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Diffusion of Hospital Innovations in Different Institutional Settings
Authors:Peter Zweifel
Affiliation:Department of Economics , University of Zuri , Blumlisalpstrasse 10, CH–8006 Zurichj, SwitzerlandThe author wishes to thank three anonymous referees, the US editor of this Journal, Friedrich Breyer (University of Constance), the participants of the Health Policy Workshops of the American Medical Association and the University of California at Irvine, the participants of the Microeconomics Seminar of the University of California at San Diego as well as Reiner E. Eichenberger, Matteo Ferrari, Heinz H. Muller, Hansjorg Schmidt, and in particular Luca Crivelli (University of Zurich) for helpful criticisms and suggestions. The usual disclaimer holds
Abstract:
This paper purports to analyze a hospital's adoption of both product and process innovation as a quanta! choice. The impacts of this decision on physicians, while depending on institutions that differ between the US and continental Europe, are shown to feed back to the hospital, influencing the profitability of the innovation. Recent changes of hospital finance give rise to testable comparative predictions in both institutional settings
Keywords:diffusion of innovation   hospitals   comparative institutions   regulation  JEL classifications: 111, 118, L31, L51, 031
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