دانلود مقاله تأثیر اندازه بیمارستان بر اثربخشی سیستم اطلاعات مراقبت های بهداشتی
چکیده
مقدمه
پیش زمینه نظری
چارچوب تحقیق
مجموعه داده ها و متغیرها
مدل برآورد و نتایج
نتیجه
منابع
Abstract
Introduction
Theoretical background
Research framework
Data set and variables
Estimation model and results
Conclusion
References
چکیده
با توسعه سریع فناوری اطلاعات، استفاده روزافزون از دستگاه‌های دیجیتال سیار و تلاش‌های کل جامعه، سیستم‌های اطلاعات مراقبت‌های بهداشتی (HIS) به سمت عصر جدیدی پیش می‌روند. با این حال، هنوز درک روشنی از مزایای HIS در سطح بیمارستان و عوامل موثر بر اثربخشی HIS وجود ندارد. در این مطالعه، ما یک چارچوب تحقیقاتی برای توضیح اینکه چگونه اجرای HIS عملکرد بیمارستان را بهبود می‌بخشد، پیشنهاد می‌کنیم. نتایج ما تأثیر مثبت HIS بر عملکرد بیمارستان را تقویت می کند. به طور خاص، ما دریافتیم که اجرای HIS هم هزینه و هم درآمد بیمارستان ها را افزایش می دهد، اما اثر افزایشی در درآمد بسیار بزرگتر از اثر افزایشی در هزینه است. ما همچنین دریافتیم که اگرچه بیمارستان‌های کوچک و بزرگ هر دو از اجرای HIS سود می‌برند، تأثیر اندازه متفاوت است. اندازه برای بیمارستان های کوچک تأثیر مثبتی بر عملکرد بیمارستان دارد اما بر بیمارستان های بزرگ تأثیر منفی دارد. این نشان می‌دهد که مزیت رقابتی صرفه‌جویی در مقیاس برای بیمارستان‌های بزرگ ناپدید می‌شود، زیرا سطح شفافیت اطلاعات کمتر می‌شود و هزینه‌های مبادله با افزایش اندازه افزایش می‌یابد.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
With the rapid development of information technology, the increasing use of mobile digital devices and efforts from the whole society, the healthcare information systems (HISs) are moving towards a new era. However, there is still a lack of clear understanding of the benefits of HIS at the hospital level and the influential factors for HIS effectiveness. In this study, we propose a research framework to explain how HIS implementation improves hospital performance. Our results reinforce the positive effect of HIS on hospital performance. In particular, we found that HIS implementation increases both the cost and revenue of the hospitals, but the increasing effect in revenue is much bigger than the increasing effect in cost. We also found that although both small and big hospitals benefit from the implementation of HIS, the effect of size is different. Size has a positive effect on hospital performance for small hospitals but has a negative effect on big hospitals. This indicates that the competitive advantage of economies of scale disappears for big hospitals because the level of information transparency becomes lower and transaction costs become higher as size increases.
Introduction
Healthcare information systems (HISs), sometimes referred to as “health care systems” or “health systems,” are computerized systems that facilitate information sharing and processing within and across healthcare facilities. The healthcare sector in the United States has been criticized for a long time for its high cost and low efficiency (Kane, 2012). The deployment of HISs can potentially streamline clinical processes, facilitate the sharing of patient information, reduce healthcare costs and improve overall quality (Ayal & Seidmann, 2009; Khoumbati et al., 2006).
Conclusion
6. Conclusion With the rapid development of information technology, the increasing use of mobile digital devices, and efforts from the whole society, the HISs are moving towards a new era. However, there is still a lack of clear understanding of the benefits of HIS at the hospital level and the influential factors for HIS effectiveness. In this study, we empirically examine the impact of HIS implementation on hospital performance. Our research reinforces the positive effect of HIS on hospital performance. In particular, we found that HIS implementation increases both the cost and revenue of the hospitals, but the increasing effect in revenue is much bigger than the increasing effect in cost. Interestingly, hospital size plays an important role. We found that although both small and big hospitals benefit from the implementation of HIS, the effects of size are different. Size has a positive effect on hospital performance for small hospitals but has a negative effect for big hospitals. Hospitals gain benefits in financial performance when their size grows. But when the hospital size grows to a certain level, the negative effect of size on performance emerges, indicating the competitive advantage of economies of scale disappears.