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6 Number of facilities with cardiac catheterisation labs per 100 000 population aged 40 and over PTCA: Percutaneous transluminal coronary angioplasty. Note: Canada, Ontario, Denmark, Sweden (1995); Germany, United States (1996); Greece (1999). For Australia, Finland and Norway: PTCA (1998), catheterisation laboratories (2000). The figures for facilities includes all facilities able to do cardiac catheterisation due to the difficulty of separating these facilities from those additionally equipped to do PTCA.

Ischaemic heart disease is a complex condition. Several risk factors for IHD can be tackled using a population health approach, while drugs can be used in primary and secondary prevention of the disease. It is the nature of treatment for the acute phase of IHD, often involving high-cost, high-technology procedures that makes it an ideal disease to observe patterns of technology diffusion, a major component of this study. This paper summarises the work of the IHD part of the Ageing-Related Diseases (ARD) study.

For the ARD study it was decided to approximate the average costs for IHD treatments by calculating the average expenditures for a standard set of “bundles of medical goods” related to the treatment of IHD. These expenditure bundles are composed of four items: Per diem costs related to stay in ICU/CCU: the cost per day (a proxy for price) and the “standard” length of stay (a proxy for unit of service) in a Cardiac Care Unit (CCU) and/or an Intensive Care Unit (ICU). Cost of major procedures: the cost related to the resources used during the stay.

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