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    Rosenblatt, Roger A. 2002. Quality of Care in the Rural Context: A Proposed Research Agenda. The Journal of Rural Health, Vol. 18, Issue. 5, p. 176.

  • International Journal of Technology Assessment in Health Care, Volume 11, Issue 3
  • July 1995, pp. 571-584

A Comparison of the Investment in Hospital-Based Obstetrical Ultrasound in Wales and Washington State

  • Roger A. Rosenblatt (a1), Andrew J. Dawson (a2), Eric H. Larson (a1), Carolyn J. Tressler (a1), Anthony Jones (a3), L. Gary Hart (a1) and Thomas S. Nesbitt (a4)
  • DOI:
  • Published online: 01 March 2009

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 were 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.

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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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