메뉴 건너뛰기




Volumn 2, Issue 1-4, 2000, Pages 337-357

Variations in the utilization of medical technology as influenced by socio-economic factors in the case of magnetic resonance imaging (MRI)

Author keywords

Magnetic Resonance Imaging; medical technology; Socio economic factors; variations

Indexed keywords


EID: 84879086144     PISSN: 13682156     EISSN: 17415144     Source Type: Journal    
DOI: 10.1504/ijhtm.2000.001068     Document Type: Article
Times cited : (2)

References (59)
  • 1
    • 84951726784 scopus 로고    scopus 로고
    • The congressional Office of Technology Assessment defines ‘medical technology’ as comprising drugs, devices, medical or surgical procedures, and the organizational/administrative support within which medical care is delivered (US Congress 1994, p.1)
    • The congressional Office of Technology Assessment defines ‘medical technology’ as comprising drugs, devices, medical or surgical procedures, and the organizational/administrative support within which medical care is delivered (US Congress 1994, p.1).
  • 5
    • 0028269067 scopus 로고
    • New imaging technology and cost containment
    • Hillman, B.J. (1994) ‘New imaging technology and cost containment’, AJR, March, pp.503–506.
    • (1994) AJR , vol.March , pp. 503-506
    • Hillman, B.J.1
  • 6
    • 84951726786 scopus 로고    scopus 로고
    • ‘Pluralism’ is a term used by political theorists. Pluralists argue that many diverse groups (interest groups) in a democratic society which include all socio-economic strata, exert pressure to prevent any one elite group from overreaching its political bounds. This perspective has been appropriately and widely criticized [2, p.461]
    • ‘Pluralism’ is a term used by political theorists. Pluralists argue that many diverse groups (interest groups) in a democratic society which include all socio-economic strata, exert pressure to prevent any one elite group from overreaching its political bounds. This perspective has been appropriately and widely criticized [2, p.461].
  • 9
    • 0029022595 scopus 로고
    • US mortality by economic, demographic, and social characteristics: the national longitudinal mortality study.
    • Sorlie, P.D., Backlund, E. and Keller, J.B. (1995) ‘US mortality by economic, demographic, and social characteristics: the national longitudinal mortality study.’ American Journal of Public Health, Vol. 85, 949–956.
    • (1995) American Journal of Public Health , vol.85 , pp. 949-956
    • Sorlie, P.D.1    Backlund, E.2    Keller, J.B.3
  • 10
    • 0029298130 scopus 로고
    • Measuring social inequalities in health
    • Moss, N. and Krieger, N. (1995) ‘Measuring social inequalities in health’, Public Health Reports, May/June, pp.302–305.
    • (1995) Public Health Reports , vol.May/June , pp. 302-305
    • Moss, N.1    Krieger, N.2
  • 12
    • 0026772380 scopus 로고
    • Socio-economic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease
    • Winkleby, M.A., Jatulis, D.E. and Frank, E. (1992) ‘Socio-economic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease’, American Journal of Public Health, Vol. 82, p.816.
    • (1992) American Journal of Public Health , vol.82 , pp. 816
    • Winkleby, M.A.1    Jatulis, D.E.2    Frank, E.3
  • 13
    • 0027352909 scopus 로고
    • The relationship between socio-economic status and health: a review of the literature
    • Feinstein, J.S. (1993) ‘The relationship between socio-economic status and health: a review of the literature’, MilbankMemorial Fund, Vol. 71, No. 2, pp.279–322.
    • (1993) MilbankMemorial Fund , vol.71 , Issue.2 , pp. 279-322
    • Feinstein, J.S.1
  • 14
    • 0028935653 scopus 로고
    • The influence of socio-economic status on change in health status after hospitalization
    • Guadagnoli, E., Cleary, P.D. and Mcneil, B.J. (1995) ‘The influence of socio-economic status on change in health status after hospitalization’, Social Science and Medicine, Vol. 40, 1399–1406.
    • (1995) Social Science and Medicine , vol.40 , pp. 1399-1406
    • Guadagnoli, E.1    Cleary, P.D.2    Mcneil, B.J.3
  • 16
    • 0025349450 scopus 로고
    • Do the poor cost more?: a multihospital study of patient’s socio-economic status and use of hospital resources
    • Epstein, A.M., Robert, R.S. and Weissman, J.S. (1990) ‘Do the poor cost more?: a multihospital study of patient’s socio-economic status and use of hospital resources’, The New England Journal of Medicine, Vol. 322, pp.1122–8.
    • (1990) The New England Journal of Medicine , vol.322 , pp. 1122-1128
    • Epstein, A.M.1    Robert, R.S.2    Weissman, J.S.3
  • 17
    • 0027602248 scopus 로고
    • Socio-economic influence on small area hospital utilization
    • Supplement
    • McMohan, L.F., Wolfe, R.A., Griffith, J.R. and Cutherbertson, D. (1993) ‘Socio-economic influence on small area hospital utilization’, Medical Care, Vol. 31, pp.YS29–YS36, Supplement.
    • (1993) Medical Care , vol.31 , pp. YS29-YS36
    • McMohan, L.F.1    Wolfe, R.A.2    Griffith, J.R.3    Cutherbertson, D.4
  • 18
    • 0024673063 scopus 로고
    • Small-area variation in hospital discharge rates: do socio-economic variables matter
    • McLaughlin, C.G. and co-authors. (1989) ‘Small-area variation in hospital discharge rates: do socio-economic variables matter’, Medical Care, Vol. 27, pp.507–521.
    • (1989) Medical Care , vol.27 , pp. 507-521
    • McLaughlin, C.G.1
  • 19
    • 84951726787 scopus 로고    scopus 로고
    • In this study, socio-economic factors, socio-economic status (SES), and characteristics of population are used interchangeably. In addition to socio-economic status (SES), which generally refers to education, income, and occupation, in this study, socio-economic factors will also include the variable relation to proportion of medicare patients in a county
    • In this study, socio-economic factors, socio-economic status (SES), and characteristics of population are used interchangeably. In addition to socio-economic status (SES), which generally refers to education, income, and occupation, in this study, socio-economic factors will also include the variable relation to proportion of medicare patients in a county.
  • 20
    • 84951726788 scopus 로고
    • Nuclear magnetic resonance imaging technology: a clinical, industrial, and policy analysis
    • Washington, DC
    • Steinberg, E.P. (1984) ‘Nuclear magnetic resonance imaging technology: a clinical, industrial, and policy analysis’, Office of Technology Assessment, Washington, DC.
    • (1984) Office of Technology Assessment
    • Steinberg, E.P.1
  • 22
    • 84951726789 scopus 로고
    • MRI market saturated; unit prices drop and discounts increase
    • ECRI. (1994) ‘MRI market saturated; unit prices drop and discounts increase’, Health Technology Trends, August, p.5.
    • (1994) Health Technology Trends , vol.August , pp. 5
    • ECRI.1
  • 26
    • 84951714559 scopus 로고
    • Understanding variations in the use services: are there clinical explanations?
    • Update. (1984) ‘Understanding variations in the use services: are there clinical explanations?’, The Ciba Foundation. In: Health Affairs, Summer, pp.139.
    • (1984) The Ciba Foundation. In: Health Affairs , vol.Summer , pp. 139
    • Update.1
  • 27
    • 84951726791 scopus 로고    scopus 로고
    • The following discussion on small area variation and socio-economic factors draws mainly from the review articles by Feinstein (1993) and research papers by McLaughlin (1989), McMohan (1993), and Guadagnoli (1995)
    • The following discussion on small area variation and socio-economic factors draws mainly from the review articles by Feinstein (1993) and research papers by McLaughlin (1989), McMohan (1993), and Guadagnoli (1995).
  • 29
    • 0040574033 scopus 로고
    • An econometric analysis of spatial variations in mortality rates by age and sex.
    • (Ed.) Fuchs, V. Columbia University Press
    • Silver, M. (1972) ‘An econometric analysis of spatial variations in mortality rates by age and sex.’ In Essays in the Economics of Health and Medical Care, (Ed.) Fuchs, V. pp.161–227 Columbia University Press
    • (1972) Essays in the Economics of Health and Medical Care , pp. 161-227
    • Silver, M.1
  • 30
    • 84951726792 scopus 로고    scopus 로고
    • The report is the result of research assessing the evidence on equality in health in the United Kingdom in 1980. Universally known as the Black Report, its major claim is that health inequality has widened in the United Kingdom during the last 30 years, despite the attempt of the National Health Service to equalize healthcare access and outcomes. These findings are considered controversial and triggered an international debate which extended over the last decade (Feinstein 1993, p.296)
    • The report is the result of research assessing the evidence on equality in health in the United Kingdom in 1980. Universally known as the Black Report, its major claim is that health inequality has widened in the United Kingdom during the last 30 years, despite the attempt of the National Health Service to equalize healthcare access and outcomes. These findings are considered controversial and triggered an international debate which extended over the last decade (Feinstein 1993, p.296).
  • 33
    • 0022069520 scopus 로고
    • Commentary on patient need, equity, supplier-induced demand, and the need to access the outcome of common medical practices
    • Wennberg, J.E. (1985) ‘Commentary on patient need, equity, supplier-induced demand, and the need to access the outcome of common medical practices’, Medical Care, pp.512–520.
    • (1985) Medical Care , pp. 512-520
    • Wennberg, J.E.1
  • 34
    • 0023619065 scopus 로고
    • The paradox of appropriate care
    • November 13
    • Wennberg, J.E. (1987) ‘The paradox of appropriate care’, JAMA, November 13, pp.2568–2569.
    • (1987) JAMA , pp. 2568-2569
    • Wennberg, J.E.1
  • 35
    • 0023265527 scopus 로고
    • Inter-area variations in age-adjusted health status
    • Blumberg, M.S. (1987) ‘Inter-area variations in age-adjusted health status’, Medical Care, Vol. 25, p.340.
    • (1987) Medical Care , vol.25 , pp. 340
    • Blumberg, M.S.1
  • 36
    • 0022004026 scopus 로고
    • A statistical analysis of reasons for east-west differences in hospital use
    • Knickman, J.R. and Foltz, A. (1985) ‘A statistical analysis of reasons for east-west differences in hospital use’, Inquiary, Vol. 22, No. 45.
    • (1985) Inquiary , vol.22 , Issue.45
    • Knickman, J.R.1    Foltz, A.2
  • 37
    • 0023251983 scopus 로고
    • HMO growth and hospital expenses and use: a simultaneous- equation approach
    • McLaughlin, C.G. (1987) ‘HMO growth and hospital expenses and use: a simultaneous- equation approach’, Health Services Research, Vol. 22, p.183.
    • (1987) Health Services Research , vol.22 , pp. 183
    • McLaughlin, C.G.1
  • 38
    • 84951726794 scopus 로고
    • prepared for the session SES and Disease, Annual Scientific Meeting, the American College of Epidemiology, September 10–12, St. Louis, MO
    • Krieger, N. and Moss, N. (1995) ‘Measurement of socio-economic position in epidemiologic research’, prepared for the session SES and Disease, Annual Scientific Meeting, the American College of Epidemiology, September 10–12, St. Louis, MO.
    • (1995) Measurement of socio-economic position in epidemiologic research
    • Krieger, N.1    Moss, N.2
  • 39
    • 0020336358 scopus 로고
    • Surgical rate variations: do they reflect the health of socioeconomic characteristics of the population?
    • Roos, N.P. and Roos, L.L. (1982) ‘Surgical rate variations: do they reflect the health of socioeconomic characteristics of the population?’ Medical Care, Vol. 20, p.945.
    • (1982) Medical Care , vol.20 , pp. 945
    • Roos, N.P.1    Roos, L.L.2
  • 40
    • 0021808059 scopus 로고
    • Pattern of utilization: the patient perspective
    • Hulka, B.S. and Wheat, J.R. (1985) ‘Pattern of utilization: the patient perspective’, Medical Care, May, pp.438–460.
    • (1985) Medical Care , vol.May , pp. 438-460
    • Hulka, B.S.1    Wheat, J.R.2
  • 41
    • 0021015956 scopus 로고
    • Bed availability and hospital utilization: estimates of Roemer effect
    • Ginsburg, P.B. and Koretz, D.M. (1983) ‘Bed availability and hospital utilization: estimates of Roemer effect’, Health Care Financing Reviews, Vol. 5, p.87.
    • (1983) Health Care Financing Reviews , vol.5 , pp. 87
    • Ginsburg, P.B.1    Koretz, D.M.2
  • 42
    • 0015746103 scopus 로고
    • Societal and individual determinants of medical care utilization in the US
    • Andersen R. and Newman, J. (1973) ‘Societal and individual determinants of medical care utilization in the US’, MilbankMemorial Fund Quarterly-Health Society, Vol. 51, pp.95–124.
    • (1973) MilbankMemorial Fund Quarterly-Health Society , vol.51 , pp. 95-124
    • Andersen, R.1    Newman, J.2
  • 44
    • 0019772827 scopus 로고
    • Equity of access to medical care
    • Aday, L.A. and Andersen, R. (1981) ‘Equity of access to medical care’, Medical Care, Vol. 19 (suppl.) pp.4–27.
    • (1981) Medical Care , vol.19 , pp. 4-27
    • Aday, L.A.1    Andersen, R.2
  • 45
    • 0016109898 scopus 로고
    • A framework for the study of access to medical care
    • Aday, L.A. and Andersen, R. (1974) ‘A framework for the study of access to medical care’, Health Services Research, Vol. 9, pp.208–220.
    • (1974) Health Services Research , vol.9 , pp. 208-220
    • Aday, L.A.1    Andersen, R.2
  • 46
    • 84951726795 scopus 로고    scopus 로고
    • The description of the models and other patterns of utilization of health services in the literature are adapted heavily from Williams (1993)
    • The description of the models and other patterns of utilization of health services in the literature are adapted heavily from Williams (1993).
  • 49
    • 84951726796 scopus 로고    scopus 로고
    • Usually a local hospital market area contains 10,000 to 200,000 people, there are often several local market areas in a county
    • Usually a local hospital market area contains 10,000 to 200,000 people, there are often several local market areas in a county.
  • 50
    • 0021637530 scopus 로고
    • Dealing with medical practice variation: a proposal for action
    • Wennberg, J.E. (1984) ‘Dealing with medical practice variation: a proposal for action’, Health Affairs, Summer, pp.6–32.
    • (1984) Health Affairs , vol.Summer , pp. 6-32
    • Wennberg, J.E.1
  • 52
    • 84951726797 scopus 로고    scopus 로고
    • This study will adopt the typical custom in social science of using ‘causal diagrams’ as a convenient device to represent hypotheses about causal relationships among variables. In such diagrams, an arrow is drawn from a variable X to a variable Y (X-Y) to represent the assertion that X is a cause of Y (Berry, 1984, p.90)
    • This study will adopt the typical custom in social science of using ‘causal diagrams’ as a convenient device to represent hypotheses about causal relationships among variables. In such diagrams, an arrow is drawn from a variable X to a variable Y (X-Y) to represent the assertion that X is a cause of Y (Berry, 1984, p.90).
  • 55
    • 0007105811 scopus 로고
    • Path analysis: an introduction for school psychologists
    • Keith, T.Z. (1988) ‘Path analysis: an introduction for school psychologists’, School Psychology Review, Vol. 12, No.2, pp.343–362.
    • (1988) School Psychology Review , vol.12 , Issue.2 , pp. 343-362
    • Keith, T.Z.1
  • 56
    • 0023820567 scopus 로고
    • The association of patients’ socio-economic characteristics with the length of hospital stay and hospital charges within diagnosis-related groups
    • and c-authors
    • Epstein, A.M. and c-authors (1988) ‘The association of patients’ socio-economic characteristics with the length of hospital stay and hospital charges within diagnosis-related groups’, New England Journal of Medicine, Vol. 318, p.1579.
    • (1988) New England Journal of Medicine , vol.318 , pp. 1579
    • Epstein, A.M.1
  • 57
    • 84951726798 scopus 로고    scopus 로고
    • Technology here encompasses most elements of health treatment, including pharmaceuticals, devices, medical or surgical procedures, support systems, and organizational/administrative systems. Assessment may address one or more aspects or attributes of technology such as safety, efficacy, effectiveness, cost/cost effectiveness, cost-benefit, and ethical/legal/social implementations. Assessment Methods include laboratory testing, clinical trials, epidemiological methods, cost analysis, simulation/modelling, group judgement, expert opinion, and literature syntheses (Institute of Medicine 1985, pp.257–259)
    • Technology here encompasses most elements of health treatment, including pharmaceuticals, devices, medical or surgical procedures, support systems, and organizational/administrative systems. Assessment may address one or more aspects or attributes of technology such as safety, efficacy, effectiveness, cost/cost effectiveness, cost-benefit, and ethical/legal/social implementations. Assessment Methods include laboratory testing, clinical trials, epidemiological methods, cost analysis, simulation/modelling, group judgement, expert opinion, and literature syntheses (Institute of Medicine 1985, pp.257–259).
  • 59
    • 84951726799 scopus 로고    scopus 로고
    • The Public Health Service, under National Institute of Health (NIH) leadership, funded a meeting in 1994, to address these data gaps and related issues in the measurement of social inequalities in health (Moss, 1995)
    • The Public Health Service, under National Institute of Health (NIH) leadership, funded a meeting in 1994, to address these data gaps and related issues in the measurement of social inequalities in health (Moss, 1995).


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.