CORE
🇺🇦
make metadata, not war
Services
Services overview
Explore all CORE services
Access to raw data
API
Dataset
FastSync
Content discovery
Recommender
Discovery
OAI identifiers
OAI Resolver
Managing content
Dashboard
Bespoke contracts
Consultancy services
Support us
Support us
Membership
Sponsorship
Community governance
Advisory Board
Board of supporters
Research network
About
About us
Our mission
Team
Blog
FAQs
Contact us
Regional Variations in Medical Device Diffusion
Authors
Aleksandra Torbica
Cinzia Valzania
+3 more
Giovanni Fattore
Giuseppe Boriani
Helen Banks
Publication date
1 January 2017
Publisher
Doi
Cite
Abstract
Despite established efficacy for cardiac implantable electrical devices (CIEDs), large differences in CIED implant rates have been documented across and within countries. The aim of this paper is to investigate the influence of socio‐economic, epidemiological and supply side factors on CIED implant rates across 57 Regions in 5 EU countries and to assess the feasibility of using administrative data for this purpose. A total of 1 330 098 hospitalizations for CIED procedures extracted from hospital discharge databases in Austria, England, Germany, Italy and Slovenia from 2008 to 2012 was used in the analysis. Higher levels of tertiary education among the labour force and percent of aged population are positively associated with implant rates of CIED. Regional per capita GDP and number of implanting centres appear to have no significant effect. Institutional factors are shown to be important for the diffusion of CIED. Wide variation in CIED implant rates across and within five EU countries is undeniable. However, regional factors play a limited part in explaining these differences with few exceptions. Administrative databases are a valuable source of data for investigating the diffusion of medical technologies, while the choice of appropriate modelling strategy is crucial in identifying the drivers for variation across countries. © 2017 The Authors. Health Economics published by John Wiley & Sons, Ltd
Similar works
Full text
Open in the Core reader
Download PDF
Available Versions
Archivio istituzionale della Ricerca - Bocconi
See this paper in CORE
Go to the repository landing page
Download from data provider
oai:iris.unibocconi.it:11565/3...
Last time updated on 03/09/2019
Crossref
See this paper in CORE
Go to the repository landing page
Download from data provider
info:doi/10.1002%2Fhec.3470
Last time updated on 29/03/2019
Open Access Repository
See this paper in CORE
Go to the repository landing page
Download from data provider
oai:zenodo.org:30942
Last time updated on 21/07/2023