Technological Development and Medical Productivity: The Diffusion of Angioplasty in New York State

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Technological Development and Medical Productivity: The Diffusion of Angioplasty in New York State

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Title: Technological Development and Medical Productivity: The Diffusion of Angioplasty in New York State
Author: Cutler, David; Huckman, Robert

Note: Order does not necessarily reflect citation order of authors.

Citation: Cutler, David and Robert Huckman. 2003. Technological development and medical productivity: The diffusion of angioplasty in New York state. Journal of Health Economics 22(2): 187-217.
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Abstract: A puzzling feature of many medical innovations is that they simultaneously appear to reduce unit costs and increase total costs. We consider this phenomenon by examining the diffusion of percutaneous transluminal coronary angioplasty (PTCA)—a treatment for coronary artery disease—over the past two decades. We find that growth in the use of PTCA led to higher total costs despite its lower unit cost. Over the two decades following PTCA’s introduction, however, we find that the magnitude of this increase was reduced by between 10 and 20% due to the substitution of PTCA for CABG. In addition, the increased use of PTCA appears to be a productivity improvement. PTCAs that substitute for CABG cost less and have the same or better outcomes, while PTCAs that replace medical management appear to improve health by enough to justify the cost.
Published Version: http://dx.doi.org/10.1016/S0167-6296(02)00125-X
Other Sources: http://www.nber.org/papers/w9311
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:2664291

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  • FAS Scholarly Articles [7106]
    Peer reviewed scholarly articles from the Faculty of Arts and Sciences of Harvard University
 
 

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