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互換性は経済学の問題なのか? 電子処方による初期の教訓

Karim Keshavjee1, Felipe Cepeda1

  • 1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.

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まとめ
この要約は機械生成です。

医療の相互運用性の採用は,技術だけでなく,経済的要因によって引き起こされます. インセンティブと委託は,電子処方において見られるように,健康情報交換システムの採用に大きく影響を与えます.

キーワード:
相互運用性についてe-prescribing (電子処方) についてインセンティブは,インセンティブのインセンティブ.マンダット (Mandate) とは,マンダット (Mandate) を指す.トランザクションコスト

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科学分野:

  • 医療情報工学 医療情報工学
  • 健康経済学 医療経済学
  • 保健政策 保健政策 保健政策

背景:

  • 医療の相互運用性への大きな投資にもかかわらず,臨床医の採用は一貫していない.
  • 多くの医療従事者は,成熟した技術基準が利用されているにもかかわらず,医療情報交換のために,まだファックスなどの時代遅れの方法を使用しています.

研究 の 目的:

  • 医療の相互運用性の採用に対する障壁が,主に技術的か経済的かを調査する.
  • 健康情報交換の採用に影響を与える経済的要因を分析する.

主な方法:

  • カナダ,米国,デンマークにおける電子処方箋の採用に関する比較ケーススタディ.
  • 異なる政策アプローチの分析:自発的養子縁組,罰則に基づく養子縁組,および全国的な委任.
  • 取引コスト,外部性,コース定理,情報非対称性を含む経済理論の応用.

主要な成果:

  • カナダの自発的な電子処方箋モデルは,限られた普及率を示した.
  • 米国は,メディケア・パートDに縛られた罰則を導入した後,重要な採用を達成しました.
  • デンマークの全国的な権限は,ほぼ普遍的なe-処方箋の採用をもたらしました.

結論:

  • 医療の相互運用性の採用は,技術によってのみではなく,ステークホルダー間のコストと利益の分配によって著しく影響されています.
  • 経済的なデザインの原則は,持続可能な健康データ交換と相互運用性を達成するために不可欠です.
  • この調査結果は,この経済枠組みを健康データ交換の他の分野にも拡張する必要性を示唆しています.