ArticleNPJ digital medicine2022
Economic evaluation and analyses of hospital-based electronic medical records (EMRs): a scoping review of international literature.
Article in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis.Journal of medical Internet research · 2024Pooled it
- Impediments to transforming the healthcare delivery system: shifting the paradigm from provider centric to patient centric.Frontiers in health services · 2026Article
- Development and validation of a machine learning model for post-PCI exercise intolerance in patients with coronary artery disease via electronic medical records.Frontiers in public health · 2026Article
- Digital Health for Australia: Bridging the Rural, Regional, and Remote Health Gap.Interactive journal of medical research · 2025Article
- Digital Maturity as a Predictor of Quality and Safety Outcomes in US Hospitals: Cross-Sectional Observational Study.Journal of medical Internet research · 2024Observational
- Cashing in: cost-benefit analysis framework for digital hospitals.BMC health services research · 2024Article
- Nurses' continuance intention to use electronic health record systems: The antecedent role of personality and organisation support.PloS one · 2024Article
- Perceived Impact of Digital Health Maturity on Patient Experience, Population Health, Health Care Costs, and Provider Experience: Mixed Methods Case Study.Journal of medical Internet research · 2023Article
- Evaluating the costs and consequences of computerized clinical decision support systems in hospitals: a scoping review and recommendations for future practice.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Show me the money: how do we justify spending health care dollars on digital health?The Medical journal of Australia · 2023Article
- Digital solutions for primary stroke and cardiovascular disease prevention: A mass individual and public health approach.The Lancet regional health. Western Pacific · 2022Review
- Understanding the Digital Disruption of Health Care: An Ethnographic Study of Real-Time Multidisciplinary Clinical Behavior in a New Digital Hospital.Applied clinical informatics · 2022Article
- Incentive EMR Sharing System Based on Consortium Blockchain and IPFS.Healthcare (Basel, Switzerland) · 2022Article
- Applying PEST analysis to evaluate the adoption of electronic health records in Tanzanian healthcare: A scoping review.Digital healthReview
- Opportunities and Challenges to Advance Health Equity Using Digital Health Tools in Underserved Communities in Southeast US: A Mixed Methods Study.Journal of primary care & community healthArticle
- Examining the relationship between digital hospital level and patient safety culture: A study on healthcare workers.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Digital transformation is expensive and rarely smooth, often leading to higher costs than anticipated. It is challenging to demonstrate the contribution of digital health investment in achieving the healthcare aims of population health and workforce sustainability. We conducted a scoping review to understand how electronic medical record (EMR) implementations in the hospital setting have been evaluated using cost-benefit analysis (CBA) approaches. The review search resulted in 1184 unique articles, a final list of 28 was collated of which 20 were US-based studies. All studies were published in 2010-2019, with fewer studies published in more recent years. The data used to estimate benefits and costs were dated from 1996 to 2016, with most data from 2000 to 2010. Only three studies were qualified as using cost-benefit analysis approaches. While studies indicated that there is a positive impact from the EMR implementation, the impacts measured varied greatly. We concluded that the current literature demonstrates a lack of appropriate and comprehensive economic frameworks to understand the value of digital hospital implementations. Additionally, most studies failed to align fully to the quadruple aims of healthcare: they focused either on cost savings and/or improved patient outcomes and population health, none investigated healthcare-workforce sustainability.
Identifiers
What OpenQuestion holds
Registered trials
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.