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

Health Care Management Science
Olfa RejebVincent Augusto

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 ...Continue Reading

References

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Citations

Feb 17, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·David A AxelrodKrista L Lentine
Dec 29, 2020·Journal of Biomedical Informatics·Emma AsplandPeter Barrett-Lee
Jan 9, 2019·Thérapie·Bruno LaviolleUNKNOWN les participants à la table ronde « Recherche translationnelle » des Ateliers de Giens XXXIV
Aug 27, 2021·Journal of Medical Internet Research·Roberto Santiago VassoloGopalakrishnan Narayanamurthy

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