Information technology and medical missteps: Evidence from a randomized trial

被引：17

作者：

Javitt, Jonathan C. ^{[2
]}

Rebitzer, James B. ^{[1
]}

Reisman, Lonny ^{[3
]}

机构：

[1] Case Western Reserve Univ, Dept Econ, Cleveland, OH 44106 USA

[2] Hlth Direct, Washington, DC USA

[3] Act Hlth Management Inc, New York, NY USA

来源：

JOURNAL OF HEALTH ECONOMICS | 2008年 / 27卷 / 03期

关键词：

information technology; medical errors; medical charges; care quality;

D O I：

10.1016/j.jhealeco.2007.10.008

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

We analyze the effect of a decision support tool designed to help physicians detect and correct medical "missteps". The data comes from a randomized trial of the technology on a population of commercial HMO patients. The key findings are that the new information technology lowers average charges by 6% relative to the control group. This reduction in resource utilization was the result of reduced in-patient charges (and associated professional charges) for the most costly patients. The rate at which identified issues were resolved was generally higher in the study group than in the control group, suggesting the possibility of improvements in care quality along measured dimensions and enhanced diffusion of new protocols based on new clinical evidence. (C) 2007 Elsevier B.V. All rights reserved.

引用

页码：585 / 602

页数：18

共 32 条

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[2]

[Anonymous], REV HLTH CAR INF TEC

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