Regulating the diffusion of hospital technologies.
In order to evaluate effect of regulation on technological innovation and diffusion in an industry, we need two benchmarks-a notion of how industry ought to behave and a notion of how it would behave in absence of regulation-so that we can judge extent to which regulation brings it closer to ideal or pushes it farther away. In much of regulation literature standard of ideal behavior is competitive market. Regulation is considered appropriate when unregulated industry departs from competitive ideal in important ways, which are labelled failures. More precisely, competitive standard requires that decisions be made so that benefits (measured by price) are equal to costs at margin. Regulation is then judged by whether it brings industry closer to standard than it could get by itself. In Brookings' review of Ash Council's proposals for improving regulation, for example, Noll states: the performance of regulatory agencies is judged herein by extent to which their actions correct for market failures that were motivation
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7
- 10.1016/0090-5720(82)90017-1
- Dec 1, 1982
- The Journal of Behavioral Economics
The adoption of computer technology in hospitals
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- 10.1109/iemc.1990.201243
- Oct 21, 1990
The author proposes an innovative R and D management system and organization suitable for a high-technology environment. Quantitative data can enhance R and D management capability by showing warning signals at the early stages, if the data are used strategically, together with such important inputs as human, organizational, and collaborative factors. Stress on the human factor essentially comes from the inclusive interactive nature of the approach taken throughout the study. This new concept is a pilot model for high-technology organizations in the R and D industry age, expected to start with the onset of the 21st century. >
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9
- 10.1017/s0266462300001574
- Jul 1, 1985
- International journal of technology assessment in health care
Neglected issues in the diffusion of health care technologies. The role of skills and learning.
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109
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- Jan 1, 1998
- Journal of Health Politics, Policy and Law
This study assesses the impact of certificate-of-need (CON) regulation for hospitals on various measures of health spending per capita, hospital supply, diffusion of technology, and hospital industry organization. Using a time series cross-sectional methodology, we estimate the net impact of CON policies on costs, supply, technology diffusion, and industry organization, controlling for area characteristics, the presence of other forms of regulation, such as hospital rate-setting, and competition. Mature CON programs are associated with a modest (5 percent) long-term reduction in acute care spending per capita, but not with a significant reduction in total per capita spending. There is no evidence of a surge in acquisition of facilities or in costs following removal of CON regulations. Mature CON programs also result in a slight (2 percent) reduction in bed supply but higher costs per day and per admission, along with higher hospital profits. CON regulations generally have no detectable effect on diffusion of various hospital-based technologies. It is doubtful that CON regulations have had much effect on quality of care, positive or negative. Such regulations may have improved access, but there is little empirical evidence to document this.
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