Woodward R S, Boxerman S B
Health Administration Program, School of Medicine, Washington University, St. Louis, MO 63110.
J Med Syst. 1994 Jun;18(3):111-6. doi: 10.1007/BF00997289.
This manuscript integrates the utility-increasing advantages of risk reductions into well-known value-of-information justifications for executive information systems (EIS). Accordingly, even some EISs which never pay for themselves financially can be advantageous if they sufficiently reduce the uncertainty of net income for "risk averse" hospitals. The manuscript demonstrates the potential importance of risk reductions in the context of a hypothetical hospital administrator charged with selecting among alternative managed care contracts, each with uncertain outcomes. An administrator representing a hospital with diminishing marginal utility from income, a standard interpretation of risk-aversion, may find that an otherwise unprofitable EIS reduces income variations (risk) sufficiently to justify its purchase.
本手稿将降低风险带来的效用增加优势，融入到了知名的管理信息系统（EIS）信息价值依据之中。因此，即使某些EIS在财务上无法实现自身盈利，但如果它们能充分降低“风险厌恶型”医院净收入的不确定性，那么这些EIS也是具有优势的。该手稿展示了在一个假设情境中降低风险的潜在重要性，在此情境下，医院管理者负责在替代管理式医疗合同中进行选择，每个合同的结果都具有不确定性。一位代表边际收入效用递减医院（风险厌恶的标准解释）的管理者可能会发现，一个原本无利可图的EIS能够充分减少收入波动（风险），从而证明购买它是合理的。
