Adoption of large-scale medical equipment: the impact of competition in the German inpatient sector

dc.contributor.authorDreger, Marie
dc.contributor.authorLanghoff, Hauke
dc.contributor.authorHenschke, Cornelia
dc.date.accessioned2022-06-15T12:08:14Z
dc.date.available2022-06-15T12:08:14Z
dc.date.issued2021-11-08
dc.description.abstractThe availability of large-scale medical equipment such as computed tomography (CT), magnet resonance imaging (MRI) and positron emission tomography (PET) scanners has increased rapidly worldwide over the last decades. Among OECD countries, Germany ranks high according to the number of imaging technologies and their applications per inhabitant. In contrast to other countries, there is no active governmental planning of large-scale medical equipment. We therefore investigated whether and how the adoption and distribution of CT, MRI and PET scanners in the German inpatient sector is subject to competition. Using a linear-probability model, we additionally examined the impact of regional, hospital- and population-based factors. In summary, our results indicate that the adoption rate by hospital sites decreases with the number of other sites being already equipped with the respective device and their proximity. However, the effect presumably depends on the technologies’ stage within the diffusion process. No influence regarding the amount of state subsidies could be identified. Furthermore, hospital size and university status strongly affect the adoption.en
dc.description.sponsorshipTU Berlin, Open-Access-Mittel – 2021en
dc.identifier.eissn1618-7601
dc.identifier.issn1618-7598
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/17031
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-15810
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otheradoption of innovationsen
dc.subject.otherimaging technologiesen
dc.subject.otherhospital competitionen
dc.subject.othercapacity planningen
dc.subject.otherpanel dataen
dc.subject.otherGermanyen
dc.titleAdoption of large-scale medical equipment: the impact of competition in the German inpatient sectoren
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.doi10.1007/s10198-021-01395-wen
dcterms.bibliographicCitation.journaltitleThe European journal of health economicsen
dcterms.bibliographicCitation.originalpublishernameSpringer Natureen
dcterms.bibliographicCitation.originalpublisherplaceHeidelbergen
dcterms.bibliographicCitation.pageend805en
dcterms.bibliographicCitation.pagestart791en
dcterms.bibliographicCitation.volume23en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management>Inst. Technologie und Management (ITM)>FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen
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