Does participation in health information exchange improve hospital efficiency?
Does participation in health information exchange improve hospital efficiency?
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DOI：
10.1007/s10729-017-9396-4
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发表时间：
2018-09-01
影响因子：
3.6
通讯作者：
Walker, Daniel M.
中科院分区：
文献类型：
--
作者：
Walker, Daniel M.
联邦政府拨款近300亿美元，用于促进能够支持可互操作的临床数据交换的信息技术基础设施的发展，从而促进医院参与健康信息交换（HIE）网络。HIE有潜力改善医疗保健提供者之间的护理协调，最终提高医院医疗服务的生产力。然而，HIE参与对医院效率的影响仍不清楚。这一动态提示了本研究提出的问题：HIE参与是否提高了医院效率。这项研究使用2009年至2012年的1017家医院的全国样本估计了HIE参与对效率的影响。使用两阶段分析设计，效率指数使用Malmquist算法确定，然后回归一组医院的特点。结果表明，任何参与HIE可以提高技术效率的变化和全要素生产率（TFP）。第二个模型研究了HIE参与的总年数，显示了一年和三年的TFP参与的好处。这些结果表明，医院在HIE参与投资可能是一个有用的策略，以提高医院的经营业绩，政策应继续支持增加参与和使用HIE。需要更多的研究来确定HIE参与可以提高医院效率的确切机制。
The federal government allocated nearly $30 billion to spur the development of information technology infrastructure capable of supporting the exchange of interoperable clinical data, leading to growth in hospital participation in health information exchange (HIE) networks. HIEs have the potential to improve care coordination across healthcare providers, leading ultimately to increased productivity of health services for hospitals. However, the impact of HIE participation on hospital efficiency remains unclear. This dynamic prompts the question asked by this study: does HIE participation improve hospital efficiency. This study estimates the effect of HIE participation on efficiency using a national sample of 1017 hospitals from 2009 to 2012. Using a two-stage analytic design, efficiency indices were determined using the Malmquist algorithm and then regressed on a set of hospital characteristics. Results suggest that any participation in HIE can improve both technical efficiency change and total factor productivity (TFP). A second model examining total years of HIE participation shows a benefit of one and three years of participation on TFP. These results suggest that hospital investment in HIE participation may be a useful strategy to improve hospital operational performance, and that policy should continue to support increased participation and use of HIE. More research is needed to identify the exact mechanisms through which HIE participation can improve hospital efficiency.