Journal
JOURNAL OF HEALTH ECONOMICS
Volume 27, Issue 3, Pages 585-602Publisher
ELSEVIER
DOI: 10.1016/j.jhealeco.2007.10.008
Keywords
information technology; medical errors; medical charges; care quality
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We analyze the effect of a decision support tool designed to help physicians detect and correct medical missteps. The data comes from a randomized trial of the technology on a population of commercial HMO patients. The key findings are that the new information technology lowers average charges by 6% relative to the control group. This reduction in resource utilization was the result of reduced in-patient charges (and associated professional charges) for the most costly patients. The rate at which identified issues were resolved was generally higher in the study group than in the control group, suggesting the possibility of improvements in care quality along measured dimensions and enhanced diffusion of new protocols based on new clinical evidence. (C) 2007 Elsevier B.V. All rights reserved.
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