International diffusion of new health technologies: A ten-country analysis of six health technologies

Abstract

The significant differences in diffusion between different countries are not consistent with a neat evidence-based world. The tools available to policy makers to control diffusion (early warning systems, HTA, and a fourth hurdle) play some part in influencing diffusion but need close scrutiny of how successfully they operate.

Public health policy decisions on medical innovations: What role can early economic evaluation play?

“…The results show that economic power -in terms of purchasing power and economic incentives present through payment methodologies -promotes technology diffusion [24]. Similar results are encountered in a Euroscan study [14].…”

“…Decision-making on new technologies can thus also be sped up [13,14]. The leverage role horizon scanning can have greatly depends on whether the activities reach the target group and the relevant decision-makers.…”

“…The leverage role horizon scanning can have greatly depends on whether the activities reach the target group and the relevant decision-makers. Empirical studies find that early warning has a direct impact on policy making and is likely to entail a more detailed scrutiny of innovations deemed important [14]. In international comparisons, extent and organisation of horizon scanning varies considerably, as do target audiences and technologies selected [12,13].…”

“…In an empirical investigation, a Euroscan research group that examined the diffusion of six different medical innovations, found that the use of HTA or similar guidance in a healthcare system was associated with a higher rate of diffusion in five of the six cases [14].…”

Puzzling about problems: the ambiguous search for an evidence-based strategy for handling influx of health technology

“…Sweden is among those countries generally considered to be extensive users of health technology with high regular uptake of innovations in the field of healthcare, although the diffusion varies considerably between the different technologies (Packer et al 2006).…”