IDEAS home Printed from https://ideas.repec.org/a/spr/eujhec/v25y2024i6d10.1007_s10198-023-01641-3.html
   My bibliography  Save this article

Healthcare information management and operational cost performance: empirical evidence

Author

Listed:
  • Amit S. Malhan

    (North Carolina Agricultural and Technical State University)

  • Kiarash Sadeghi-R

    (North Carolina Agricultural and Technical State University)

  • Robert Pavur

    (University of North Texas)

  • Lou Pelton

    (University of North Texas)

Abstract

Healthcare knowledge management systems can mitigate hospitals’ operational inefficiency. As a healthcare information technology, the electronic health record (EHR) receives much attention from medical institutions due to its considerable impact on operational cost performance. This paper focuses on EHR systems to address operational inefficiency by which patients pay more for health care services, and many U.S. hospitals are filing for bankruptcy. From the theoretical perspective of the practice-based view, this paper introduces a path to implement EHR systems for improving cost performance. The empirical investigation is archival data of 200 hospitals collected from the U.S. healthcare agencies. Findings contribute to prior work by hypothesizing moderating and mediating roles in EHR systems implementation. This paper introduces absorptive capacity and monitoring mechanisms as enablers of implementing EHR systems. The results showed that hospital monitoring strengthens the relationship between absorptive capacity and electronic health record systems implementation, which results in better operational cost performance. Theoretically, this study supports the long-term potential benefits of EHR adoption, and its findings are consistent with optimizing efficiency through data standardization and interoperability. From a practical perspective, this study supports hospitals' investments in evolving healthcare information technology systems through the development of a knowledge-based system employing EHR, particularly when hospitals are merging or need a financial strategic plan to control expenses.

Suggested Citation

  • Amit S. Malhan & Kiarash Sadeghi-R & Robert Pavur & Lou Pelton, 2024. "Healthcare information management and operational cost performance: empirical evidence," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(6), pages 963-977, August.
    • Handle: RePEc:spr:eujhec:v:25:y:2024:i:6:d:10.1007_s10198-023-01641-3
    DOI: 10.1007/s10198-023-01641-3
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10198-023-01641-3
    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/s10198-023-01641-3?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 search for a different version of it.

    References listed on IDEAS

    as
    1. Cerchione, Roberto & Centobelli, Piera & Riccio, Emanuela & Abbate, Stefano & Oropallo, Eugenio, 2023. "Blockchain’s coming to hospital to digitalize healthcare services: Designing a distributed electronic health record ecosystem," Technovation, Elsevier, vol. 120(C).
    2. Nisha C. Hazra & Caroline Rudisill & Martin C. Gulliford, 2018. "Determinants of health care costs in the senior elderly: age, comorbidity, impairment, or proximity to death?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 831-842, July.
    3. Bogaert, Petronille & Verschuuren, Marieke & Van Oyen, Herman & van Oers, Hans, 2021. "Identifying common enablers and barriers in European health information systems," Health Policy, Elsevier, vol. 125(12), pages 1517-1526.
    4. Rubbio, Iacopo & Bruccoleri, Manfredi, 2023. "Unfolding the relationship between digital health and patient safety: The roles of absorptive capacity and healthcare resilience," Technological Forecasting and Social Change, Elsevier, vol. 195(C).
    5. Hausvik, Geir Inge & Thapa, Devinder & Munkvold, Bjørn Erik, 2021. "Information quality life cycle in secondary use of EHR data," International Journal of Information Management, Elsevier, vol. 56(C).
    6. Stephanie, Lena & Sharma, Ravi S., 2020. "Digital health eco-systems: An epochal review of practice-oriented research," International Journal of Information Management, Elsevier, vol. 53(C).
    7. Hossain, Akram & Quaresma, Rui & Rahman, Habibur, 2019. "Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study," International Journal of Information Management, Elsevier, vol. 44(C), pages 76-87.
    8. Venugopal Gopalakrishna-Remani & Robert Paul Jones & Kerri M. Camp, 2019. "Levels of EMR Adoption in U.S. Hospitals: An Empirical Examination of Absorptive Capacity, Institutional Pressures, Top Management Beliefs, and Participation," Information Systems Frontiers, Springer, vol. 21(6), pages 1325-1344, December.
    9. Maestrini, Vieri & Luzzini, Davide & Caniato, Federico & Ronchi, Stefano, 2018. "Effects of monitoring and incentives on supplier performance: An agency theory perspective," International Journal of Production Economics, Elsevier, vol. 203(C), pages 322-332.
    10. Yu-Kai Lin & Mingfeng Lin & Hsinchun Chen, 2019. "Do Electronic Health Records Affect Quality of Care? Evidence from the HITECH Act," Service Science, INFORMS, vol. 30(1), pages 306-318, March.
    11. Adebanji, Atinuke & Rios Insua, David & Ruggeri, Fabrizio, 2022. "Dynamic linear models for policy monitoring. The case of maternal and neonatal mortality in Ghana," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    12. Zsombor Zrubka & Ottó Hajdu & Fanni Rencz & Petra Baji & László Gulácsi & Márta Péntek, 2019. "Psychometric properties of the Hungarian version of the eHealth Literacy Scale," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 57-69, 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. Marta Pascual-Sáez & David Cantarero-Prieto & María González-Diego, 2018. "Testing the effect of population ageing on national saving rates: panel data evidence from Europe," Working Papers. Collection B: Regional and sectoral economics 1803, Universidade de Vigo, GEN - Governance and Economics research Network.
    2. Jääskeläinen, Aki, 2021. "The relational outcomes of performance management in buyer-supplier relationships," International Journal of Production Economics, Elsevier, vol. 232(C).
    3. Alawadi, Asma & Kakabadse, Nada & Kakabadse, Andrew & Zuckerbraun, Sam, 2024. "Decentralized autonomous organizations (DAOs): Stewardship talks but agency walks," Journal of Business Research, Elsevier, vol. 178(C).
    4. Torrini, Irene & Grassetti, Luca & Rizzi, Laura, 2023. "Under-spending, over-spending or substitution among services? Spatial patterns of unexplained shares of health care expenditures," Health Policy, Elsevier, vol. 137(C).
    5. Ebrahim A. A. Ghaleb & P. D. D. Dominic & Narinderjit Singh Sawaran Singh & Gehad Mohammed Ahmed Naji, 2023. "Assessing the Big Data Adoption Readiness Role in Healthcare between Technology Impact Factors and Intention to Adopt Big Data," Sustainability, MDPI, vol. 15(15), pages 1-25, July.
    6. Madhavan, Naveen & White, Gareth R.T. & Jones, Paul, 2023. "Identifying the value of a clinical information system during the COVID-19 pandemic," Technovation, Elsevier, vol. 120(C).
    7. Patrucco, Andrea S. & Moretto, Antonella & Luzzini, Davide & Glas, Andreas H., 2020. "Obtaining supplier commitment: antecedents and performance outcomes," International Journal of Production Economics, Elsevier, vol. 220(C).
    8. Maynou, Laia & Street, Andrew & García−Altés, Anna, 2023. "Living longer in declining health: Factors driving healthcare costs among older people," Social Science & Medicine, Elsevier, vol. 327(C).
    9. Yadav, Amit Kumar & Shweta, & Kumar, Dinesh, 2023. "Blockchain technology and vaccine supply chain: Exploration and analysis of the adoption barriers in the Indian context," International Journal of Production Economics, Elsevier, vol. 255(C).
    10. Sylvia E. Twersky & Adam Davey, 2022. "National Hospitalization Trends and the Role of Preventable Hospitalizations among Centenarians in the United States (2000–2009)," IJERPH, MDPI, vol. 19(2), pages 1-10, January.
    11. Yanlin Ma & Yuting Liu & Andrea Appolloni & Junqi Liu, 2021. "Does green public procurement encourage firm's environmental certification practice? The mediation role of top management support," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 28(3), pages 1002-1017, May.
    12. Linglong Ye & Jiecheng Luo & Ben-Chang Shia & Ya Fang, 2019. "Multidimensional Health Groups and Healthcare Utilization Among Elderly Chinese: Based on the 2014 CLHLS Dataset," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    13. Jianbo Zhu & Miao Fang & Qianqian Shi & Peng Wang & Qian Li, 2018. "Contractor Cooperation Mechanism and Evolution of the Green Supply Chain in Mega Projects," Sustainability, MDPI, vol. 10(11), pages 1-15, November.
    14. Dal Mas, Francesca & Massaro, Maurizio & Rippa, Pierluigi & Secundo, Giustina, 2023. "The challenges of digital transformation in healthcare: An interdisciplinary literature review, framework, and future research agenda," Technovation, Elsevier, vol. 123(C).
    15. Gupta, Shivam & Modgil, Sachin & Bhatt, Priyanka C. & Chiappetta Jabbour, Charbel Jose & Kamble, Sachin, 2023. "Quantum computing led innovation for achieving a more sustainable Covid-19 healthcare industry," Technovation, Elsevier, vol. 120(C).
    16. Sestino, Andrea & D'Angelo, Alfredo, 2024. "Elderly patients' reactions to gamification-based digital therapeutics (DTx): The relevance of socialization tendency seeking," Technological Forecasting and Social Change, Elsevier, vol. 205(C).
    17. Audrey Tanguy-Melac & Dorian Verboux & Laurence Pestel & Anne Fagot-Campagna & Philippe Tuppin & Christelle Gastaldi-Ménager, 2021. "Evolution of health care utilization and expenditure during the year before death in 2015 among people with cancer: French snds-based cohort study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(7), pages 1039-1052, September.
    18. Kasteridis, Panagiotis & Rice, Nigel & Santos, Rita, 2022. "Heterogeneity in end of life health care expenditure trajectory profiles," Journal of Economic Behavior & Organization, Elsevier, vol. 204(C), pages 221-251.
    19. Qiang Wang & Zhongfu Tan & Gejirifu De & Qingkun Tan & Lei Pu, 2019. "An Evolutionary Game Study of Clean Heating Promotion Mechanisms under the Policy Regulation in China," Sustainability, MDPI, vol. 11(14), pages 1-22, July.
    20. Maria Ana Matias & Rita Santos & Panos Kasteridis & Katja Grasic & Anne Mason & Nigel Rice, 2022. "Approaches to projecting future healthcare demand," Working Papers 186cherp, Centre for Health Economics, University of York.

    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:spr:eujhec:v:25:y:2024:i:6:d:10.1007_s10198-023-01641-3. 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.