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The role of hospital payments in the adoption of new medical technologies: an international survey of current practice

Publication ,  Journal Article
Sorenson, C; Drummond, M; Torbica, A; Callea, G; Mateus, C
Published in: Health Economics, Policy and Law
April 2015

This study examined the role of prospective payment systems in the adoption of new medical technologies across different countries. A literature review was conducted to provide background for the study and guide development of a survey instrument. The survey was disseminated to hospital payment systems experts in 15 jurisdictions. Fifty-one surveys were disseminated, with 34 returned. The surveys returned covered 14 of the 15 jurisdictions invited to participate. The majority (71%) of countries update the patient classification system and/or payment tariffs on an annual basis to try to account for new technologies. Use of short-term separate or supplementary payments for new technologies occurs in 79% of countries to ensure adequate funding and facilitate adoption. A minority (43%) of countries use evidence of therapeutic benefit and/or costs to determine or update payment tariffs, although it is somewhat more common in establishing short-term payments. The main barrier to using evidence is uncertain or unavailable clinical evidence. Almost three-fourths of respondents believed diagnosis-related group systems incentivize or deter technology adoption, depending on the particular circumstances. Improvements are needed, such as enhanced strategies for evidence generation and linking evidence of value to payments, national and international collaboration and training to improve existing practice, and flexible timelines for short-term payments. Importantly, additional research is needed to understand how different payment policies impact technology uptake as well as quality of care and costs.

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Published In

Health Economics, Policy and Law

DOI

EISSN

1744-134X

ISSN

1744-1331

Publication Date

April 2015

Volume

10

Issue

2

Start / End Page

133 / 159

Publisher

Cambridge University Press (CUP)

Related Subject Headings

  • Health Policy & Services
  • 1801 Law
  • 1605 Policy and Administration
  • 1402 Applied Economics
 

Citation

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Sorenson, C., Drummond, M., Torbica, A., Callea, G., & Mateus, C. (2015). The role of hospital payments in the adoption of new medical technologies: an international survey of current practice. Health Economics, Policy and Law, 10(2), 133–159. https://doi.org/10.1017/s1744133114000358
Sorenson, Corinna, Michael Drummond, Aleksandra Torbica, Giuditta Callea, and Ceu Mateus. “The role of hospital payments in the adoption of new medical technologies: an international survey of current practice.” Health Economics, Policy and Law 10, no. 2 (April 2015): 133–59. https://doi.org/10.1017/s1744133114000358.
Sorenson C, Drummond M, Torbica A, Callea G, Mateus C. The role of hospital payments in the adoption of new medical technologies: an international survey of current practice. Health Economics, Policy and Law. 2015 Apr;10(2):133–59.
Sorenson, Corinna, et al. “The role of hospital payments in the adoption of new medical technologies: an international survey of current practice.” Health Economics, Policy and Law, vol. 10, no. 2, Cambridge University Press (CUP), Apr. 2015, pp. 133–59. Crossref, doi:10.1017/s1744133114000358.
Sorenson C, Drummond M, Torbica A, Callea G, Mateus C. The role of hospital payments in the adoption of new medical technologies: an international survey of current practice. Health Economics, Policy and Law. Cambridge University Press (CUP); 2015 Apr;10(2):133–159.
Journal cover image

Published In

Health Economics, Policy and Law

DOI

EISSN

1744-134X

ISSN

1744-1331

Publication Date

April 2015

Volume

10

Issue

2

Start / End Page

133 / 159

Publisher

Cambridge University Press (CUP)

Related Subject Headings

  • Health Policy & Services
  • 1801 Law
  • 1605 Policy and Administration
  • 1402 Applied Economics