Economic barriers to implementation of innovations in health care: Is the long run-short run efficiency discrepancy a paradox?

被引：18
|
作者：
Adang, Eddy M. M. [1 ,2 ]
Wensing, Michel [3 ]
机构：
[1] Radboud Univ Nijmegen, Med Ctr, Dept Epidemiol Biostat, NL-6500 HB Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, HTA, NL-6500 HB Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Ctr Qual Care Res, NL-6500 HB Nijmegen, Netherlands
来源：
HEALTH POLICY | 2008年 / 88卷 / 2-3期
关键词：
Short run efficiency; Long run efficiency; Cost-effectiveness analyses; Implementation; Returns to scale;
D O I：
10.1016/j.healthpol.2008.03.014
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Favourable cost-effectiveness of innovative technologies is more and more a necessary condition for implementation in clinical practice. But proven cost-effectiveness itself does not guarantee successful implementation. The reason for this is a potential discrepancy between long run efficiency, on which cost-effectiveness is based, and short run efficiency. Long run and short run efficiency is dependent upon economies of scale. This paper addresses the potential discrepancy between long run and short run efficiency of innovative technologies in healthcare, explores diseconomies of scale in Dutch hospitals and suggests what strategies might help to overcome hurdles to implement innovations due to that discrepancy. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
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页码：236 / 242
页数：7
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