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Related Experiment Videos

Cost effectiveness of computerization in nursing practice and administration.

R D Zielstorff

    The Journal of Nursing Administration
    |February 1, 1985
    PubMed
    Summary

    Cost-effectiveness analysis is suitable for limited nursing computer systems. For complex, large-scale automated systems impacting nursing, cost-benefit analysis is a more appropriate evaluation technique. This helps determine the true value of sophisticated clinical systems.

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    Area of Science:

    • Health Informatics
    • Nursing Management
    • Health Economics

    Background:

    • Evaluating the financial impact of automated systems in nursing is crucial.
    • Traditional cost-effectiveness analysis may not be suitable for all nursing technologies.
    • The complexity of modern clinical systems presents challenges in financial assessment.

    Purpose of the Study:

    • To differentiate between cost-effectiveness and cost-benefit analysis in the context of nursing informatics.
    • To guide nurses in selecting appropriate financial evaluation methods for clinical systems.
    • To highlight the challenges in quantifying benefits for sophisticated healthcare technologies.

    Main Methods:

    • Review of definitions for cost-effectiveness and cost-benefit analysis.

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  • Examination of documented examples of each evaluation type.
  • Discussion on the applicability of each method to different scales of automated nursing systems.

    • Main Results:

    • Cost-effectiveness analysis is appropriate for circumscribed, well-defined systems.
    • Cost-benefit analysis is better suited for large, diffuse automated systems impacting nursing.
    • Increased system sophistication correlates with higher costs and greater difficulty in assigning monetary value to benefits.

    Conclusions:

    • Nurses need to understand the appropriate application of cost-effectiveness versus cost-benefit analysis.
    • The financial evaluation of complex nursing information systems requires careful consideration of methodology.
    • The benefits of advanced clinical systems, while significant, are often challenging to quantify in direct monetary terms.