danzon PM. Hospital “profits”: The effects of reimbursement policies. J Health Econ. 1982;1(1): 29–52.
43. Madison K. Multihospital system membership and patient treatments, expenditures, and outcomes. Health Serv Res. 2004;39(4 Pt 1):749–69.
44. Horwitz JR, Nichols A. What do nonprofits maximize? Nonprofit hospital service provision and market ownership mix. Cambridge (MA): National Bureau of Economic Research; 2007. Working Paper Series 2007; no. 13246.
45. A map depicting this information is available in an online appendix, at http://content.healthaffairs.org/cgi/content/full/hlthaff.28.6.w1122/DC2.
46. Pauly MV. Competition and new technology. Health Aff (Millwood). 2005;24(6):1523–35.
47. Coye MJ, Kell J. How hospitals confront new technology. Health Aff (Millwood). 2006;25(1): 163–73.
48. Prochaska, Gail (IMVMedical Information Division, Des Plains, IL). Personal communication, 2 Nov 2007.