利用健康信息技术提高编码系统的效率。
Improved efficiency of coding systems with health information technology.
机构信息
Department of Economics, and Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University College of Economics, Seoul, Republic of Korea.
Department of Business Administration, Hallym University College of Business, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do, 200-702, Republic of Korea.
出版信息
Sci Rep. 2021 May 13;11(1):10294. doi: 10.1038/s41598-021-89869-y.
This study aimed to investigate the impact of health information technology (IT) on the Case Mix Index (CMI). This study was a retrospective cohort study using hospital financial data from the Office of Statewide Health Planning and Development (OSHPD) in California. A total of 309 unique hospitals were included in the study for 7 years, from 2009 to 2015, resulting in 2,135 hospital observations. The effects of health information technology (IT) on the Case Mix Index (CMI) was evaluated using dynamic panel data analysis to control endogeneity issues. This study found that more health IT adoption could lead to a lower CMI by improving coding systems. Policy makers, researchers, and healthcare providers must be cautious when interpreting the effect of health IT on the CMI. To encourage the adoption of health IT, the cost savings and reimbursement reductions resulting from health IT adoption should be compared. If any profit loss occurs (i.e., the cost savings is less than reimbursement reduction), more incentives should be provided to healthcare providers.
本研究旨在探讨健康信息技术（IT）对病例组合指数（CMI）的影响。本研究采用了加利福尼亚州全州卫生规划与发展办公室（OSHPD）的医院财务数据，进行了回顾性队列研究。共有 309 家独特的医院参与了这项为期 7 年（2009 年至 2015 年）的研究，共观察到 2135 家医院。采用动态面板数据分析来控制内生性问题，评估了健康信息技术（IT）对病例组合指数（CMI）的影响。本研究发现，通过改进编码系统，更多地采用健康信息技术可能会导致更低的 CMI。政策制定者、研究人员和医疗保健提供者在解释健康信息技术对 CMI 的影响时必须谨慎。为了鼓励采用健康信息技术，应比较采用健康信息技术所带来的节省成本和减少报销。如果出现任何利润损失（即节省的成本小于减少的报销），应向医疗保健提供者提供更多的激励措施。
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