Study of the cost-benefit analysis of electronic medical record systems in general hospital in China

Journal of Medical Systems

Volumn 36, Issue 5, 2012, Pages 3283-3291

  Li, Kai ^a   Naganawa, Shinji ^a   Wang, Kai ^b   Li, Ping ^c   Kato, Ken ^d   Li, Xiu ^e   Zhang, Jie ^f   Yamauchi, Kazunobu ^g  

^a NAGOYA UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

^b BEIJING HOSPITAL   (China)

^c FUWAI HOSPITAL   (China)

^d Aichi Medical Association Research Institute   (Japan)

^e AICHI PREFECTURAL UNIVERSITY   (Japan)

^f Yunnan Province Medical Information Research Institute   (China)

^g FUJITA HEALTH UNIVERSITY   (Japan)

Author keywords

Cost benefit analysis; Electronic medical record (EMR) system; General hospital; Return on investment

Indexed keywords

ARTICLE; BUDGET; CHINA; COST BENEFIT ANALYSIS; COST CONTROL; ELECTRONIC MEDICAL RECORD; EMPLOYEE; GENERAL HOSPITAL; INVESTMENT; MEDICATION ERROR; PROSPECTIVE STUDY; SENSITIVITY ANALYSIS; ECONOMICS; HOSPITAL DEPARTMENT; HUMAN; STATISTICAL MODEL;

CHINA; COST-BENEFIT ANALYSIS; ELECTRONIC HEALTH RECORDS; HOSPITAL DEPARTMENTS; HOSPITALS, GENERAL; HUMANS; MODELS, ECONOMIC;

EID: 84867299781     PISSN: 01485598     EISSN: 1573689X     Source Type: Journal    
DOI: 10.1007/s10916-011-9819-6     Document Type: Article

References (49)

1. Ministry of Public Health of the Peoples Republic of China and State Administration of Traditional Chinese Medicine. Basic framework and data standards of electronic medical records (tentative standard). Dec;4, 2009.
2. Shekelle, P. G.; Morton, S. C.; Keeler, E. B.; Costs and benefits of health information technology. Evid. Rep. Tech. Assess. (Full Rep) 132:1-71, 2006.
3. Blumenthal, D.; DesRoches, C.; Donelan, K.; Ferris, T. G.; Jha, A. K.; Kaushal, R.; Rao, S. R.; Rosenbaum, S.; Shields, A.; Health information technology in the United States: the information base for progress. Robert Wood Johnson Foundation, Princeton, 2006.
4. Chaudhry, B.; Wang, J.; Wu, S.; et al.; Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann. Intern. Med. 144:742-752, 2006.
5. Thakkar, M.; Davis, D. C.; Risks, barriers, and benefits of EHR systems: a comparative study based on size of hospital. Perspect. Health Inf. Manag. 3:5, 2006.
6. Grieger, D. L.; Cohen, S. H.; Krusch, D. A.; A pilot study to document the return on investment for implementing an ambulatory electronic health record at an academic medical center. J. Am. Coll. Surg. 205(1):89-96, 2007.
7. Bates, D. W.; Cohen, M.; Leape, L. L.; Overhage, J. M.; Shabot, M. M.; Sheridan, T.; Reducing the frequency of errors in medicine using information technology. J. Am. Med. Informat. Assoc. 8:299-308, 2001.
8. Overhage, J. M.; Tierney, W. M.; Zhou, X. A.; McDonald, C. J.; A randomized trial of corollary orders to prevent errors of omission. J. Am. Med. Informat. Assoc. 4:364-375, 1997.
9. Bates, D. W.; Evans, R. S.; Murff, H.; Stetson, P. D.; Pizziferri, L.; Hripcsak, G.; Detecting adverse events using information technology. J. Am. Med. Informat. Assoc. 10:115-128, 2003.
10. Balas, E. A.; Weingarten, S.; Garb, C. T.; et al.; Improving preventive care by prompting physicians. Arch. Intern. Med. 160:301-308, 2000.
11. Bates, D. W.; Gawande, A. A.; Patient safety: improving safety with information technology. N. Engl. J. Med. 348:2526-2534, 2003.
12. Bates, D. W.; Using information technology to reduce rates of medication errors in hospitals. BMJ 320:788-791, 2000.
13. Bates, D. W.; Physicians and ambulatory electronic health records. Health Aff. 24:1180-1189, 2005.
14. Bates, D. W.; Kuperman, G. J.; Rittenberg, E.; et al.; A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests. Am. J. Med. 106:144-150, 1999.
15. Hillstead, R.; Bigelow, J.; Bower, A.; et al.; Can electronic medical record systems transform health care? potential health benefits, savings and costs. Health Aff. 24:1103-1117, 2005.
16. Wang, S. J.; Middleton, B.; Prosser, L. S.; et al.; A cost-benefit analysis of electronic medical records in primary care. Am. J. Med. 114:397-402, 2003.
17. Evans, R. S.; Pestotnik, S. L.; Classen, D. C.; et al.; A computer-assisted management program for antibiotics and other anti-infective agents. N. Engl. J. Med. 338:232-238, 1998.
18. Kian, L. A.; Stewart, M. W.; Bagby, C.; Robertson, J.; Justifying the cost of a computer-based patient record. Healthc. Financ. Manag. 49: 58-60, 62, 64-67, 1995.
19. Elson, R. B.; Connelly, D. P.; Computerized patient records in primary care. Their role in mediating guideline-driven physician behavior change. Arch Fam Med. 4:698-705, 1995.
20. Shea, S.; DuMouchel, W.; Bahamonde, L.; A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J. Am. Med. Informat. Assoc. 3:399-409, 1996.
21. Hunt, D. L.; Haynes, R. B.; Hanna, S. E.; et al.; Effects of computer-based clinical decision support systems on physician performance and patient outcomes (a systematic review). JAMA 280:1339-1346, 1998.
22. Bates, D. W.; Medication errors. How common are they and what can be done to prevent them? Drug Saf. 15:303-310, 1996.
23. Hing, E.; Hall, M. J.; Ashman, J. J.; Use of electronic medical records by ambulatory care providers: United States, 2006. Natl. Health Stat. Rep. 22:1-21, 2010.
24. Jha, A. K.; Ferris, T. G.; Donelan, K.; et al.; How common are electronic health records in the United States? A summary of the evidence. Health Aff. (Millwood) 25:496-507, 2006.
25. Fonkych, K.; Taylor, R.; The state and pattern of health information technology adoption. Pub. no. MG-409-HLTH (Santa Monica, Calif.: RAND, 2005).
26. Hammond, K. W.; Prather, R. J.; Date, V. V.; King, C. A.; A provider-interactive medical record system can favorably influence costs and quality of medical care. Comput. Biol. Med. 20:267-279, 1990.
27. Rawitz, J. G.; Cowan, W. Y.; Paige, B. M.; Justifying costs of computer software purchases. Healthc. Financ. Manag. 44:46-51, 1990.
28. Davis, M. W.; Reaping the benefits of electronic medical record systems. Healthc. Financ. Manag. 47:60-62, 1993.
29. Renner, K.; Electronic medical records in the outpatient setting (part 1). Med. Group Manag. J. 43:52-57, 1996.
30. Renner, K.; Electronic medical records in the outpatient setting (part 2). Med. Group Manag. J. 43:60-65, 1996.
31. Pliskin, N.; Glezerman, M.; Modai, I.; Weiler, D.; Spreadsheet evaluation of computerized medical records (the impact on quality, time, and money). J.Med. Syst. 20:85-100, 1996.
32. Khoury, A.; Finding value in EMRs (electronic medical records). Health Manag. Tech. 18:34-36, 1997.
33. Mohr, D. N.; Benefits of an electronic clinical information system. Healthc. Inf. Manag. 11:49-57, 1997.
34. Nelson, R.; Computerized patient records improve practice efficiency and patient care. Healthc. Financ. Manag. 52:86-88, 1998.
35. Sandrick, K.; Calculating ROI for CPRs. Health Manag. Tech. 19:16-20, 1998.
36. Pifer, E. A.; Smith, S.; Keever, G. W.; EMR to the rescue. An ambulatory care pilot project shows that data sharing equals cost shaving. Healthc. Inform. 18:111-114, 2001.
37. Mildon, J.; Cohen, T.; Drivers in the electronic medical records market. Health Manag. Tech. 22:14-16, 2001.
38. Snyder-Halpern, R.; Thompson, C. B.; Schaffer, J.; Comparison of mailed vs. Internet applications of the Delphi technique in clinical informatics research. Proc. AMIA Symp.: 809-13, 2000.
39. National Development and Reform Commission Ministry of Construction of People's Republic of China. Methodology and parameters of economic evaluation on construction projects (third edition). Aug;83,224, 2006.
40. Renner, K.; Cost-justifying electronic medical records. Healthc. Financ. Manag. 50:63-64, 1996.
41. Bingham, A.; Computerized patient records benefit physician offices. Healthc. Financ. Manag. 51:68-70, 1997.
42. Zdon, L.; Middleton, B.; Ambulatory electronic medical records implementation cost benefit (An enterprise case study). Healthc. Inform. Manag. Syst. Soc. 4:97-117, 1999.
43. Ury, A.; The Business Case for an Electronic Medical Record System. Group Pract. J. 49:1-6, 2000.
44. Chen, B. L.; Li, E. D.; Yamawuchi, K.; Kato, K.; Naganawa, S.; Miao, W. J.; Impact of adjustment measures on reducing outpatient waiting time in a community hospital: application of a computer simulation. Chin. Med. J. (Engl) 123:574-580, 2010.
45. Essex, D.; Skip the song & dance. Healthc. Inform. 16: 49-52,54,56, 1999.
46. Bates, D. W.; Teich, J. M.; Lee, J.; et al.; The impact of computerized physician order entry on medication error prevention. J. Am. Med. Informat. Assoc. 6:313-321, 1999.
47. McDonald, C. J.; Hui, S. L.; Smith, D. M.; et al.; Reminders to physicians from an introspective computer medical record. A two-year randomized trial. Ann. Intern. Med. 100:130-138, 1984.
48. Wang, K.; Li, P.; Chen, L.; Kato, K.; Kobayashi, M.; Yamauchi, K.; Impact of the Japanese diagnosis procedure combination-based payment system in Japan. J. Med. Syst.: 95-100, 2010.
49. McDonald, C. J.; Overhage, J. M.; Tierney, W. M.; et al.; The regenstrief medical record system (a quarter century experience). Intern. J. Med. Inf. 54:225-253, 1999.