U.S. government subsidies under the HITECH Act of 2009 have boosted hospitals’ IT investments, which are expected to improve the quality of care as well as the effectiveness of healthcare management. Given the rush to adopt health information technology (HIT) throughout the continuum of care across healthcare providers, this study tries to identify the spillover effects of HIT adoption on quality of care. Using 1,965 U.S. hospital data in 232 health referral regions (HRRs), we examine how a hospital’s and its neighboring hospitals’ HIT adoptions interact with each other and how they impact readmission rates. We find that a hospital’s readmission rate is reduced by both its own and neighbors’ HIT adoption. Such effects become greater along with the focal hospital’s own adoption. We further investigate how spillover effects vary with HRRs’ different market structures and hospitals’ meaningful-use status. Our findings offer theoretical and managerial insights for both healthcare researchers and practitioners.
목차
Abstract Introduction Research Background Empirical Analysis Data Description Empirical Approach Results Additional Analysis Subsample Analysis The Role of EDI in Generating the Spillover Effects of CDSS Network Externality: HRR-level Analysis Meaningful Use Conclusion References
키워드
Health ITSpillover EffectsHealth QualityEDICDSS
저자
Yongjin Park [ KAIST College of Business Hoegiro 85, Seoul, 02455 Korea ]
Youngsok Bang [ Chinese University of Hong Kong 12 Chak Cheung Street, Shatin, N.T., Hong Kong ]
Juhee Kwon [ KAIST College of Business Hoegiro 85, Seoul, 02455 Korea ]