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Diffusion of new technologies: rational and irrational.

Journal of Health Care Technology

|March 6, 1985

Summary

The adoption of new medical technologies involves hospitals, doctors, and government. A structured approach is needed to manage the diffusion of innovations like CT scanners and MRI to ensure rational healthcare technology assessment and use.

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Area of Science:

Health Services Research
Medical Technology Assessment
Health Economics

Background:

The diffusion of medical technology is a complex process involving multiple stakeholders including healthcare providers, manufacturers, payers, and patients.
Historical examples like the CT scanner highlight challenges in managing the adoption of new medical technologies.
Current healthcare trends, such as prospective payment and rapid innovation, influence technology diffusion and assessment.

Purpose of the Study:

To analyze the factors influencing the diffusion of medical technology.
To examine the challenges associated with the adoption of new medical devices and procedures.
To propose strategies for a more rational approach to medical technology diffusion and assessment.

Main Methods:

Historical analysis of medical technology diffusion, using CT scanner as a case study.
Examination of the roles of various stakeholders (hospitals, physicians, government, payers, patients) in technology adoption.
Review of current healthcare environment factors impacting diffusion, including prospective payment and innovation.

Main Results:

The diffusion of medical technology is influenced by a wide range of actors and policies.
Lack of a coherent strategy for technology diffusion can lead to significant problems, as seen with CT scanners and emerging issues with MRI.
Prospective payment and continuous innovation are key drivers in the current landscape of technology diffusion.

Conclusions:

A formal process for identifying technologies needing assessment is crucial.
Financial support for technology assessment and selective reimbursement for clinical trials can improve diffusion.
Regionalization of expensive procedures and technologies can lead to more rational diffusion and utilization.

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