title: Health care technology adoption and diffusion in a social context.
abstract: This article highlights mechanisms that may further sustainable technological development for the 21st century. The distributional effects associated with the adoption and diffusion of health care technologies are addressed wherein the capacity to capitalize on the health gains from the adoption of technology varies in society. These effects are caused by the actions of individuals as they segment themselves into distinct social groups. The circumstances under which social institutions are further segmented are explored and may motivate public sector limits on the funding for and diffusion of health care technologies. Safety and efficacy benchmarks are necessary but insufficient conditions for sustainability as product advantage on grounds of cost-effectiveness must also be demonstrated. Furthermore, given the substantial role played by public sector decision makers in purchasing health care technologies, the distributional consequences associated with the uptake and diffusion of technology need to be gauged by product designers and those responsible for marketing.
authors.affiliation: Department of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Coyte
authors.forename: Dave
authors.initials: D
authors.lastname: Holmes
mesh_terms: D000704:Analysis of Variance; D003362:Cost-Benefit Analysis; D003659:Decision Making, Organizational; D004059:Diffusion of Innovation; D004467:Economics; D028663:Ethical Theory; D005380:Financing, Government; D005544:Forecasting; D005102:Health Expenditures / Q000706:statistics & numerical data; D006291:Health Policy / Q000191:economics / Q000639:trends; D006304:Health Status; D006801:Humans; D008389:Marketing of Health Services / Q000458:organization & administration; D017059:Models, Econometric; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D011050:Policy Making; D012945:Social Values; D013673:Technology Assessment, Biomedical / Q000458:organization & administration*; D018581:Technology Transfer; D016896:Treatment Outcome; D019366:Western World