IDEAS home Printed from https://ideas.repec.org/a/inm/ormnsc/v69y2023i3p1615-1638.html
   My bibliography  Save this article

Impact of Health Information Exchange Adoption on Referral Patterns

Author

Listed:
  • Saeede Eftekhari

    (A. B. Freeman School of Business, Tulane University, New Orleans, Louisiana 70118)

  • Niam Yaraghi

    (Miami Herbert Business School, University of Miami, Coral Gables, Florida 33146; Governance Studies, The Brookings Institution, Washington, District of Columbia 20036)

  • Ram D. Gopal

    (Warwick Business School, The University of Warwick, Coventry CV4 7AL, United Kingdom)

  • Ram Ramesh

    (School of Management, State University of New York at Buffalo, Buffalo, New York 14260)

Abstract

Efforts to promote Health Information Exchanges (HIEs) on a nationwide scale are beset with major challenges, and one of them is its meaningful use for both physicians and patients. Referrals potentially provide a context for the meaningful use of HIE, and we are yet to understand how HIEs affect referrals. This research studies the impact of HIE on referral patterns. We establish that participation in an HIE network increases the referrals sent to and received from other HIE participants. We investigate this relationship using both econometric and network-analytic methods. Whereas the econometric analysis focuses on the underlying associations between HIE adoption and referral patterns, the network analysis addresses the transformation process by which HIE adoption and referrals coevolve over time. This study has significant implications for healthcare policy making, development of innovative HIE business models, and management of healthcare organizations.

Suggested Citation

  • Saeede Eftekhari & Niam Yaraghi & Ram D. Gopal & Ram Ramesh, 2023. "Impact of Health Information Exchange Adoption on Referral Patterns," Management Science, INFORMS, vol. 69(3), pages 1615-1638, March.
    • Handle: RePEc:inm:ormnsc:v:69:y:2023:i:3:p:1615-1638
    DOI: 10.1287/mnsc.2022.4435
    as

    Download full text from publisher

    File URL: http://dx.doi.org/10.1287/mnsc.2022.4435
    Download Restriction: no
    File URL: https://libkey.io/10.1287/mnsc.2022.4435?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Shujing Sun & Susan F. Lu & Huaxia Rui, 2020. "Does Telemedicine Reduce Emergency Room Congestion? Evidence from New York State," Information Systems Research, INFORMS, vol. 31(3), pages 972-986, September.
    2. David H. Autor, 2003. "Outsourcing at Will: The Contribution of Unjust Dismissal Doctrine to the Growth of Employment Outsourcing," Journal of Labor Economics, University of Chicago Press, vol. 21(1), pages 1-42, January.
    3. Maria M. Hofmarcher & Howard Oxley & Elena Rusticelli, 2007. "Improved Health System Performance through better Care Coordination," OECD Health Working Papers 30, OECD Publishing.
    4. Hilal Atasoy & Pei-yu Chen & Kartik Ganju, 2018. "The Spillover Effects of Health IT Investments on Regional Healthcare Costs," Management Science, INFORMS, vol. 64(6), pages 2515-2534, June.
    5. Christopher B. Forrest & Paul A. Nutting & Sarah von Schrader & Charles Rohde & Barbara Starfield, 2006. "Primary Care Physician Specialty Referral Decision Making: Patient, Physician, and Health Care System Determinants," Medical Decision Making, , vol. 26(1), pages 76-85, January.
    6. Ho, Daniel E. & Imai, Kosuke & King, Gary & Stuart, Elizabeth A., 2007. "Matching as Nonparametric Preprocessing for Reducing Model Dependence in Parametric Causal Inference," Political Analysis, Cambridge University Press, vol. 15(3), pages 199-236, July.
    7. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, April.
    8. Marianne Bertrand & Sendhil Mullainathan, 2003. "Enjoying the Quiet Life? Corporate Governance and Managerial Preferences," Journal of Political Economy, University of Chicago Press, vol. 111(5), pages 1043-1075, October.
    9. Andrew Goodman-Bacon, 2018. "Difference-in-Differences with Variation in Treatment Timing," NBER Working Papers 25018, National Bureau of Economic Research, Inc.
    10. Miller, Amalia R. & Tucker, Catherine, 2014. "Health information exchange, system size and information silos," Journal of Health Economics, Elsevier, vol. 33(C), pages 28-42.
    11. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    12. Idris Adjerid & Julia Adler-Milstein & Corey Angst, 2018. "Reducing Medicare Spending Through Electronic Health Information Exchange: The Role of Incentives and Exchange Maturity," Information Systems Research, INFORMS, vol. 29(2), pages 341-361, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dettmann, Eva & Giebler, Alexander & Weyh, Antje, 2019. "flexpaneldid: A Stata command for causal analysis with varying treatment time and duration," IWH Discussion Papers 5/2019, Halle Institute for Economic Research (IWH).
    2. Dennis Bams & Magdalena Pisa & Christian C. P. Wolff, 2021. "Spillovers to small business credit risk," Small Business Economics, Springer, vol. 57(1), pages 323-352, June.
    3. Sezgin Ayabakan & Indranil R. Bardhan & Zhiqiang (Eric) Zheng, 2024. "Impact of Telehealth and Process Virtualization on Healthcare Utilization," Information Systems Research, INFORMS, vol. 35(1), pages 45-65, March.
    4. Lindgren, Charlie & Li, Yujiao & Rudholm, Niklas, 2020. "Why do firms compete on price comparison websites? The impact on productivity, profits, and wages," HFI Working Papers 14, Institute of Retail Economics (Handelns Forskningsinstitut).
    5. Kurt Schmidheiny & Sebastian Siegloch, 2023. "On event studies and distributed‐lags in two‐way fixed effects models: Identification, equivalence, and generalization," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 38(5), pages 695-713, August.
    6. Erdem Dogukan Yilmaz & Ivana Naumovska & Milan Miric, 2023. "Does imitation increase or decrease demand for an original product? Understanding the opposing effects of discovery and substitution," Strategic Management Journal, Wiley Blackwell, vol. 44(3), pages 639-671, March.
    7. Indranil R. Bardhan & Chenzhang Bao & Sezgin Ayabakan, 2023. "Value Implications of Sourcing Electronic Health Records: The Role of Physician Practice Integration," Information Systems Research, INFORMS, vol. 34(3), pages 1169-1190, September.
    8. Vladimir Atanasov & Bernard Black, 2021. "The Trouble with Instruments: The Need for Pretreatment Balance in Shock-Based Instrumental Variable Designs," Management Science, INFORMS, vol. 67(2), pages 1270-1302, February.
    9. Giulia Bettin & Isabella Giorgetti & Stefano Staffolani, 2024. "The impact of Covid-19 lockdown on the gender gap in the Italian labour market," Review of Economics of the Household, Springer, vol. 22(1), pages 1-33, March.
    10. Cao, Hung & Phan, Hieu V. & Silveri, Sabatino, 2024. "Data breach disclosures and stock price crash risk: Evidence from data breach notification laws," International Review of Financial Analysis, Elsevier, vol. 93(C).
    11. Dettmann, Eva & Giebler, Alexander & Weyh, Antje, 2020. "Flexpaneldid: A Stata toolbox for causal analysis with varying treatment time and duration," IWH Discussion Papers 3/2020, Halle Institute for Economic Research (IWH).
    12. Nikolov, Plamen & Adelman, Alan, 2019. "Do private household transfers to the elderly respond to public pension benefits? Evidence from rural China," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    13. Baron, Opher & Callen, Jeffrey L. & Segal, Dan, 2023. "Does the bullwhip matter economically? A cross-sectional firm-level analysis," International Journal of Production Economics, Elsevier, vol. 259(C).
    14. Benjamin Bennett & Isil Erel & Léa H. Stern & Zexi Wang, 2020. "Paid Leave Pays Off: The Effects of Paid Family Leave on Firm Performance," NBER Working Papers 27788, National Bureau of Economic Research, Inc.
    15. Jian Jiu Chen & Sai Yin Ho & Wing Man Au & Man Ping Wang & Tai Hing Lam, 2015. "Family Smoking, Exposure to Secondhand Smoke at Home and Family Unhappiness in Children," IJERPH, MDPI, vol. 12(11), pages 1-14, November.
    16. Kube, Roland & von Graevenitz, Kathrine & Löschel, Andreas & Massier, Philipp, 2019. "Do voluntary environmental programs reduce emissions? EMAS in the German manufacturing sector," Energy Economics, Elsevier, vol. 84(S1).
    17. Matteo Aquilina & Giulio Cornelli & Marina Sanchez del Villar, 2024. "Regulation, information asymmetries and the funding of new ventures," BIS Working Papers 1162, Bank for International Settlements.
    18. Matilde Cappelletti & Leonardo M. Giuffrida, 2024. "Targeted Bidders in Government Tenders," CESifo Working Paper Series 11142, CESifo.
    19. Federico Belotti & Joanna Kopinska & Alessandro Palma & Andrea Piano Mortari, 2022. "Health status and the Great Recession. Evidence from electronic health records," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1770-1799, August.
    20. Malgouyres, Clément & Mayer, Thierry & Mazet-Sonilhac, Clément, 2021. "Technology-induced trade shocks? Evidence from broadband expansion in France," Journal of International Economics, Elsevier, vol. 133(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:inm:ormnsc:v:69:y:2023:i:3:p:1615-1638. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Asher (email available below). General contact details of provider: https://edirc.repec.org/data/inforea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.