抓伤的地方抓伤:电子共享健康信息和成本
1College of Business, Hongik University, Seoul 04066, Republic of Korea.
Healthcare (Basel, Switzerland)
|July 29, 2023
概括
在内部分享健康信息可以降低医院的成本. 然而,克服诸如缺乏激励或能力等挑战可以节省成本,即使是在外部共享. 坚持是医院实现效益的关键.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
背景情况:
- 电子健康信息交换 (HIE) 可以改善护理协调和医院绩效.
- 医院面临着对外部HIE的重大障碍,影响了成本效益.
- 了解HIE在各种具有挑战性的情况下的成本影响至关重要.
研究的目的:
- 确定外部健康信息共享影响医院成本的条件.
- 检查HIE的障碍,例如缺乏激励和能力.
- 分析HIE挑战与医院成本结果之间的关系.
主要方法:
- 利用了来自美国医院协会 (AHA) 调查,CMS医院比较和人口普查局估计的数据.
- 与内部与外部健康信息共享相关的医院成本的比较.
- 分析了特定障碍 (激励,能力) 对成本节约的影响.
主要成果:
- 内部HIE显著降低了医院成本.
- 当医院面临诸如缺少激励或能力等挑战时,外部HIE还可以节省成本.
- 克服HIE障碍对于实现成本效益至关重要.
结论:
- 医院的成本节约是可以通过持续努力实现的健康信息交换,尽管面临挑战.
- 政策制定者应该针对面临特定HIE障碍的医院进行干预,以提高效率.
- 解决阻碍HIE的核心问题对于最大限度地发挥其益处至关重要.
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