Int J Med Inform - Choosing the right amount of healthcare information technologies investments.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(2837) hospit(1953) medic(668) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ decis(3086) make(1611) patient(1517) }
{ measur(2081) correl(1212) valu(896) }
{ network(2748) neural(1063) input(814) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ spatial(1525) area(1432) region(1030) }
{ age(1611) year(1155) adult(843) }
{ time(1939) patient(1703) rate(768) }
{ structur(1116) can(940) graph(676) }
{ estim(2440) model(1874) function(577) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ clinic(1479) use(1117) guidelin(835) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ blood(1257) pressur(1144) flow(957) }
{ cost(1906) reduc(1198) effect(832) }
{ survey(1388) particip(1329) question(1065) }
{ inform(2794) health(2639) internet(1427) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ concept(1167) ontolog(924) domain(897) }
{ control(1307) perform(991) simul(935) }
{ howev(809) still(633) remain(590) }
{ model(3480) simul(1196) paramet(876) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ high(1669) rate(1365) level(1280) }
{ activ(1452) weight(1219) physic(1104) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVES: Choosing and justifying the right amount of investment in healthcare information technologies (HITECH or HIT) in hospitals is an ever increasing challenge. Our objectives are to assess the financial impact of HIT on hospital outcome, and propose decision-helping tools that could be used to rationalize the distribution of hospital finances.DESIGN: We used a production function and microeconomic tools on data of 21 Paris university hospitals recorded from 1998 to 2006 to compute the elasticity coefficients of HIT versus non-HIT capital and labor as regards to hospital financial outcome and optimize the distribution of investments according to the productivity associated with each input.RESULTS: HIT inputs and non-HIT inputs both have a positive and significant impact on hospital production (elasticity coefficients respectively of 0.106 and 0.893; R(2) of 0.92). We forecast 2006 results from the 1998 to 2005 dataset with an accuracy of +0.61%. With the model used, the best proportion of HIT investments was estimated to be 10.6% of total input and this was predicted to lead to a total saving of 388 million Euros for the 2006 dataset.CONCLUSION: Considering HIT investment from the point of view of a global portfolio and applying econometric and microeconomic tools allow the required confidence level to be attained for choosing the right amount of HIT investments. It could also allow hospitals using these tools to make substantial savings, and help them forecast their choices for the following year for better HITECH governance in the current stimulation context.

Resumo Limpo

jectiv choos justifi right amount invest healthcar inform technolog hitech hit hospit ever increas challeng object assess financi impact hit hospit outcom propos decisionhelp tool use ration distribut hospit financesdesign use product function microeconom tool data pari univers hospit record comput elast coeffici hit versus nonhit capit labor regard hospit financi outcom optim distribut invest accord product associ inputresult hit input nonhit input posit signific impact hospit product elast coeffici respect r forecast result dataset accuraci model use best proport hit invest estim total input predict lead total save million euro datasetconclus consid hit invest point view global portfolio appli econometr microeconom tool allow requir confid level attain choos right amount hit invest also allow hospit use tool make substanti save help forecast choic follow year better hitech govern current stimul context

Resumos Similares

J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,761965357409876 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,7089329291876 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,706758875824819 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,705240833382686 )
AMIA Annu Symp Proc - Applications of health information exchange information to public health practice. ( 0,70445663589806 )
Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study. ( 0,694859880044265 )
J Am Med Inform Assoc - Agreement of Medicaid claims and electronic health records for assessing preventive care quality among adults. ( 0,694838853701948 )
Perspect Health Inf Manag - Adoption and utilization of electronic health record systems by long-term care facilities in Texas. ( 0,684406572656931 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,68171300144616 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,67988204989766 )
Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,674427718660496 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,672643552496349 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,670736694967198 )
Healthc (Amst) - Geographic variation in health IT and health care outcomes: A snapshot before the meaningful use incentive program began. ( 0,666660927530493 )
J Biomed Inform - Improving hospital bed occupancy and resource utilization through queuing modeling and evolutionary computation. ( 0,666526195326037 )
Appl Clin Inform - Meaningful use of a standardized terminology to support the electronic health record in new zealand. ( 0,666119417529814 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,663159471424651 )
AMIA Annu Symp Proc - Information networks in intensive care: a network analysis of information exchange patterns. ( 0,661947334656558 )
J Am Med Inform Assoc - Improving the quality of cancer care in America through health information technology. ( 0,661903303479485 )
Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites. ( 0,661524675080471 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,660865639312581 )
Inform Health Soc Care - A study on people's concepts associating community health exam interventions with their participation in future health examinations. ( 0,660677711155379 )
Telemed J E Health - Telemental health: responding to mandates for reform in primary healthcare. ( 0,659120327244051 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,656926767327895 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,656528201208627 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,651539298749247 )
Int J Med Inform - Conceptualising and creating a global learning health system. ( 0,649312953090096 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,648340505299331 )
Int J Health Geogr - Accessibility to health care facilities in Montreal Island: an application of relative accessibility indicators from the perspective of senior and non-senior residents. ( 0,648233875153397 )
Int J Med Inform - Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities. ( 0,645230604174524 )
Int J Health Geogr - Spatial modelling of healthcare utilisation for treatment of fever in Namibia. ( 0,644684740268948 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,643641745988606 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,641700559070172 )
J. Med. Internet Res. - Facilitating out-of-home caregiving through health information technology: survey of informal caregivers' current practices, interests, and perceived barriers. ( 0,639456333537471 )
Int J Health Geogr - Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. ( 0,638073894317249 )
Telemed J E Health - New hospital telemedicine services: potential market for a nighttime telehospitalist service. ( 0,637436679955019 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,634419253912962 )
Spat Spatiotemporal Epidemiol - The interactive atlas on health inequalities. ( 0,633766322107245 )
AMIA Annu Symp Proc - An evaluation of the rates of repeat notifiable disease reporting and patient crossover using a health information exchange-based automated electronic laboratory reporting system. ( 0,632272011120152 )
J Med Syst - Quality and cost improvement of healthcare via complementary measurement and diagnosis of patient general health outcome using electronic health record data: research rationale and design. ( 0,631942860756224 )
Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,631927245561804 )
AMIA Annu Symp Proc - How communities are leveraging the health information technology workforce to implement electronic health records. ( 0,630681901519374 )
J Med Syst - Impact of technological innovation on a nursing home performance and on the medication-use process safety. ( 0,628512354477894 )
J Am Med Inform Assoc - How outcomes are achieved through patient portals: a realist review. ( 0,627904845855263 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,62723749613862 )
Int J Health Geogr - Spatial access to residential care resources in Beijing, China. ( 0,626305447786225 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,624935804599303 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,624389504342293 )
J. Med. Internet Res. - Patient and public views on electronic health records and their uses in the United kingdom: cross-sectional survey. ( 0,622477366445542 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,622006548224542 )
J Am Med Inform Assoc - Let the left hand know what the right is doing: a vision for care coordination and electronic health records. ( 0,620507992035628 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,62009914729175 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,620063562439667 )
Telemed J E Health - e-Health policy and deployment activities in Europe. ( 0,619567007564203 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,617765014238069 )
Int J Med Inform - A Rasch model analysis of technology usage in Minnesota hospitals. ( 0,616242409734625 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,615174637013666 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,614843289690991 )
Appl Clin Inform - Physician beliefs about the impact of meaningful use of the EHR: a cross-sectional study. ( 0,614448142222121 )
Int J Health Geogr - An analysis of health system resources in relation to pandemic response capacity in the Greater Mekong Subregion. ( 0,612740767637455 )
Comput Methods Programs Biomed - Development and implementation of a national telehealth project for long-term care: a preliminary study. ( 0,611948795080789 )
BMC Med Inform Decis Mak - Designing a patient-centered personal health record to promote preventive care. ( 0,611298225920071 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,609767605657504 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,609711705219948 )
AMIA Annu Symp Proc - Preparing for an aging population and improving chronic disease management. ( 0,608551427363524 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,608112892649946 )
J Am Med Inform Assoc - Facility characteristics associated with the use of electronic health records in residential care facilities. ( 0,607244011874184 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,605564629726664 )
Int J Health Geogr - It's a long, long walk: accessibility to hospitals, maternity and integrated health centers in Niger. ( 0,604103915206651 )
J Am Med Inform Assoc - The Regional Healthcare Ecosystem Analyst (RHEA): a simulation modeling tool to assist infectious disease control in a health system. ( 0,602989160961177 )
BMC Med Inform Decis Mak - Information technology systems in public sector health facilities in developing countries: the case of South Africa. ( 0,602018459956331 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,601781912344736 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,601595700596569 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,601212851307442 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,601016383922459 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,600838169280145 )
J Am Med Inform Assoc - The potential for community-based health information exchange systems to reduce hospital readmissions. ( 0,599981732021804 )
Telemed J E Health - Lessons learned from the development of health applications in a tertiary hospital. ( 0,599953320375066 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,597823578349267 )
J Biomed Inform - The long road to semantic interoperability in support of public health: experiences from two states. ( 0,594187909429914 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,593991122582818 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,593571269030461 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,593244719444058 )
J Am Med Inform Assoc - Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings. ( 0,59309876524455 )
J. Med. Internet Res. - Investigating the congruence of crowdsourced information with official government data: the case of pediatric clinics. ( 0,5929944872965 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,592289727133059 )
Med Decis Making - Accounting for costs, QALYs, and capacity constraints: using discrete-event simulation to evaluate alternative service delivery and organizational scenarios for hospital-based glaucoma services. ( 0,590941365169043 )
AMIA Annu Symp Proc - All health care is not local: an evaluation of the distribution of Emergency Department care delivered in Indiana. ( 0,590846254737143 )
Comput Methods Programs Biomed - A method to manage and share anti-retroviral (ARV) therapy information of human immunodeficiency virus (HIV) patients in Vietnam. ( 0,590385236033301 )
Health Info Libr J - Using the results of a satisfaction survey to demonstrate the impact of a new library service model. ( 0,589252661929625 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,586291917047705 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,586287115587371 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,585469615570192 )
J Am Med Inform Assoc - Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group. ( 0,585461169759442 )
J Am Med Inform Assoc - Geographical distribution of patients visiting a health information exchange in New York City. ( 0,585337539857212 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,583351126731873 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,583056327087514 )
Int J Health Geogr - Optimization of preventive health care facility locations. ( 0,582226812091176 )
Telemed J E Health - Heart failure patients' perceptions and use of technology to manage disease symptoms. ( 0,580008804368135 )
Comput Methods Programs Biomed - Study on the potential for delay tolerant networks by health workers in low resource settings. ( 0,578670432278018 )