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

[Vern Weitzel]

Subject: 	[EQ] Costs and benefits of health information technology: an
updated systematic review
Date: 	Mon, 11 May 2009 09:14:45 -0400
From: 	Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at PAHO.ORG>
Reply-To: 	Equity, Health & Human Development <EQUIDAD at LISTSERV.PAHO.ORG>
To: 	EQUIDAD at LISTSERV.PAHO.ORG



*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