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Biomedical Research and Then Some: The Causes of Technological Change in Heart Attack Treatment

Biomedical Research and Then Some: The Causes of Technological Change in Heart Attack Treatment

Chapter:
(p.163) Chapter Five Biomedical Research and Then Some: The Causes of Technological Change in Heart Attack Treatment
Source:
Measuring the Gains from Medical Research
Author(s):
Paul Heidenreich, Mark McClellan
Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226551791.003.0006

This chapter discusses the result of a detailed review of the literature on how technological change has actually occurred for one important component of treatment of cardiovascular disease: the care of heart attacks. The findings indicate that formal applied research studies alone cannot explain much of the observed changes in practice that accounted for declining heart attack mortality, and that clinical practices generally “lead” the results of the trials, sometimes by many years, and also “lag” behind the results of the trials, often responding only slowly to new formal research findings. The chapter highlights the importance of an understudied source of new biomedical knowledge and thus of technological change in health care.

Keywords:   technological change, cardiovascular disease, heart attacks, applied research studies, biomedical knowledge, health care

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