Data are proprietary (Dutch Association of Hospitals) and are not available because of privacy regulations.
Technology diffusion in hospitals: a log odds random effects regression model
Article first published online: 3 DEC 2013
© 2013 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
The International Journal of Health Planning and Management
Volume 30, Issue 3, pages 246–259, July/September 2015
How to Cite
2015) Technology diffusion in hospitals: a log odds random effects regression model. Int J Health Plann Mgmt, 30: 246–259. doi: 10.1002/hpm.2232., and (
Models and methodology (including software) are available upon request.
The manuscript was prepared without a contract or funding.
- Issue published online: 28 JUL 2015
- Article first published online: 3 DEC 2013
- Manuscript Accepted: 15 OCT 2013
- Manuscript Revised: 11 OCT 2013
- Manuscript Received: 1 DEC 2011
- log odds regression model
This study identifies the factors that affect the diffusion of hospital innovations. We apply a log odds random effects regression model on hospital micro data. We introduce the concept of clustering innovations and the application of a log odds random effects regression model to describe the diffusion of technologies. We distinguish a number of determinants, such as service, physician, and environmental, financial and organizational characteristics of the 60 Dutch hospitals in our sample.
On the basis of this data set on Dutch general hospitals over the period 1995–2002, we conclude that there is a relation between a number of determinants and the diffusion of innovations underlining conclusions from earlier research. Positive effects were found on the basis of the size of the hospitals, competition and a hospital's commitment to innovation. It appears that if a policy is developed to further diffuse innovations, the external effects of demand and market competition need to be examined, which would de facto lead to an efficient use of technology. For the individual hospital, instituting an innovations office appears to be the most prudent course of action. © 2013 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd.