The impact of health information technology on hospital productivity

J Lee, JS McCullough, RJ Town - The RAND Journal of …, 2013 - Wiley Online Library
The RAND Journal of Economics, 2013Wiley Online Library
Health information technology (IT) has been championed as a tool that can transform health
care delivery. We estimate the parameters of a value‐added hospital production function
correcting for endogenous input choices to assess the private returns hospitals earn from
health IT. Despite high marginal products, the total benefits from expanded IT adoption are
modest. Over the span of our data, health IT inputs increased by more than 210% and
contributed about 6% to the increase in value‐added. Not‐for‐profits invested more heavily …
Health information technology (IT) has been championed as a tool that can transform health care delivery. We estimate the parameters of a value‐added hospital production function correcting for endogenous input choices to assess the private returns hospitals earn from health IT. Despite high marginal products, the total benefits from expanded IT adoption are modest. Over the span of our data, health IT inputs increased by more than 210% and contributed about 6% to the increase in value‐added. Not‐for‐profits invested more heavily and differently in IT. Finally, we find no compelling evidence of labor complementarities or network externalities from competitors' IT investment.
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