A comparison of the investment in hospital-based obstetrical ultrasound in Wales and Washington state

R. A. Rosenblatt, A. J. Dawson, E. H. Larson, C. J. Tressler, A. Jones, L. G. Hart, Thomas S Nesbitt

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The purpose of this study was to examine differences in the way Britain and the United States invest in and deploy a new medical technology. We used structured interviews to obtain information on the technical sophistication and approximate replacement value of all hospital-based obstetrical ultrasound machines in every maternity hospital in Washington state and Wales. The supply of hospital-based ultrasound machines-approximately two machines per 1,000 births-was similar in both countries. Wales had fewer advanced ultrasound machines than Washington state, and they were based exclusively in high-volume district general hospitals; there were no obstetric ultrasound machines in the private sector. In Washington state, the majority of advanced machines we re in small and medium-sized hospitals, and many private offices had ultrasound machines. The approximate replacement value of hospital-based machines was three times as high per birth in Washington state as in Wales. In the case of obstetrical ultrasound, centralization of facilities, a relatively small private sector, and global budgeting lead to lower expenditures per patient within the National Health Service without compromising access to care.

Original languageEnglish (US)
Pages (from-to)571-584
Number of pages14
JournalInternational Journal of Technology Assessment in Health Care
Volume11
Issue number3
StatePublished - 1995
Externally publishedYes

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Wales
Private Sector
High-Volume Hospitals
Parturition
Hospital Equipment and Supplies
Maternity Hospitals
Private Hospitals
District Hospitals
National Health Programs
Health Expenditures
General Hospitals
Obstetrics
Interviews
Technology

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Informatics
  • Nursing(all)
  • Health Information Management

Cite this

A comparison of the investment in hospital-based obstetrical ultrasound in Wales and Washington state. / Rosenblatt, R. A.; Dawson, A. J.; Larson, E. H.; Tressler, C. J.; Jones, A.; Hart, L. G.; Nesbitt, Thomas S.

In: International Journal of Technology Assessment in Health Care, Vol. 11, No. 3, 1995, p. 571-584.

Research output: Contribution to journalArticle

Rosenblatt, R. A. ; Dawson, A. J. ; Larson, E. H. ; Tressler, C. J. ; Jones, A. ; Hart, L. G. ; Nesbitt, Thomas S. / A comparison of the investment in hospital-based obstetrical ultrasound in Wales and Washington state. In: International Journal of Technology Assessment in Health Care. 1995 ; Vol. 11, No. 3. pp. 571-584.
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