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Volumn 5, Issue 1, 2013, Pages 223-234

Medical technology as a key driver of rising health expenditure: Disentangling the relationship

Author keywords

Costs; Health expenditure; Health policy; Medical technology

Indexed keywords

ARTICLE; COST BENEFIT ANALYSIS; COST CONTROL; COST EFFECTIVENESS ANALYSIS; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HEALTH ECONOMICS; HEALTH SERVICE; HUMAN; MEDICAL INFORMATION; MEDICAL TECHNOLOGY; MULTIVARIATE ANALYSIS; SOCIOECONOMICS;

EID: 84878511206     PISSN: None     EISSN: 11786981     Source Type: Journal    
DOI: 10.2147/CEOR.S39634     Document Type: Article
Times cited : (130)

References (55)
  • 1
    • 80052220569 scopus 로고    scopus 로고
    • Organisation for Economic Co-operation and Development, Paris, France: Organisation For Economic Co-operation and Development, Available from
    • Organisation for Economic Co-operation and Development. OECD Health Data 2011. Paris, France: Organisation for Economic Co-operation and Development; 2011. Available from http://www.oecd.org/health/health-systems/healthataglance2011.htm.
    • (2011) OECD Health Data 2011
  • 2
    • 0027479570 scopus 로고
    • Trends in Medicare payments in the last year of life
    • Lubitz JD, Riley GF. Trends in Medicare payments in the last year of life. N Engl J Med. 1993;328:1092-1096.
    • (1993) N Engl J Med , vol.328 , pp. 1092-1096
    • Lubitz, J.D.1    Riley, G.F.2
  • 3
    • 84892782859 scopus 로고    scopus 로고
    • Organisation for Economic Co-operation and Development, Paris, France: Organisation for Economic Co-operation and Development
    • Organisation for Economic Co-operation and Development. OECD Health at a Glance: Europe 2010. Paris, France: Organisation for Economic Co-operation and Development; 2010.
    • (2010) OECD Health At a Glance: Europe 2010
  • 4
    • 33749074966 scopus 로고    scopus 로고
    • Organisation for Economic Co-operation and Development, Organisation for Economic Co-operation and Development Economic Department Working Paper, No 477, Available from, Accessed March 15, 2013
    • Organisation for Economic Co-operation and Development. Projecting OECD Health and Long Term Care Expenditures: What are the Main Drivers? Organisation for Economic Co-operation and Development Economic Department Working Paper, No 477; 2006. Available from: http://www.oecd.org/tax/public-finance/36085940.pdf. Accessed March 15, 2013.
    • (2006) Projecting OECD Health and Long Term Care Expenditures: What Are the Main Drivers?
  • 5
    • 77953528423 scopus 로고    scopus 로고
    • Centers for Disease Control and Prevention, US Department of Health and Human Services: Hyattsville, MD, Available from, Accessed March 15, 2013
    • Centers for Disease Control and Prevention. Health, United States, 2009 with Special Feature on Medical Technology. US Department of Health and Human Services: Hyattsville, MD; 2009. Available from: http://www.cdc.gov/nchs/data/hus/hus09.pdf. Accessed March 15, 2013.
    • (2009) Health, United States, 2009 With Special Feature On Medical Technology
  • 6
    • 84878500690 scopus 로고    scopus 로고
    • Congressional Budget Office, Congressional Budget Office: Washington, DC: Congressional Budget Office
    • Congressional Budget Office. Technological Change and The Growth of Health Care Spending. Congressional Budget Office: Washington, DC: Congressional Budget Office; 2008.
    • (2008) Technological Change and The Growth of Health Care Spending
  • 7
    • 4244052903 scopus 로고    scopus 로고
    • PricewaterhouseCoopers, Report prepared for the American Association of Health Plans, Available from, Accessed March 15, 2013
    • PricewaterhouseCoopers. The Factors Fueling Risking Healthcare Costs. Report prepared for the American Association of Health Plans; 2002. Available from: http://heartland.org/sites/all/modules/custom/heartland_migration/fles/pdfs/14621.pdf. Accessed March 15, 2013.
    • (2002) The Factors Fueling Risking Healthcare Costs
  • 8
    • 0030089572 scopus 로고    scopus 로고
    • Economics, values, and health care reform
    • Fuchs VR. Economics, values, and health care reform. Am Econ Rev. 1996;86(1):1-24.
    • (1996) Am Econ Rev , vol.86 , Issue.1 , pp. 1-24
    • Fuchs, V.R.1
  • 10
    • 0026883171 scopus 로고
    • Medical care costs: How much welfare loss?
    • Newhouse J. Medical care costs: How much welfare loss? J Econ Perspect. 1992;6:3-21.
    • (1992) J Econ Perspect , vol.6 , pp. 3-21
    • Newhouse, J.1
  • 11
    • 84878497582 scopus 로고    scopus 로고
    • The socio-economic value of orthopaedic devices: Evidence and methodological challenges
    • Sorenson C, Drummond M. The socio-economic value of orthopaedic devices: Evidence and methodological challenges. Orthopedic Research and Reviews. 2012;4:87-96.
    • (2012) Orthopedic Research and Reviews , vol.4 , pp. 87-96
    • Sorenson, C.1    Drummond, M.2
  • 12
    • 84878505177 scopus 로고    scopus 로고
    • Centre for Review and Dissemination, York, UK: Centre for Review and Dissemination, Available from
    • Centre for Review and Dissemination. Abstractors Guide for NHS EED. York, UK: Centre for Review and Dissemination; 2009. Available from: http://ospguides.ovid.com/OSPguides/cleeddb.htm.
    • (2009) Abstractors Guide For NHS EED
  • 14
    • 0036156477 scopus 로고    scopus 로고
    • Technology as a major driver of health care costs: A cointegration analysis of the Newhouse conjecture
    • Okunade AA, Murthy VNR. Technology as a major driver of health care costs: a cointegration analysis of the Newhouse conjecture. J Health Econ. 2002;21:147-159.
    • (2002) J Health Econ , vol.21 , pp. 147-159
    • Okunade, A.A.1    Murthy, V.N.R.2
  • 15
    • 9644302624 scopus 로고    scopus 로고
    • The macro determinants of health expenditure in the United States and Canada: Assessing the impact of income, age distribution and time
    • Di Matteo L. The macro determinants of health expenditure in the United States and Canada: assessing the impact of income, age distribution and time. Health Policy. 2005;71:23-42.
    • (2005) Health Policy , vol.71 , pp. 23-42
    • Di, M.L.1
  • 16
    • 0038105334 scopus 로고    scopus 로고
    • National Bureau of Economic Research Working Paper Series, No 9325, Available from, Accessed March 15, 2013
    • Jones CI. Why have Health Expenditures as a Share of GDP Risen So Much? National Bureau of Economic Research Working Paper Series, No 9325; 2002. Available from: http://ideas.repec.org/p/nbr/nberwo/9325.html. Accessed March 15, 2013.
    • (2002) Why Have Health Expenditures As a Share of GDP Risen So Much?
    • Jones, C.I.1
  • 17
    • 0029319598 scopus 로고
    • A historical analysis of medical spending growth, 1960-1993
    • Peden EA, Freeland MS. A historical analysis of medical spending growth, 1960-1993. Health Affairs. 1995;14:235-247.
    • (1995) Health Affairs , vol.14 , pp. 235-247
    • Peden, E.A.1    Freeland, M.S.2
  • 18
    • 78649504376 scopus 로고    scopus 로고
    • European Economy - Economic Paper 400. Brussels, Belgium: Directorate General for Economic and Monetary Affairs, European Commission, Available from
    • Dybczak K, Przywara B. The Role of Technology on Health Care Expenditure on the EU. European Economy - Economic Paper 400. Brussels, Belgium: Directorate General for Economic and Monetary Affairs, European Commission; 2010. Available from: http://ec.europa.eu/economy_fnance/publications/economic_paper/2010/ecp400_en.htm.
    • (2010) The Role of Technology On Health Care Expenditure On the EU
    • Dybczak, K.1    Przywara, B.2
  • 20
    • 0022344923 scopus 로고
    • Changes in the cost of treatment of selected illnesses, 1971-1981
    • Scitovski AA. Changes in the cost of treatment of selected illnesses, 1971-1981. Med Care. 1985;23:1345-1357.
    • (1985) Med Care , vol.23 , pp. 1345-1357
    • Scitovski, A.A.1
  • 21
    • 0033795649 scopus 로고    scopus 로고
    • Estimating the impact of a diffuse technology on the running costs of a hospital
    • Bryan S, Buxton M, Brenna E. Estimating the impact of a diffuse technology on the running costs of a hospital. Int J Technol Assess. 2000;16:787-798.
    • (2000) Int J Technol Assess , vol.16 , pp. 787-798
    • Bryan, S.1    Buxton, M.2    Brenna, E.3
  • 22
    • 0000704499 scopus 로고
    • The health care quadrilemma: An essay on technological change, insurance, quality of care and cost containment
    • Weisbrod BA. The health care quadrilemma: an essay on technological change, insurance, quality of care and cost containment. J Econ Lit. 1991;29:523-532.
    • (1991) J Econ Lit , vol.29 , pp. 523-532
    • Weisbrod, B.A.1
  • 23
    • 0027931598 scopus 로고
    • Medical innovation duels cost containment
    • Rettig RA. Medical innovation duels cost containment. Health Aff (Millwood). 1994;13:7-27.
    • (1994) Health Aff (Millwood) , vol.13 , pp. 7-27
    • Rettig, R.A.1
  • 24
    • 0008178047 scopus 로고    scopus 로고
    • Health care for the elderly: How much? Who will pay for it?
    • Fuchs VR. Health care for the elderly: how much? Who will pay for it? Health Aff (Millwood). 1999;18:11-21.
    • (1999) Health Aff (Millwood) , vol.18 , pp. 11-21
    • Fuchs, V.R.1
  • 25
    • 0344646776 scopus 로고    scopus 로고
    • Is technological change in medicine worth it?
    • Cutler DM, McClellan M. Is technological change in medicine worth it? Health Aff (Millwood). 2001;20:11-29.
    • (2001) Health Aff (Millwood) , vol.20 , pp. 11-29
    • Cutler, D.M.1    McClellan, M.2
  • 26
    • 0035058303 scopus 로고    scopus 로고
    • Managed care and technology adoption in health care: Evidence from magnetic resonance imaging
    • Baker LC. Managed care and technology adoption in health care: evidence from magnetic resonance imaging. J Health Econ. 2001;20:395-421.
    • (2001) J Health Econ , vol.20 , pp. 395-421
    • Baker, L.C.1
  • 27
    • 0347981188 scopus 로고    scopus 로고
    • Managed care and medical technology: Implications for cost growth
    • Chernew M, Fendrick AM, Hirth RA. Managed care and medical technology: implications for cost growth. Health Aff (Millwood). 1997;16:196-206.
    • (1997) Health Aff (Millwood) , vol.16 , pp. 196-206
    • Chernew, M.1    Fendrick, A.M.2    Hirth, R.A.3
  • 28
    • 0037373638 scopus 로고    scopus 로고
    • Technological development and medical productivity: The diffusion of angioplasty in New York state
    • Cutler DM, Huckman RS. Technological development and medical productivity: the diffusion of angioplasty in New York state. J Health Econ. 2003;22:187-217.
    • (2003) J Health Econ , vol.22 , pp. 187-217
    • Cutler, D.M.1    Huckman, R.S.2
  • 29
    • 44649149706 scopus 로고    scopus 로고
    • Does health care spending improve health outcomes? Evidence from English programme budgeting data
    • Martin S, Rice N, Smith PC. Does health care spending improve health outcomes? Evidence from English programme budgeting data. J Health Econ. 2008;27:826-842.
    • (2008) J Health Econ , vol.27 , pp. 826-842
    • Martin, S.1    Rice, N.2    Smith, P.C.3
  • 30
    • 5144230727 scopus 로고    scopus 로고
    • In-hospital costs of self-expanding nitinol stent implantation vs. balloon angioplasty in the femoropopliteal artery (The VascuCoil Trial)
    • Greenberg D, Rosenfeld K, Garcia LA, et al. In-hospital costs of self-expanding nitinol stent implantation vs. balloon angioplasty in the femoropopliteal artery (The VascuCoil Trial). J Vasc Interv Radiol. 2004;15:1065-1069.
    • (2004) J Vasc Interv Radiol , vol.15 , pp. 1065-1069
    • Greenberg, D.1    Rosenfeld, K.2    Garcia, L.A.3
  • 31
    • 15844430483 scopus 로고    scopus 로고
    • One-year cost-effectiveness of sirolimus eluting stents compared with bare metal stents in the treatment of single native de novo coronary lesions: An analysis from the Ravel trial
    • Von Hout BA, Serruys P W, Lemos PA, et al. One-year cost-effectiveness of sirolimus eluting stents compared with bare metal stents in the treatment of single native de novo coronary lesions: an analysis from the Ravel trial. Heart. 2005;91:507-512.
    • (2005) Heart , vol.91 , pp. 507-512
    • von Hout, B.A.1    Serruys, P.W.2    Lemos, P.A.3
  • 32
    • 29644441432 scopus 로고    scopus 로고
    • Cost-effectiveness of drug eluting coronary artery stenting in a UK setting: Cost-utility study
    • Bagust A, Grayson AD, Palmer ND, Perry RA, Walley T. Cost-effectiveness of drug eluting coronary artery stenting in a UK setting: cost-utility study. Heart. 2006;92:68-74.
    • (2006) Heart , vol.92 , pp. 68-74
    • Bagust, A.1    Grayson, A.D.2    Palmer, N.D.3    Perry, R.A.4    Walley, T.5
  • 33
    • 4344665781 scopus 로고    scopus 로고
    • Specifying technical change: A research on the nature of technical change in Dutch hospital industry
    • Blank J, Vogelaar I. Specifying technical change: a research on the nature of technical change in Dutch hospital industry. Q Rev Econ Finance. 2004;44:448-463.
    • (2004) Q Rev Econ Finance , vol.44 , pp. 448-463
    • Blank, J.1    Vogelaar, I.2
  • 34
    • 0026985618 scopus 로고
    • Contributions of case mix and intensity change to hospital cost increases
    • Bradley TB, Kominski G F. Contributions of case mix and intensity change to hospital cost increases. Health Care Financ Rev. 1992;14:151-163.
    • (1992) Health Care Financ Rev , vol.14 , pp. 151-163
    • Bradley, T.B.1    Kominski, G.F.2
  • 35
    • 44649196389 scopus 로고    scopus 로고
    • Is managed care restraining the adoption of technology by hospitals?
    • Mas N, Seinfeld J. Is managed care restraining the adoption of technology by hospitals? J Health Econ. 2008;27:1026-1045.
    • (2008) J Health Econ , vol.27 , pp. 1026-1045
    • Mas, N.1    Seinfeld, J.2
  • 37
    • 80155170562 scopus 로고    scopus 로고
    • CEPR Discussion Papers 7558, Available from, Accessed March 17, 2013
    • Barros P, Martinez-Giralt X. Technological Adoption in Health Care. CEPR Discussion Papers 7558; 2009. Available from: http://ideas.repec.org/p/unl/unlfep/wp545.html. Accessed March 17, 2013.
    • (2009) Technological Adoption In Health Care
    • Barros, P.1    Martinez-Giralt, X.2
  • 38
    • 79952619973 scopus 로고    scopus 로고
    • Medical technology procurement in Europe: A cross-country comparison of current practice and policy
    • Sorenson C, Kanavos P. Medical technology procurement in Europe: a cross-country comparison of current practice and policy. Health Policy. 2011;100:43-50.
    • (2011) Health Policy , vol.100 , pp. 43-50
    • Sorenson, C.1    Kanavos, P.2
  • 40
    • 36448934119 scopus 로고    scopus 로고
    • The lifetime costs and benefits of medical technology
    • Cutler DM. The lifetime costs and benefits of medical technology. J Health Econ. 2007;26:1081-1100.
    • (2007) J Health Econ , vol.26 , pp. 1081-1100
    • Cutler, D.M.1
  • 41
    • 78649934527 scopus 로고    scopus 로고
    • Diffusion of innovations in health care: Does the structural context determine its direction?
    • Lambooij MS, Westert G P. Diffusion of innovations in health care: does the structural context determine its direction? Int J Technol Assess. 2010;26:415-420.
    • (2010) Int J Technol Assess , vol.26 , pp. 415-420
    • Lambooij, M.S.1    Westert, G.P.2
  • 42
    • 51549110753 scopus 로고    scopus 로고
    • Costs and outcomes of total hip and knee joint replacement for rheumatoid arthritis
    • March LM, Barcinilla AL, Cross MJ, et al. Costs and outcomes of total hip and knee joint replacement for rheumatoid arthritis. Clin Rheumatol. 2008;27:1235-1242.
    • (2008) Clin Rheumatol , vol.27 , pp. 1235-1242
    • March, L.M.1    Barcinilla, A.L.2    Cross, M.J.3
  • 43
    • 42649107210 scopus 로고    scopus 로고
    • Cost-effectiveness of cemented versus cementless total hip anthroplasty. A Markov decision analysis based on implant cost
    • Marinelli M, Soccetti A, Panfoli N, de Palma L. Cost-effectiveness of cemented versus cementless total hip anthroplasty. A Markov decision analysis based on implant cost. J Orthop Traumatol. 2008;9:23-28.
    • (2008) J Orthop Traumatol , vol.9 , pp. 23-28
    • Marinelli, M.1    Soccetti, A.2    Panfoli, N.3    de Palma, L.4
  • 44
    • 17144379282 scopus 로고    scopus 로고
    • Cardiac resynchronization therapy (CRT) in heart failure: A model to assess the economic value of this new medical technology
    • Banz K. Cardiac resynchronization therapy (CRT) in heart failure: a model to assess the economic value of this new medical technology. Value Health. 2005;8:128-139.
    • (2005) Value Health , vol.8 , pp. 128-139
    • Banz, K.1
  • 45
    • 35549012256 scopus 로고    scopus 로고
    • Cost-effectiveness of drug-eluting stents in patients at high or low risk of major cardiac events in the Basel Stent KostenEff Ektivitäts Trial (BASKET): An 18-month analysis
    • Brunner-La Rocca H P, Kaiser C, Bernheim A, et al. Cost-effectiveness of drug-eluting stents in patients at high or low risk of major cardiac events in the Basel Stent KostenEff Ektivitäts Trial (BASKET): an 18-month analysis. Lancet. 2007;370:155-159.
    • (2007) Lancet , vol.370 , pp. 155-159
    • Brunner-La, R.H.P.1    Kaiser, C.2    Bernheim, A.3
  • 46
    • 0038127272 scopus 로고    scopus 로고
    • Hospital cost drivers: An evaluation of 1998-2001 state-level data
    • Hay J W. Hospital cost drivers: an evaluation of 1998-2001 state-level data. Am J Manag Care. 2003;9:SP13-SP24.
    • (2003) Am J Manag Care , vol.9
    • Hay, J.W.1
  • 48
    • 0025182087 scopus 로고
    • Estimating costs in the economic evaluation of medical technologies
    • Luce BR, Elixhauser A. Estimating costs in the economic evaluation of medical technologies. Int J Technol Assess. 1990;6:57-75.
    • (1990) Int J Technol Assess , vol.6 , pp. 57-75
    • Luce, B.R.1    Elixhauser, A.2
  • 49
    • 33748161812 scopus 로고    scopus 로고
    • The value of medical spending in the United States, 1960-2000
    • Cutler DM, Rosen AB, Vijan S. The value of medical spending in the United States, 1960-2000. N Engl J Med. 2006;355:920-927.
    • (2006) N Engl J Med , vol.355 , pp. 920-927
    • Cutler, D.M.1    Rosen, A.B.2    Vijan, S.3
  • 50
    • 78449285352 scopus 로고    scopus 로고
    • National Bureau of Economic Research Working Paper Series, No 14865, Available from, Accessed March 17, 2013
    • Skinner J, Staiger D. Technology Diffusion and Productivity Growth in Health Care. National Bureau of Economic Research Working Paper Series, No 14865; 2009. Available from: http://www.dartmouth.edu/jskinner/documents/SkinnerStaigerw14865_000.pdf. Accessed March 17, 2013.
    • (2009) Technology Diffusion and Productivity Growth In Health Care
    • Skinner, J.1    Staiger, D.2
  • 51
    • 33645689325 scopus 로고    scopus 로고
    • Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics: The case of alternative bearing surfaces in total hip arthroplasty
    • Bozic KJ, Morshed S, Silverstein MD, Rubash HE, Kahn JG. Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics: the case of alternative bearing surfaces in total hip arthroplasty. J Bone Joint Surg Am. 2006;88:706-714.
    • (2006) J Bone Joint Surg Am , vol.88 , pp. 706-714
    • Bozic, K.J.1    Morshed, S.2    Silverstein, M.D.3    Rubash, H.E.4    Kahn, J.G.5
  • 52
    • 3442887066 scopus 로고    scopus 로고
    • Cost-effectiveness of hip protectors in the prevention of osteoporosis related hip fractures in elderly nursing home residents
    • Singh S, Sun H, Anis AH. Cost-effectiveness of hip protectors in the prevention of osteoporosis related hip fractures in elderly nursing home residents. J Rheumatol. 2004;31:1607-1613.
    • (2004) J Rheumatol , vol.31 , pp. 1607-1613
    • Singh, S.1    Sun, H.2    Anis, A.H.3
  • 53
    • 0036123822 scopus 로고    scopus 로고
    • Cost and effectiveness of hip protectors among the elderly
    • Segui-Gomez M, Keuffel E, Frick KD. Cost and effectiveness of hip protectors among the elderly. Int J Technol Assess. 2002;18:55-66.
    • (2002) Int J Technol Assess , vol.18 , pp. 55-66
    • Segui-Gomez, M.1    Keuffel, E.2    Frick, K.D.3
  • 54
    • 3042684446 scopus 로고    scopus 로고
    • Physicians' views of the relative importance of thirty medical innovations
    • Fuchs VR, Sox HC. Physicians' views of the relative importance of thirty medical innovations. Health Aff (Millwood). 2001;20:30-42.
    • (2001) Health Aff (Millwood) , vol.20 , pp. 30-42
    • Fuchs, V.R.1    Sox, H.C.2
  • 55
    • 79955637666 scopus 로고    scopus 로고
    • Applying health economics for policy decision making: How much do devices differ from drugs?
    • Sorenson C, Tarricone R, Siebert M, Drummond M. Applying health economics for policy decision making: how much do devices differ from drugs? Europace. 2011;13 SUPPL 2:ii54-ii58.
    • (2011) Europace , vol.13 , Issue.SUPPL. 2
    • Sorenson, C.1    Tarricone, R.2    Siebert, M.3    Drummond, M.4


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