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Breaking the addiction to technology adoption.

Stirling Bryan1, Craig Mitton, Cam Donaldson

  • 1School of Population & Public Health, University of British Columbia, Canada; Centre for Clinical Epidemiology & Evaluation, Vancouver Coastal Health Research Institute, Canada; Health Economics Research Unit, University of Aberdeen, UK.

Health Economics
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Summary
This summary is machine-generated.

Rising healthcare costs stem from increased use of existing technologies, not just new adoptions. Shifting focus from technology adoption to technology management can improve system efficiency and foster a learning culture.

Keywords:
technology adoption decision-makingtechnology evaluationtechnology management

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Area of Science:

  • Health Economics
  • Health Technology Assessment

Background:

  • The primary driver of escalating healthcare costs is the increased utilization of established technologies, rather than the mere adoption of novel ones.
  • Current health economics and health technology assessment (HTA) practices are heavily focused on technology adoption, neglecting crucial 'technology management' aspects.

Discussion:

  • Technology management encompasses life-cycle assessments of in-use technologies to evaluate real-world performance and monitor 'indication creep'—the expansion of a technology's use beyond its original approved indications.
  • A strategic rebalancing of focus towards technology management is essential for fostering a more self-critical and adaptive culture within technology evaluation analysis.

Key Insights:

  • Healthcare cost growth is predominantly linked to the expanded use of existing technologies.
  • The field of health technology assessment (HTA) needs to prioritize technology management over solely focusing on adoption.

Outlook:

  • Reorienting health economists and HTA analysts towards technology management issues can significantly enhance healthcare system efficiency.
  • Implementing robust technology management strategies will lead to more sustainable and effective healthcare systems.