The impact of health information technology on hospital productivity

被引:97
作者
Lee, Jinhyung [1 ]
McCullough, Jeffrey S. [2 ]
Town, Robert J. [3 ]
机构
[1] Sungkyunkwan Univ, Seoul, South Korea
[2] Univ Minnesota, Minneapolis, MN 55455 USA
[3] Univ Penn, Philadelphia, PA 19104 USA
关键词
PANEL-DATA; CARE; ADOPTION; BENEFITS;
D O I
10.1111/1756-2171.12030
中图分类号
F [经济];
学科分类号
02 ;
摘要
Health information technology (IT) has been championed as a tool that can transform health care delivery. We estimate the parameters of a value-added hospital production function correcting for endogenous input choices to assess the private returns hospitals earn from health IT. Despite high marginal products, the total benefits from expanded IT adoption are modest. Over the span of our data, health IT inputs increased by more than 210% and contributed about 6% to the increase in value-added. Not-for-profits invested more heavily and differently in IT. Finally, we find no compelling evidence of labor complementarities or network externalities from competitors' IT investment.
引用
收藏
页码:545 / 568
页数:24
相关论文
共 49 条
[1]   Input and Technology Choices in Regulated Industries: Evidence from the Health Care Sector [J].
Acemoglu, Daron ;
Finkelstein, Amy .
JOURNAL OF POLITICAL ECONOMY, 2008, 116 (05) :837-880
[2]  
Ackerberg D, 2007, HBK ECON, V2, P4171, DOI 10.1016/S1573-4412(07)06063-1
[3]  
Agha L, 2012, WORKING PAPER
[4]  
[Anonymous], 2006, 38349 MPRA
[5]  
[Anonymous], 1999, BUILD SAF HLTH SYST
[6]   SOME TESTS OF SPECIFICATION FOR PANEL DATA - MONTE-CARLO EVIDENCE AND AN APPLICATION TO EMPLOYMENT EQUATIONS [J].
ARELLANO, M ;
BOND, S .
REVIEW OF ECONOMIC STUDIES, 1991, 58 (02) :277-297
[7]   ANOTHER LOOK AT THE INSTRUMENTAL VARIABLE ESTIMATION OF ERROR-COMPONENTS MODELS [J].
ARELLANO, M ;
BOVER, O .
JOURNAL OF ECONOMETRICS, 1995, 68 (01) :29-51
[8]   The impact of information technology on emergency health care outcomes [J].
Athey, S ;
Stern, S .
RAND JOURNAL OF ECONOMICS, 2002, 33 (03) :399-432
[9]   How does information technology affect productivity? Plant level comparisons of product innovation, process improvement, and worker skills [J].
Bartel, Ann ;
Ichniowski, Casey ;
Shaw, Kathryn .
QUARTERLY JOURNAL OF ECONOMICS, 2007, 122 (04) :1721-1758
[10]   The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview [J].
Black, Ashly D. ;
Car, Josip ;
Pagliari, Claudia ;
Anandan, Chantelle ;
Cresswell, Kathrin ;
Bokun, Tomislav ;
McKinstry, Brian ;
Procter, Rob ;
Majeed, Azeem ;
Sheikh, Aziz .
PLOS MEDICINE, 2011, 8 (01)