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Presentation

Session: Setting Priorities
Room: Meeting Rooms 22+23
Time: Fri 14:30-15:45

Presenter: Francisco Reyes (University of Santiago. IUCINE)

Abstract

The choice of MRI technology is justified on the basis of the priorities carried out to this respect by the Dutch Health Insurance Council, the OTA and the Spanish Ministry for Health.

The objective of the study is the evaluation of the circumstances for the adoption of MRI technology, both in public and private sector medical centres.

The study is based on a sample information panel, coming from, in its entirety, from state hospitals and private cabinets for image diagnosis in the European Region of Galicia in Spain. The temporary period for the study covers from 2002 to 2008.

The variables used in this study have been grouped under Socio-demographic variables, Resource variables, hospital structuring and Hospital activity variables. The number of variables employed in the study has been reduced, due to an analysis of principle components by grouping together six factors. The first factor refers to health resources and hospital activity, the second factor shows hospital radiology activity and the CT technology state-owned equipment, the third factor refers to the research variables and training together with two technologies considered as “Big Ticket”, a diagnostic (RM) and the other therapeutic (Litotricia), the fourth factor is made up of transplant activity, the fifth factor refers fundamentally to diagnostic and cancer treatment, the sixth factor selected refers to geographic influence.

The adoption of technology for a hospital study has been carried out by employing a methodology of multi-variant analysis in a DISCRIMINATE ANALYSIS. The dependant variables have been the RM public equipment adoption and the private RM equipment adoption. Both dependant variables have been considered as dichotomy variable categories. The independent were the six factors obtained in the factor analysis.

The three most elevated coefficients that explain the adoption of RM technology for a public hospital concern the hospital size factor (factor 1), the factor of radiology activity (factor 2), the diagnosis and treatment of cancer factor (factor5). All these coefficients are positive, except factor 5 and the biggest coefficient values for the differentiating explanatory function for the adoption of RM in private, are put forward as in first place factor 5 (cancer) and factor 1 (hospital size) followed by factor 4 (transplants); all these are positive signs.

The main conclusions of the study have been: 1) The size and the volume of hospital activity are the main factors that determine the adoption of MRI technology in public hospitals in Galicia; 2) The adoption of MRI technology in the private sector is a substitute for radiology activity in the public sector; 3) The private sector situates the MRI technology in the nucleus of densely populated areas.

Key Terms

MRI, adption, technology

Authors:

Francisco Reyes (University of Santiago. IUCINE) , David Vivas (UPV. CIEGS) , Andrés Faíña (University of A Coruña. Economic Analysis) , Isabel Barrachina (UPV. CIEGS) and Maria Caballer (University of Bolonia. Economics)

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