Sultan Faisal, Aziz Muhammad Tahir, Khokhar Idrees, Qadri Hussain, Abbas Manzar, Mukhtar Amir, Manzoor Waqar, Yusuf Muhammed Aasim
Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMCH&RC), 7A, Block R3, Johar Town, Lahore, Pakistan.
Department of Pharmaceutical Services, Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMCH&RC), 7A, Block R3, Johar Town, Lahore, Pakistan.
Int J Med Inform. 2014 Mar;83(3):180-8. doi: 10.1016/j.ijmedinf.2013.12.004. Epub 2013 Dec 15.
To review our experience of development and implementation of an electronic hospital information system, its costs and return on investment as well as incorporation of some key quality standards.
Cost and saving trends of the project were calculated using different tools including project expense, cost saving through cessation of printing radiology films and paper. Net present value with payback period was utilized to evaluate the efficiency of the health information systems. Qualitative improvements in different healthcare functions were also analyzed.
The total saving of the project was approximately US$ 5.1 million with net saving of US$ 3.5 million for the period from 2001 to 2011. The net present value of the project is US$ 3.2 million with a payback period of 3.4 years.
Electronic hospital information systems and health records hold the potential to be useful tools for quality improvement and error reduction. Adoption of such systems, however, has been slow and erratic, worldwide. Utilizing the concept of net present value, development of such a system may be financially viable for some institutions. Instead of simply replacing paper, these systems may also be used to improve information management and improve quality of patient care.
回顾我们在开发和实施电子医院信息系统方面的经验、其成本和投资回报，以及纳入一些关键质量标准的情况。
使用不同工具计算项目的成本和节约趋势，包括项目费用、通过停止打印放射学胶片和纸张实现的成本节约。利用净现值和投资回收期来评估健康信息系统的效率。还分析了不同医疗保健功能的定性改进情况。
该项目的总节约约为510万美元，2001年至2011年期间的净节约为350万美元。该项目的净现值为320万美元，投资回收期为3.4年。
电子医院信息系统和健康记录有潜力成为提高质量和减少错误的有用工具。然而，在全球范围内，采用此类系统的速度一直缓慢且不稳定。利用净现值的概念，开发这样一个系统对一些机构来说在财务上可能是可行的。这些系统不仅可以简单地取代纸张，还可用于改善信息管理和提高患者护理质量。
