现金化:数字医院的成本效益分析框架
Kim-Huong Nguyen1,2,3, Tracy Comans1,4, Thi Thao Nguyen5,6
1Faculty of Medicine, The University of Queensland, Brisbane, Australia.
BMC health services research
|May 31, 2024
概括
实施电子医疗记录 (EMR) 是昂贵的. 本研究提出了一个基于证据的框架来评估EMR的经济价值,帮助决定公共卫生资源分配.
科学领域:
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
- 数字健康评估数字健康评估
背景情况:
- 电子医疗记录 (EMR) 的实施给美国以外的国家带来了巨大的成本,需要对公共投资进行严格的评估.
- 由于缺乏标准化的评估框架,衡量EMR的投资回报是具有挑战性的.
- 评估EMR价值对于有效分配医疗保健资源至关重要.
研究的目的:
- 开发一个基于证据的数字健康成本效益分析 (eHealth-CBA) 框架.
- 计算EMR实施随时间推移的总经济价值.
- 为指导有关数字健康技术的公共投资的决策.
主要方法:
- 开发了一个三阶段的过程,整合了医疗保健系统的复杂性,投资评估实践和EMR实施知识.
- 阶段包括全面的文献审查,广泛的利益相关者咨询和CBA框架的开发.
- 该框架将EMR的影响映射到医疗保健的四重目标,为价值评估提供了一个明确的方法.
主要成果:
- 成功开发了一个新的电子健康-CBA框架.
- 该框架量化了EMR的经济价值,区分了金融和更广泛的经济影响.
- 积极的净收益表明医疗保健效率提高;负的净收益表明潜在的资源浪费.
结论:
- 拟议的框架是迈向全面EMR评估的基本步骤.
- 它为卫生决策者提供了评估数字健康投资经济价值的工具.
- 这种方法超越了纯粹的财务指标,对EMR进行了整体的经济估值.
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