Smart Technology, Stunted Policy: Developing Health Information Networks

Health Affairs

Volumn 16, Issue 3, 1997, Pages 91-105

  Starr, Paul ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY CARE; COMPUTER NETWORK; COST CONTROL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; MEDICAL RECORD; POLICY; PRIVACY; UNITED STATES;

COMMUNITY HEALTH SERVICES; COMPUTER COMMUNICATION NETWORKS; COST CONTROL; HEALTH CARE REFORM; HUMANS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; PRIVACY; PUBLIC POLICY; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 0013605506     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.16.3.91     Document Type: Article

References (30)

1. Savings estimates ranged from 0.5 percent to 3.6 percent of national health expenditures. See U.S. Congress, Office of Technology Assessment, Bringing Health Care Online: The Role of Information Technologies (Washington: U.S. Government Printing Office, September 1995), 104-108.
2. J. Kassirer, "The Next Transformation in the Delivery of Health Care," The New England Journal of Medicine (5 January 1995): 52-54. See also, Council on Competitiveness, Highway to Health Transforming U.S. Health Care in the Information Age (Washington: Council on Competitiveness, March 1996).
3. J. Kassirer, "The Next Transformation in the Delivery of Health Care," The New England Journal of Medicine (5 January 1995): 52-54. See also, Council on Competitiveness, Highway to Health Transforming U.S. Health Care in the Information Age (Washington: Council on Competitiveness, March 1996).
4. S. Zuboff, In the Age of the Smart Machine: The Future of Work and Power (New York: Basic Books, 1988).
5. N. Gingrich, unedited transcript of remarks, conference on "Democracy in Virtual America," Progress and Freedom Foundation, Washington, D.C., 10 January 1995.
6. B. Kaplan, "Computers in Medicine, 1950-1980: The Relationship between History and Policy," dissertation, University of Chicago, December 1984.
7. For more on the information revolution and vital statistics, see P. Starr and S. Starr, "Reinventing Vital Statistics: The Impact of Changes in Information Technology, Welfare Policy, and Health Care," Public Health Reports (September/ October 1995): 534-544.
8. OTA, Bringing Health Care Online, 94-95.
9. Ibid., 93-94.
10. Ibid., 87-90.
11. Workgroup for Electronic Data Interchange, "Report to Secretary ot U.S. Department of Health and Human Services," July 1992.
12. Medical and Health Insurance Information Reform Act of 1992, 102d Cong., 2d sess.; and L. Sullivan, "Remarks," Health Information System Conference, Washington, D.C., 16 June 1992.
13. Medical and Health Insurance Information Reform Act of 1992, 102d Cong., 2d sess.; and L. Sullivan, "Remarks," Health Information System Conference, Washington, D.C., 16 June 1992.
14. Health Security Act, 103d Cong., 1st sess., Title V.
15. See (White House Health Task Force) Workgroups 10 and 19, Information Systems and Administrative Simplification, Tollgate V, 3 April 1993; and draft plan, 7 September 1993.
16. See (White House Health Task Force) Workgroups 10 and 19, Information Systems and Administrative Simplification, Tollgate V, 3 April 1993; and draft plan, 7 September 1993.
17. G. Stix, "Dr. Big Brother," Scientific American (February 1994): 108-111.
18. Analysis is based on interviews at all seven of the CHMIS projects and related organizations in the same states, conducted in 1994 and 1995 for the Hartford Foundation, plus follow-up telephone interviews in 1995 and 1996.
19. John Frymoyer, dean, University of Vermont College of Medicine and Fletcher Allen Medical Center, interview, 29 March 1995.
20. Harold Petersen, assistant director, Computing and Telecommunications, University of Tennessee, interview, 12 July 1995.
21. Richard Rubin, personal communication, 7 November 1996.
22. J. Ziegler, "Health Care's Search for an Information Injection," Business and Health (April 1996): 33.
23. Bart Killian, executive director, Utah Health Information Network, interview, 26 August 1996; and D. Wise, "Big Savings from Tackling the Basics: Coalition Report," Business and Health (August 1995): 53.
24. Bart Killian, executive director, Utah Health Information Network, interview, 26 August 1996; and D. Wise, "Big Savings from Tackling the Basics: Coalition Report," Business and Health (August 1995): 53.
25. Ann Geyer, president, Health Data Information Corp., interview, 21 August 1996.
26. C. Appleby, "The Trouble with CHINs," Hospitals and Health Networks (5 May 1995): 42-44.
27. Al Bucci, SMS, Inc., general manager of Metropolitan Chicago CHIN, interview, 26 August 1996.
28. G. Borzo, "Internet Infuses New Life into Data Networks; Healthcare Industry," American Medical News, 20 May 1996, 3.
29. A. Dowling, "CHINs - the Current State," in Community Health Information Networks, ed. P. Brennan et al. (New York: Springer-Verlag, 1996).
30. T. Malone, J. Yates, and R. Benjamin, "Electronic Markets and Electronic Hierarchies," Communications of the ACM (June 1987): 484-497.