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Paper Number

1289

Paper Type

short

Description

Healthcare Information Exchange (HIE) enables healthcare providers to access and share patients’ medical information. While HIE is touted as a potential solution to address healthcare geospatial disparities, its impact on reducing inequality between urban and rural hospitals remains unclear. Using data envelopment analysis (DEA) to construct health professionals’ productivity measure and applying the difference-in-differences (DID) approach, we reveal that hospitals with HIE adoption experience a significant increase in health professionals’ productivity. However, this effect is only pronounced in urban hospitals but not rural hospitals, suggesting that HIE adoption does not mitigate healthcare geospatial inequalities. Additionally, our study reveals that HIE adoption leads to improved communication quality and clinical decision-making quality among urban health professionals, but not among health professionals in rural hospitals. The implications of these findings and the future work of the study are discussed.

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Dec 11th, 12:00 AM

Does Information Technology Mitigate the Healthcare Geospatial Disparity? An Examination of Healthcare Information Exchange

Healthcare Information Exchange (HIE) enables healthcare providers to access and share patients’ medical information. While HIE is touted as a potential solution to address healthcare geospatial disparities, its impact on reducing inequality between urban and rural hospitals remains unclear. Using data envelopment analysis (DEA) to construct health professionals’ productivity measure and applying the difference-in-differences (DID) approach, we reveal that hospitals with HIE adoption experience a significant increase in health professionals’ productivity. However, this effect is only pronounced in urban hospitals but not rural hospitals, suggesting that HIE adoption does not mitigate healthcare geospatial inequalities. Additionally, our study reveals that HIE adoption leads to improved communication quality and clinical decision-making quality among urban health professionals, but not among health professionals in rural hospitals. The implications of these findings and the future work of the study are discussed.

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