Health Affairs, 28, no. 4 (2009): 986-995 doi: 10.1377/hlthaff.28.4.986 © 2009 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Tools & Technologies

Pathways Of Health Technology Diffusion: The United States And Low-Income Countries

In the United States, the complex process of getting health care technologies into practice takes place in a competitive health system that is driven by technological innovation. Federal, state, and local governments’ roles in the diffusion process are limited. In low-income countries, where competitive markets are not as prominent, diffusing medical innovations requires an alternative understanding of how new technologies are adopted. This paper describes how, in low-income countries, the lack of functioning markets serves as a barrier to the transfer of necessary health technologies, and why governments must act as stewards in promoting technologies there.

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