Adopting new medical technologies in Russian hospitals: what causes inefficiency? (qualitative study)
The adoption of new medical technologies often generates losses in efficiency associated with the excess or insufficient acquisition of new equipment, an inappropriate choice (in terms of economic and clinical parameters) of medical equipment, and its poor use. Russia is a good example for exploring...
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| Veröffentlicht in: | Health economics, policy and law policy and law, 2018-01, Vol.13 (1), p.33-49 |
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| creator | Shishkin, Sergey Zasimova, Liudmila |
| description | The adoption of new medical technologies often generates losses in efficiency associated with the excess or insufficient acquisition of new equipment, an inappropriate choice (in terms of economic and clinical parameters) of medical equipment, and its poor use. Russia is a good example for exploring the problem of the ineffective adoption of new medical technologies due to the massive public investment in new equipment for medical institutions in 2006–2013. This study examines the procurement of new technologies in Russian hospitals to find the main causes of inefficiency. The research strategy was based on in-depth semistructured interviews with representatives of prominent actors (regional health care authorities, hospital executives, senior physicians). The main result is that inefficiencies arise from the contradiction between hospitals’ and authorities’ motivation for acquiring new technologies: hospitals tend to adopt technologies which bring benefits to their department heads and physicians and minimize maintenance and servicing costs, while the authorities’ main concern is the initial cost of the technology. |
| doi_str_mv | 10.1017/S1744133116000347 |
| format | Article |
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The research strategy was based on in-depth semistructured interviews with representatives of prominent actors (regional health care authorities, hospital executives, senior physicians). The main result is that inefficiencies arise from the contradiction between hospitals’ and authorities’ motivation for acquiring new technologies: hospitals tend to adopt technologies which bring benefits to their department heads and physicians and minimize maintenance and servicing costs, while the authorities’ main concern is the initial cost of the technology.</description><identifier>ISSN: 1744-1331</identifier><identifier>EISSN: 1744-134X</identifier><identifier>DOI: 10.1017/S1744133116000347</identifier><identifier>PMID: 28249636</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adoption of innovations ; Biomedical Technology ; Decision Making ; Developing countries ; Diffusion of Innovation ; Economics ; Efficiency ; Efficiency, Organizational ; Faculty, Medical ; Government purchasing ; Health care ; Health care expenditures ; Health care policy ; Health economics ; Health services ; Hospital Administrators ; Hospitals ; Humans ; Inappropriateness ; Investments ; LDCs ; Medical equipment ; Medical imaging ; Medical technology ; Motivation ; NMR ; Nuclear magnetic resonance ; Physicians ; Politics ; Profits ; Qualitative research ; Research methods ; Russia ; Scanners ; Technological change ; Technology ; Technology adoption ; Tomography</subject><ispartof>Health economics, policy and law, 2018-01, Vol.13 (1), p.33-49</ispartof><rights>Cambridge University Press 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-f1279ea74d097ccfbb5104fcf7ed04b0df1aa35d7351394b9e74e54f79fc49c93</citedby><cites>FETCH-LOGICAL-c406t-f1279ea74d097ccfbb5104fcf7ed04b0df1aa35d7351394b9e74e54f79fc49c93</cites><orcidid>0000-0002-0807-3277</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1744133116000347/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27866,27924,27925,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28249636$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shishkin, Sergey</creatorcontrib><creatorcontrib>Zasimova, Liudmila</creatorcontrib><title>Adopting new medical technologies in Russian hospitals: what causes inefficiency? 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| ispartof | Health economics, policy and law, 2018-01, Vol.13 (1), p.33-49 |
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| source | MEDLINE; PAIS Index; HeinOnline Law Journal Library; Cambridge University Press Journals Complete |
| subjects | Adoption of innovations Biomedical Technology Decision Making Developing countries Diffusion of Innovation Economics Efficiency Efficiency, Organizational Faculty, Medical Government purchasing Health care Health care expenditures Health care policy Health economics Health services Hospital Administrators Hospitals Humans Inappropriateness Investments LDCs Medical equipment Medical imaging Medical technology Motivation NMR Nuclear magnetic resonance Physicians Politics Profits Qualitative research Research methods Russia Scanners Technological change Technology Technology adoption Tomography |
| title | Adopting new medical technologies in Russian hospitals: what causes inefficiency? (qualitative study) |
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