Gelijns A, Rosenberg N
Health Aff (Millwood). 1994 Summer;13(3):28-46. doi: 10.1377/hlthaff.13.3.28.
This paper contrasts a dynamic and interactive view of technological change with the linear model of medical innovation that is still so deeply ingrained in many policy discussions. In particular, it focuses on the role of feedback mechanisms between the users and the developers of medical technology and the demand and supply forces (including competition among medical specialties) determining this feedback. It explores three distinct mechanisms by which technological change may contribute to rising health care spending: intensity of use of existing technology, introduction of new technologies, and expanded application of these new technologies.
本文将技术变革的动态交互观点与医学创新的线性模型进行了对比，后者在许多政策讨论中仍然根深蒂固。具体而言，它聚焦于医疗技术使用者与开发者之间反馈机制的作用，以及决定这种反馈的供需力量（包括医学专科之间的竞争）。它探讨了技术变革可能导致医疗保健支出增加的三种不同机制：现有技术的使用强度、新技术的引入以及这些新技术的扩展应用。
