[EQ] Costs and benefits of health information technology: an updated systematic review

Costs and benefits of health information technology: an updated systematic review

 

Paul G Shekelle, Caroline L Goldzweig

Southern California Evidence-based

Practice Centre

RAND Corporation - 2009

 

Available online PDF [64p.] at:  http://www.health.org.uk/publications/research_reports/health_technology.html

 

This report summarises the available international evidence on the costs and benefits of clinical health information technology systems.

 

“…..The use of health information technology (HIT) has been promoted as having tremendous promise to improve the efficiency, cost-effectiveness, quality and safety of medical care delivery. The hope is that healthcare can follow the example of many non-healthcare industries – in which implementation of computer information technology has been a critical part of increasing the accessibility of information – and automate labour-intensive and inefficient processes, and minimise human error….”

 

 

Contents

Summary

Chapter 1. Introduction

A framework for considering the costs and benefits of health information technology

Elements of the business case

What is generalisable knowledge regarding health information technology?

Chapter 2. Methods

Literature search

Article review

Selecting articles and data elements for the interactive database

Synthesising the results

Chapter 3. Results

Description of the studies

Major themes

Theme 1: The HIT leaders continue to publish studies showing the potential benefits and limitations of multifunctional clinical HIT systems. 2

Theme 2: Although still rare in number there are more published studies of commercial HIT systems.

Theme 3: There is a rise in the number of studies of HIT applications designed to be used by patients.

Theme 4: Cost and cost-effectiveness data are still limited.

Theme 5: There has been modest progress in identifying or reporting on barriers to adoption.

Chapter 4. Discussion and conclusions

Chapter 5. References

Appendices

Appendix A. Search strategies

Appendix B. Health information technologies pre-screening form

 

 

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