<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjph-2018-0001_s_006_w2aab3b7b1b1b6b1aab1c18b1Aa"><h3>Introduction</h3><p>The purpose of this study is to analyse and present the causes of the differences in crude utilization rate in cardiac implantation electronic devices, specifically pacemakers and automatic implantable cardioverter-defibrillators, across 5 European countries, with a specific emphasis on Slovenia.</p></sec><sec id="j_sjph-2018-0001_s_007_w2aab3b7b1b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>Based on the results of the analysis of the uptake of cardiac implantation electronic devices across countries studied in MedtecHTA project, the targeted interviews were conducted to explain the factors that impact the differences and explain data in Slovenia.</p></sec><sec id="j_sjph-2018-0001_s_008_w2aab3b7b1b1b6b1aab1c18b3Aa"><h3>Results</h3><p>The reasons for the differences in crude utilization rate across 5 European countries were multiple: the first group of differences refers to the coding system and linkages between coding and financing of health care. The second group of reasons can be qualitatively ascribed to the economic situation, financial situation in health care, and its impact on decision-making. The last reason is the non-existence of the golden rule for optimal crude utilisation rate.</p></sec><sec id="j_sjph-2018-0001_s_009_w2aab3b7b1b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>It is evident that the differences in the uptake of cardiac implantation electronic devices among the countries are of organisational nature: they refer to the system of coding, the importance attached to correct coding practices, the link between coding and financing of health care as well as the availability of private clinics and private insurance. According to the interviews, the economic development of the country also impacts those differences, whereas the differences in clinical practice and guidelines are claimed not to play a role in the explanation of the differences.</p></sec></abstract>

IntroductionThe purpose of this study is to analyse and present the causes of the differences in crude utilization rate in cardiac implantation electronic devices, specifically pacemakers and automatic implantable cardioverter-defibrillators, across 5 European countries, with a specific emphasis on Slovenia.MethodsBased on the results of the analysis of the uptake of cardiac implantation electronic devices across countries studied in MedtecHTA project, the targeted interviews were conducted to explain the factors that impact the differences and explain data in Slovenia.ResultsThe reasons for the differences in crude utilization rate across 5 European countries were multiple: the first group of differences refers to the coding system and linkages between coding and financing of health care. The second group of reasons can be qualitatively ascribed to the economic situation, financial situation in health care, and its impact on decision-making. The last reason is the non-existence of the golden rule for optimal crude utilisation rate.ConclusionsIt is evident that the differences in the uptake of cardiac implantation electronic devices among the countries are of organisational nature: they refer to the system of coding, the importance attached to correct coding practices, the link between coding and financing of health care as well as the availability of private clinics and private insurance. According to the interviews, the economic development of the country also impacts those differences, whereas the differences in clinical practice and guidelines are claimed not to play a role in the explanation of the differences.

Causes of differences in the uptake of cardiac implantation electronic devices in Slovenia in comparison to other countries

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

VZROKI RAZLIK V UPORABI VSADNIH SRČNIH ELEKTRONSKIH NAPRAV MED IZBRANIMI DRŽAVAMI IN SLOVENIJO

IntroductionThe purpose of this study is to analyse and present the causes of the differences in crude utilization rate in cardiac implantation electronic...

Causes of differences in the uptake of cardiac implantation electronic devices in Slovenia in comparison to other countries

Article Category: Original scientific article

Published Online: Jan 05, 2018

Page range: 1 - 9

Received: Sep 06, 2016

Accepted: Sep 08, 2017

DOI: https://doi.org/10.2478/sjph-2018-0001

Keywords
cardiac implantation electronic devices, Slovenia, pacemaker, automatic implantable cardioverter defibrillator, accessibility, health care technology, MedtecHTA

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Causes of differences in the uptake of cardiac implantation electronic devices in Slovenia in comparison to other countries

Article Category: Original scientific article

Published Online: Jan 05, 2018

Page range: 1 - 9

Received: Sep 06, 2016

Accepted: Sep 08, 2017

DOI: https://doi.org/10.2478/sjph-2018-0001

Keywordscardiac implantation electronic devices, Slovenia, pacemaker, automatic implantable cardioverter defibrillator, accessibility, health care technology, MedtecHTA

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
cardiac implantation electronic devices, Slovenia, pacemaker, automatic implantable cardioverter defibrillator, accessibility, health care technology, MedtecHTA