Analysis of cost and assessment of computerized patient record systems in Japan based on questionnaire survey

Zhang, WP; Yamauchi, Kazunobu; Mizuno, Shinji; Zhang, R; Huang, DM

doi:10.1080/14639230400005990

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…17–57 Twelve papers focused on costs and impacts, that is, costs and benefits or cost-effectiveness 2223 30 32 33 38 39 41 42 47 51 55 Twelve papers were on system costs,4 17–19 26 27 34 37 40 45 53 56 while 12 others examined the impact of systems on costs 2024 25 29 31 35 36 44 48 50 52 57 Six papers looked at cost savings 21…”

Section: Resultsmentioning

confidence: 99%

Measuring value for money: a scoping review on economic evaluation of health information systems

Bassi

Lau

2013

J Am Med Inform Assoc

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ObjectiveTo explore how key components of economic evaluations have been included in evaluations of health information systems (HIS), to determine the state of knowledge on value for money for HIS, and provide guidance for future evaluations.Materials and methodsWe searched databases, previously collected papers, and references for relevant papers published from January 2000 to June 2012. For selection, papers had to: be a primary study; involve a computerized system for health information processing, decision support, or management reporting; and include an economic evaluation. Data on study design and economic evaluation methods were extracted and analyzed.ResultsForty-two papers were selected and 33 were deemed high quality (scores ≥8/10) for further analysis. These included 12 economic analyses, five input cost analyses, and 16 cost-related outcome analyses. For HIS types, there were seven primary care electronic medical records, six computerized provider order entry systems, five medication management systems, five immunization information systems, four institutional information systems, three disease management systems, two clinical documentation systems, and one health information exchange network. In terms of value for money, 23 papers reported positive findings, eight were inconclusive, and two were negative.ConclusionsWe found a wide range of economic evaluation papers that were based on different assumptions, methods, and metrics. There is some evidence of value for money in selected healthcare organizations and HIS types. However, caution is needed when generalizing these findings. Better reporting of economic evaluation studies is needed to compare findings and build on the existing evidence base we identified.

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Section: Resultsmentioning

confidence: 99%

Measuring value for money: a scoping review on economic evaluation of health information systems

Bassi

Lau

2013

J Am Med Inform Assoc

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“…Previous research shown, however, that IT is used for different aims in different organizations, [2,5,10,11,20,25,34,38,48,49,51,65,95,117,118,121,123,131,144,145] consequently, it is rational to expect that in order to capture where the values of IT-innovations come from it is necessary to first identify the context in which IT is implemented. For this reason, when building the contexts' landscape in this study, we used the principle of coherence [11] and tried to reflect these organizational contextual differences by theoretically classifying the contexts in which an IT-innovation is applied into three types:…”

Section: Methodsmentioning

confidence: 99%

Identifying Where the Values Come from IT-Innovations in Health and Social Care

Vimarlund

Koch

2012

IIM

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Studies aimed to capture the effects of IT-innovations in health and social care have shown that there is a gap between expected and factual outcomes. Many decision makers feel the need to articulate an ideal end-state for their organiza-tions. Striking the balance between novelty and believability of such an ideal end-state is often tricky and they become neither satisfied with the ideal not the visioning. In this study, we explore the contribution of IT-innovations to health and social care. The results showed that coherence between context and IT-innovation is important to capture effects and outcomes. Being coherent rather than visionary contributes to identify where you are, as an organization, and to capture effects and outcomes that “make sense” in the context in question. The paper makes an exposition from the model building, algorithm design to performance analysis and contributes to the academic prosperity in Intelligent In-formation Management The knowledge generated is expected to provide input when identifying goals that IT-investments are supposed to achieve

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Elektronische Krankenakte als Instrument für mehr Patientensicherheit

Schneider

2014

Bundesgesundheitsbl.

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Recent studies indicate again that there is a deficit in the use of electronic health records (EHR) in German hospitals. Despite good arguments in favour of their use, such as the rapid availability of data, German hospitals shy away from a wider implementation. The reason is the high cost of installing and maintaining the EHRs, for the benefit is difficult to evaluate in monetary terms for the hospital. Even if a benefit can be shown it is not necessarily evident within the hospital, but manifests itself only in the health system outside. Many hospitals only manage to partly implement EHR resulting in increased documentation requirements which reverse their positive effect.In the United States, electronic medical records are also viewed in light of their positive impact on patient safety. In particular, electronic medication systems prove the benefits they can provide in the context of patient safety. As a result, financing systems have been created to promote the digitalisation of hospitals in the United States. This has led to a large increase in the use of IT systems in the United States in recent years. The Universitätsklinikum Eppendorf (UKE) introduced electronic patient records in 2009. The benefits, in particular as regards patient safety, are numerous and there are many examples to illustrate this position. These positive results are intended to demonstrate the important role EHR play in hospitals. A financing system of the ailing IT landscape based on the American model is urgently needed to benefit-especially in terms of patient safety-from electronic medical records in the hospital.

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Analysis of cost and assessment of computerized patient record systems in Japan based on questionnaire survey

Cited by 8 publications

References 5 publications

Measuring value for money: a scoping review on economic evaluation of health information systems

Measuring value for money: a scoping review on economic evaluation of health information systems

Identifying Where the Values Come from IT-Innovations in Health and Social Care

Elektronische Krankenakte als Instrument für mehr Patientensicherheit

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