GELIJNS: In the United States, as you said, the reimbursement system drives people and their behavior to get out of the more strictly controlled setting of the hospital. That does not happen in Europe as much, and I think that there is less movement to ambulatory care, freestanding surgical units, diagnostic centers, and home care than you see in this country.
BLANPAIN: I think we will catch up in just a couple of years.
The National Academies of Sciences, Engineering, and Medicine
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"Commentary: Some Thoughts on the Development and Diffusion of Medical Technology in Europe."
Changing the Health Care System: Models from Here and Abroad.
Washington, DC: The National Academies Press, 1994.
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