Technology Diffusion and Productivity Growth in Health Care

• 成果类型: Article
• 署名作者: Skinner, Jonathan; Staiger, Douglas
• 署名单位: Dartmouth College; National Bureau of Economic Research
• 刊物名称: REVIEW OF ECONOMICS AND STATISTICS
• ISSN/ISSBN: 0034-6535
• DOI: 10.1162/REST_a_00535
• 发表日期: 2015-12
• 页码: 951-964
• 关键词: association task-force; willingness-to-pay; adjusted life year; beta-blocker use; myocardial-infarction; management-practices; regional-variations; QUALITY; exploration; GUIDELINES

摘要

We draw on macroeconomic models of diffusion and productivity to explain empirical patterns of survival gains in heart attacks. Using Medicare data for 2.8 million patients from 1986 to 2004, we find that hospitals rapidly adopting cost-effective innovations such as beta blockers, aspirin, and reperfusion had substantially better outcomes for their patients. Holding technology adoption constant, the marginal returns to spending were relatively modest. Hospitals increasing the pace of technology diffusion (tigers) experienced triple the survival gains compared to those with diminished rates (tortoises). In sum, small differences in the propensity to adopt effective technology lead to wide productivity differences across hospitals.