Taylor Roger, Bower Anthony, Girosi Federico, Bigelow James, Fonkych Kateryna, Hillestad Richard
RAND, Santa Monica, California, USA.
Health Aff (Millwood). 2005 Sep-Oct;24(5):1234-45. doi: 10.1377/hlthaff.24.5.1234.
Health information technology (HIT) could save $81-$162 billion or more annually while greatly reducing morbidity and mortality. However, gaining these benefits requires broad adoption, effective implementation, and associated changes in health care processes and structures. The policy options that could speed the adoption of HIT and the realization of these benefits include incentives to promote standard-based electronic medical record (EMR) system adoption; subsidies to develop information-exchange networks; and programs to measure, report, and reward performance. Investments in these and other identified policy options should pay for themselves while also laying the foundation for needed transformation of the U.S. health care system.
健康信息技术(HIT)每年可节省810亿至1620亿美元甚至更多,同时大幅降低发病率和死亡率。然而,要获得这些益处需要广泛采用、有效实施,并对医疗保健流程和结构进行相关变革。能够加速HIT采用并实现这些益处的政策选择包括:激励措施以促进基于标准的电子病历(EMR)系统的采用;补贴以发展信息交换网络;以及衡量、报告和奖励绩效的项目。对这些及其他已确定的政策选择进行投资,不仅应能实现自身的成本效益,还应为美国医疗保健系统所需的转型奠定基础。