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

de: Ruggiero, Mrs. Ana Lucia (WDC)
para: EQUIDAD@listserv.paho.org
fecha: 11 de mayo de 2009 8:14
asunto: [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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