IDEAS home Printed from https://ideas.repec.org/a/kap/hcarem/v21y2018i2d10.1007_s10729-017-9402-x.html
   My bibliography  Save this article

Performance and cost evaluation of health information systems using micro-costing and discrete-event simulation

Author

Listed:
  • Olfa Rejeb

    (MINES Saint-Étienne)

  • Claire Pilet

    (MINES Saint-Étienne)

  • Sabri Hamana

    (MINES Saint-Étienne)

  • Xiaolan Xie

    (MINES Saint-Étienne
    Shanghai Jiao Tong University)

  • Thierry Durand

    (Centre Léon Berard)

  • Saber Aloui

    (Centre Hospitalier de Sens)

  • Anne Doly

    (Centre Jean Perrin)

  • Pierre Biron

    (Centre Léon Berard)

  • Lionel Perrier

    (Universit’e de Lyon, Centre Léon Bérard, GATE L-SE UMR 5824)

  • Vincent Augusto

    (MINES Saint-Étienne)

Abstract

Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. The purpose of this paper is to provide a methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose an integrated performance evaluation of HIS approach through the combination of formal modeling using the Architecture of Integrated Information Systems (ARIS) models, a micro-costing approach for cost evaluation, and a Discrete-Event Simulation (DES) approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rate of oncologists are lower and quality of service is higher (through the number of available information accessed during the consultation to formulate the diagnostic). The provided method allows also to determine the most cost-effective ICT elements to improve the care process quality while minimizing costs. The methodology is flexible enough to be applied to other health-care systems.

Suggested Citation

  • Olfa Rejeb & Claire Pilet & Sabri Hamana & Xiaolan Xie & Thierry Durand & Saber Aloui & Anne Doly & Pierre Biron & Lionel Perrier & Vincent Augusto, 2018. "Performance and cost evaluation of health information systems using micro-costing and discrete-event simulation," Health Care Management Science, Springer, vol. 21(2), pages 204-223, June.
  • Handle: RePEc:kap:hcarem:v:21:y:2018:i:2:d:10.1007_s10729-017-9402-x
    DOI: 10.1007/s10729-017-9402-x
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10729-017-9402-x
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s10729-017-9402-x?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
    ---><---

    As the access to this document is restricted, you may want to look for a different version below or search for a different version of it.

    Other versions of this item:

    References listed on IDEAS

    as
    1. Jonas Schreyögg, 2008. "A micro‐costing approach to estimating hospital costs for appendectomy in a Cross‐European context," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 59-69, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Reda Lebcir & Usame Yakutcan & Eren Demir, 2022. "A decision support tool with health economic modelling for better management of DVT patients," Health Economics Review, Springer, vol. 12(1), pages 1-16, December.

    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. Laura Haas & Tom Stargardt & Jonas Schreyoegg, 2012. "Cost-effectiveness of open versus laparoscopic appendectomy: a multilevel approach with propensity score matching," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(5), pages 549-560, October.
    2. Reinhard Busse & Jonas Schreyögg & Peter C. Smith, 2008. "Variability in healthcare treatment costs amongst nine EU countries – results from the HealthBASKET project," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 1-8, January.
    3. Paolo Pietro Biancone & Vania Tradori & Paola De Bernardi & Valerio Brescia, 2018. "L?approccio del micro-costing nell?analisi comparativa della gestione delle ulcere peptiche in fase acuta. Alcune evidenze empiriche," MECOSAN, FrancoAngeli Editore, vol. 2018(106), pages 93-110.
    4. Johannessen, Karl Arne & Kittelsen, Sverre A.C. & Hagen, Terje P., 2017. "Assessing physician productivity following Norwegian hospital reform: A panel and data envelopment analysis," Social Science & Medicine, Elsevier, vol. 175(C), pages 117-126.
    5. Jonas Schreyögg & Oliver Tiemann & Tom Stargardt & Reinhard Busse, 2008. "Cross‐country comparisons of costs: the use of episode‐specific transitive purchasing power parities with standardised cost categories," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 95-103, January.

    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:kap:hcarem:v:21:y:2018:i:2:d:10.1007_s10729-017-9402-x. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    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.