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The Impact of Information Technology - Evidence from the Healthcare Industry (Hardcover)
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The Impact of Information Technology - Evidence from the Healthcare Industry (Hardcover)
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This book addresses the measurement of the effect of information
technology (IT) investments on a firm's productivity. Determining a
quantifiable impact of a firm's IT has plagued senior executives,
researchers, and policy-makers for several years, as evidenced by
articles in trade magazines such as Fortune and Businessweek and in
academic journals such as Management Science. Simple statistical
techniques for measuring IT impact in a firm are fraught with
methodological problems, as these techniques do not account for
either the causal direction in managerial decision making or the
behavioral assumptions about firms. Therefore, such studies have
led to results and inferences that are not generalizable. While
studies that measure the satisfaction of people who use IT are
important, management typically would like to know whether IT has
reduced operation costs by streamlining processes or increased
revenues by increasing the demand-meeting capability of the firm.
This book attempts to determine cost-reduction or
output-enhancement that may be linked to IT investments through
methodological sophistication.
The healthcare industry presents an important and interesting
context in which to study IT impacts for several reasons. First,
since the implementation of the Prospective Payment System (PPS) by
Medicaid, most hospitals adopted cost containment measures, and
hence capital investments in hospitals have come under greater
scrutiny than ever before. Second, hospitals have been more
thorough in reporting capital and labor expenses and revenues (due
to state regulation) at a level of detail that makes it possible to
aggregate IT and other capital investments without serious
measurementerror. Most non-healthcare firms do not collect or
report such data in their financial statements. Finally, though
hospitals were slow in IT adoption, most hospitals have been
acquiring sophisticated hardware and software over the past few
years.
Results of the analysis bear evidence of the positive impact of IT
on production of healthcare services. It also shows how
methodological differences can lead to conflicting results. The
effect of PPS determined in a comparative way shows that the
economic behavior in the post-PPS differs from that in the pre-PPS
years.
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