Evidence map›Paper›PMID 28236178›Full record

ArticleHealth care management science2018

Does participation in health information exchange improve hospital efficiency?

Daniel M Walker

Abstract read
In one paragraph

Article in Health care management science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. The benefits of health information exchange: an updated systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018
    Pooled it
  3. Article
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  6. Review
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  12. Usage of and Attitudes Toward Health Information Exchange Before and After System Implementation in a VA Medical Center.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Daniel M WalkerThe Ohio State University, College of Medicine, 2231 North High St., Rm, Columbus, OH, 266, USA. Daniel.Walker@osumc.edu.

Funding

Hospital Efficiency Changes from Health Information Exchange ParticipationR36HS023343 · AHRQ · TULANE UNIVERSITY OF LOUISIANA · PI WALKER, DANIEL M · 2014 to 2014
$37k
Agency for Healthcare Research and Quality R36HS023343AHRQ HHS R36 HS023343
6 · The paper itself

Abstract

The federal government allocated nearly $30 billion to spur the development of information technology infrastructure capable of supporting the exchange of interoperable clinical data, leading to growth in hospital participation in health information exchange (HIE) networks. HIEs have the potential to improve care coordination across healthcare providers, leading ultimately to increased productivity of health services for hospitals. However, the impact of HIE participation on hospital efficiency remains unclear. This dynamic prompts the question asked by this study: does HIE participation improve hospital efficiency. This study estimates the effect of HIE participation on efficiency using a national sample of 1017 hospitals from 2009 to 2012. Using a two-stage analytic design, efficiency indices were determined using the Malmquist algorithm and then regressed on a set of hospital characteristics. Results suggest that any participation in HIE can improve both technical efficiency change and total factor productivity (TFP). A second model examining total years of HIE participation shows a benefit of one and three years of participation on TFP. These results suggest that hospital investment in HIE participation may be a useful strategy to improve hospital operational performance, and that policy should continue to support increased participation and use of HIE. More research is needed to identify the exact mechanisms through which HIE participation can improve hospital efficiency.

Indexed as

Efficiency, OrganizationalAlgorithmsHealth Information ExchangeHospital AdministrationHospitalsHumansModels, TheoreticalUnited StatesEfficiencyHealth information exchangeHealth information technologyHospitalMalmquist algorithm

Identifiers

PMID28236178
PMCPMC5568978

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.