Le determinanti della diffusione di
nuove tecnologie sanitarie
p
Un’analisi empirica
Milano, 18 settembre 2014
Cergas and the European Health
T h l
Technology
IInstitute
tit t for
f SocioS i
Economic Research
• In Phase 1, we investigated the impact of DRG tariffs
on the diffusion of Drug Eluting Stents in Italian
hospitals located in nine regions (Cappellaro et al.,
2011).
• IIn Phase
Ph
2,
2 we investigated
i
ti t d th
the role
l off fi
financing
i
mechanisms based on DRGs on the diffusion of new
medical devices in Italian hospitals through qualitative
analysis of semi
semi-structured
structured interviews to regional and
hospital managers (Callea et al., 2014).
• Phase 3 research p
project
j
“The investigation
g
of
determinants that impact the diffusion of innovative
health technologies. An empirical analysis” aims at
exploring the main determinants driving the diffusion of
new medical
di l devices
d i
iin th
the It
Italian
li NHS
NHS.
2
O
Overall
ll objectives
bj ti
off th
the research
h
1.
Part 1 – The determinants of diffusion of medical
innovation
Aim: to identify the main variables that impact the diffusion
of new medical devices at different levels of analysis (i.e.
regional hospital,
regional,
hospital patient and product level) through a
systematic literature review of empirical studies.
2.
Part 2 - Technological innovation and coding practices
State of the art in Italy
Aim: to investigate the ability of the ICD-9-CM coding
system currently used in Italy to link procedures to
innovative medical technologies
technologies, highlighting the limitations
and developing possible recommendation on improvements.
3. Part 3 – Empirical analysis
Aim: to estimate empirically what drives the diffusion of new
medical technologies in the Italian hospital sector.
3