A Quality, Benefit, Cost, and Financial Framework for Health Information Technology, E-Prescribing: A Delphi Study

Paul R. Demuro, Joan Ash, Blackford Middleton, Justin Fletcher, Cecelia J. Madison

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Scopus citations

Abstract

Background. Little research has been conducted about the quality, benefits, costs, and financial considerations associated with health information technology (HIT), particularly informatics technologies, such as e-prescribing, from the perspective of all its stakeholders. Objectives. This research effort sought to identify the stakeholders involved in e-prescribing and to identify and rank-order the positives and the negatives from the perspective of the stakeholders to create a framework to assist in the development of incentives and payment mechanisms which result in better managed care. Methods. The Delphi method was employed by enlisting a panel of experts. They were presented with the results of initial research in an online survey of questions which sought to prioritize the quality, benefit, cost, and financial effects of e-prescribing from the perspective of each stakeholder. From the results of this study, a framework was presented to framework experts. Results. The experts added stakeholders and positives and negatives to the initial lists and rank-ordered the positives and negatives of e-prescribing from the perspective of each stakeholder. The aggregate results were summarized by category of stakeholder. The framework experts evaluated the framework. Conclusions. Positives and negatives can be rank-ordered from the perspective of each stakeholder. A useful framework was created.

Original languageEnglish (US)
Title of host publicationContext Sensitive Health Informatics
Subtitle of host publicationRedesigning Healthcare Work
EditorsChristian Nohr, Craig E. Kuziemsky, Zoie Shui-Yee Wong
PublisherIOS Press BV
Pages69-75
Number of pages7
ISBN (Electronic)9781614997931
DOIs
StatePublished - 2017
Event2017 International Conference on Context Sensitive Health Informatics: Human and Socio-Technical Approaches, CSHI 2017 - Hong Kong, Hong Kong
Duration: Aug 1 2017 → …

Publication series

NameStudies in Health Technology and Informatics
Volume241-A
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference2017 International Conference on Context Sensitive Health Informatics: Human and Socio-Technical Approaches, CSHI 2017
Country/TerritoryHong Kong
CityHong Kong
Period8/1/17 → …

Keywords

  • care teams
  • Delphi method
  • e-prescribing
  • frameworks
  • Health information technology
  • informatics
  • managed care
  • quality
  • stakeholders

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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