Objective: To study the association between Electronic Health Record (EHR)/Computerized Physician Order Entry (CPOE) provider price display, and domains of healthcare quality (efficiency, effective care, patient centered care, patient safety, equitable care, and timeliness of care).
Methods: Randomized and non-randomized studies assessing the relationship between healthcare quality domains and EHR/CPOE provider price display published between 1/1/1980 to 2/1/2018 were included. MEDLINE, Web of Science, and Embase were searched. Assessment of internal validity of the included studies was performed with a modified Downs-Black checklist.
Results: Screening of 1118 abstracts was performed resulting in selection of 41 manuscripts for full length review. A total of 13 studies were included in the final analysis. Thirteen studies reported on efficiency domain, one on effectiveness and one on patient safety. Studies assessing relationship between provider price display and patient centered, equitable and timely care domains were not retrieved. Quality of the studies varied widely (Range 6-12 out of a maximum possible score of 13). Provider price display in electronic health record environment did not consistently influence domains of healthcare quality such as efficiency, effectiveness and patient safety.
Conclusions: Published evidence suggests that price display tools aimed at ordering providers in EHR/CPOE do not influence the efficiency domain of healthcare quality. Scant published evidence suggests that they do not influence the effectiveness and patient safety domains of healthcare quality. Future studies are needed to assess the relationship between provider price display and unexplored domains of healthcare quality (patient centered, equitable, and timely care).
Registration: PROSPERO registration: CRD42018082227.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7646898 | PMC |
| http://dx.doi.org/10.1093/jamia/ocy076 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Exploring access to essential medicines in the South Pacific: insights from a multi-country cross-sectional study.
Lancet Reg Health West Pac
January 2025
School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
Background: Access to essential medicines is imperative for delivering effective healthcare, yet a significant proportion of the global population continues to face barriers in obtaining them. The South Pacific Region (SPR) faces unique medicine access challenges due to geographic remoteness, economic limitations, and, strained healthcare infrastructure. To gain further insight, this study aimed to assess the availability, pricing, and, affordability of essential medicines stratified by World Bank income group.
View Article and Find Full Text PDFEmpirical research of foreign direct investments efficiency in the European Union on the edge of pandemic outbreak.
PLoS One
January 2025
Department of Business Finance, Faculty of Business Management, University of Economics in Bratislava, Bratislava, Slovakia.
The study focuses on the effects of the COVID-19 pandemic on the economy and foreign direct investments in the European Union countries. Using data envelopment analysis constant and variable returns to scale models, and the Malmquist productivity index, we measured the efficiency of economic resource utilization concerning foreign direct investments and gross domestic product. These efficiencies were assessed in 2019, before the full outbreak of COVID-19, and in 2020, when uncertainty and the consequences of the pandemic were most pronounced.
View Article and Find Full Text PDFBimetal-organic framework-templated Zn-Fe-based transition metal oxide composites through heterostructure optimization to boost lithium storage.
J Colloid Interface Sci
December 2024
School of Chemistry, South China Normal University, Guangzhou 510006, China. Electronic address:
Transition metal oxides (TMOs), especially zinc- and iron-based materials, are known to be one of the most innovative anode materials based on their high theoretical capacity, low price and abundant natural reserves. However, the application of these materials is limited by poor electronic conductivity, slow ion mobility and large structural transformations during charging/discharging processes. To overcome these drawbacks, sacrificial template technology has been proposed as a promising strategy to optimize the electrochemical performance and structure stability of TMOs, showing its potential especially in the storage design of lithium-ion batteries (LIBs).
View Article and Find Full Text PDFToward value-based care using cost mining: cost aggregation and visualization across the entire colorectal cancer patient pathway.
BMC Med Res Methodol
December 2024
Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, the Netherlands.
Background: The aim of this study is to develop a method we call "cost mining" to unravel cost variation and identify cost drivers by modelling integrated patient pathways from primary care to the palliative care setting. This approach fills an urgent need to quantify financial strains on healthcare systems, particularly for colorectal cancer, which is the most expensive cancer in Australia, and the second most expensive cancer globally.
Methods: We developed and published a customized algorithm that dynamically estimates and visualizes the mean, minimum, and total costs of care at the patient level, by aggregating activity-based healthcare system costs (e.
Business cycle sensitivity of Statutory Health Insurance: evidence from the Czech Republic.
Health Econ Rev
December 2024
Institute of Economic Studies, Charles University, Opletalova 26, Prague, 110 00, Czech Republic.
Background: The Statutory Health Insurance scheme is one of two main schemes of health care system financing in Europe. This scheme mainly relies on wage-based contributions from employers and employees and is thus prone to business cycle fluctuations. This turned out to be a problem especially after the 2008 crisis.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!