TY - JOUR
T1 - Another special relationship?
T2 - Interactions between health technology policies and health care systems in the United States and the United Kingdom
AU - Sampat, B
AU - Drummond, Mike
PY - 2011/2
Y1 - 2011/2
N2 - Confronted with similar challenges, the U.S. and U.K. have adopted very different health technology policies. In the U.S., the focus has been on technology creation, in particular the funding of basic biomedical research at the NIH. This both reflects and reinforces an innovation-first culture in the U.S., including in health. By contrast, the U.K. has been much more heavily committed to applied research and evaluative research, including health-technology assessment. That is, while U.S. policy has focused on technology creation, U.K. policy has been more oriented towards technology diffusion. This paper surveys the sources of these differences. We consider the impacts of institutional, cultural, and other factors that may explain them, and emphasize that it is hard to disentangle their separate effects. We conclude with a discussion of the difficulties in drawing cross-national lessons in health technology policy.
AB - Confronted with similar challenges, the U.S. and U.K. have adopted very different health technology policies. In the U.S., the focus has been on technology creation, in particular the funding of basic biomedical research at the NIH. This both reflects and reinforces an innovation-first culture in the U.S., including in health. By contrast, the U.K. has been much more heavily committed to applied research and evaluative research, including health-technology assessment. That is, while U.S. policy has focused on technology creation, U.K. policy has been more oriented towards technology diffusion. This paper surveys the sources of these differences. We consider the impacts of institutional, cultural, and other factors that may explain them, and emphasize that it is hard to disentangle their separate effects. We conclude with a discussion of the difficulties in drawing cross-national lessons in health technology policy.
UR - http://www.scopus.com/inward/record.url?scp=79955507315&partnerID=8YFLogxK
M3 - Article
SN - 0361-6878
VL - 36
SP - 119
EP - 139
JO - Journal of health politics policy and law
JF - Journal of health politics policy and law
IS - 1
ER -