Spridning och ekonomiska effekter av medicinsk teknologi vid behandling av magsår, prostataförstoring och gallsten
1987 (Swedish)Doctoral thesis, monograph (Other academic)Alternative title
Diffusion and Economic Effects of Medical Technology - In Treatment of Peptic Ulcer, Prostatic Hyperplasia and Gallbladder Disease (English)
The general aim of the study is to analyse the economic consequences of diffusion and changed utilization of medical technology. The intention is to widen the empirical basis prospects for assessing the future consequences of technologies other than those studied within the scope of this project. The investigation consists of case studies of three common technologies in medical care. These are cimetidine, a pharmaceutical for treating peptic ulcer, transurethral resection (TURP) for treating benign prostatic hyperplasia and open operation (cholecystectomy) for gallstone treatment.
The studies of cimetidine and TURP illustrate a common trend in medical care where the introduction of new medical technology leads both to a reduced risk for the patient and a reduction in the cost per treatment.The lower risk in combination with increased expectations on the part of the patient and the medical profession leads to increased utilization, the overall result being an increase in the costs of medical care.
Certain effects on the indirect costs which arise outside medical care have been analysed. The results show that the increased utilization of cimetidine has until 1983 been profitable in terms of social economics. This is in addition to the gains achieved in the form of less pain and discomfort. The increased utilization of TURP has probably not led to any relative reductions in indirect costs. One reason for this is that the average age of patients with benign prostatic hyperplasia is high. Since most patients are over 65, faster rehabilitation has a low valuation in economic terms. Fewer gallstone operations mean a larger reduction in cost both for medical care and society as a whole through reduced sick leave.
In the study, a number of hypotheses have been formulated regarding important factors for the diffusion and utilization of medical technology. Further research remains to be done in order to determine these relationships with certainty.
The study also shows that the utilization of a technology can rapidly change and that it can begin to be utilized in other situations than those demonstrated to be effective in scientific studies. Extended indicationsfor utilizing the technology may lead to increased costs of medical care. The total effect on health of an increased utilization is often unknown.
Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 1987. , 168 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 12
Technology assessment, Economic evaluation, Diffusion of medical technology, Peptic Ulcer, Prostatic Hyperplasia, Gallstone disease
Social Sciences Interdisciplinary
IdentifiersURN: urn:nbn:se:liu:diva-34946Local ID: 24235ISBN: 91-7870-188-0OAI: oai:DiVA.org:liu-34946DiVA: diva2:255794
1987-06-04, Wallenbergssalen, Östergötlands länsmuseum, Linköping, 10:15 (Swedish)