Hillestad Richard, Bigelow James, Bower Anthony, Girosi Federico, Meili Robin, Scoville Richard, Taylor Roger
RAND, Santa Monica, California, USA.
Health Aff (Millwood). 2005 Sep-Oct;24(5):1103-17. doi: 10.1377/hlthaff.24.5.1103.
To broadly examine the potential health and financial benefits of health information technology (HIT), this paper compares health care with the use of IT in other industries. It estimates potential savings and costs of widespread adoption of electronic medical record (EMR) systems, models important health and safety benefits, and concludes that effective EMR implementation and networking could eventually save more than $81 billion annually--by improving health care efficiency and safety--and that HIT-enabled prevention and management of chronic disease could eventually double those savings while increasing health and other social benefits. However, this is unlikely to be realized without related changes to the health care system.
为了广泛考察健康信息技术(HIT)潜在的健康和经济效益,本文将医疗保健行业与信息技术在其他行业的应用进行了比较。它估算了广泛采用电子病历(EMR)系统的潜在节省费用和成本,模拟了重要的健康和安全效益,并得出结论:有效的电子病历实施和联网最终每年可节省超过810亿美元——通过提高医疗保健效率和安全性——而且借助健康信息技术对慢性病进行预防和管理最终可使节省金额翻倍,同时增加健康及其他社会效益。然而,如果医疗保健系统不进行相关变革,这一目标不太可能实现。