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Why good hospitals get bad computing.

H L Bleich1

  • 1Center for Clinical Computing, Harvard Medical School, Boston, USA. bleich@enterprise.bidmc.harvard.edu

Studies in Health Technology and Informatics
|June 29, 1999
PubMed
Summary
This summary is machine-generated.

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American hospitals overspend on computing, leading to clinician dissatisfaction. Fundamental changes in purchasing and management are needed to improve returns on technology investments.

Area of Science:

  • Health Informatics
  • Healthcare Management
  • Information Technology in Healthcare

Background:

  • Hospitals incur significant expenditures on computing resources.
  • Clinicians, including physicians and nurses, report dissatisfaction with available technology.
  • Current systems result in suboptimal value despite high investment.

Purpose of the Study:

  • To analyze the reasons behind clinician dissatisfaction with hospital computing despite substantial spending.
  • To identify the systemic factors contributing to the inefficient allocation of computing resources in healthcare settings.
  • To propose necessary changes in hospital computing procurement and management.

Main Methods:

  • Analysis of spending patterns in American hospitals on computing.

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  • Assessment of user satisfaction levels among physicians and nurses regarding computing resources.
  • Examination of the decision-making processes in hospital technology acquisition and management.

    • Main Results:

    • High spending on computing does not correlate with user satisfaction.
    • Individual self-interest in purchasing and management leads to collective inefficiency.
    • Current hospital strategies fail to yield adequate returns on technology investments.

    Conclusions:

    • Hospitals must implement fundamental changes in how they purchase and manage computing.
    • Without significant strategic shifts, continued overspending and dissatisfaction are likely.
    • Optimizing computing resources requires a systemic approach addressing procurement and management practices.