A general framework for predictive economic evaluation of computerized hospital information systems and an application to a British Columbia hospital
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Lindstrom, Ronald Raymond
issued: 2010-06-21T02:37:34Z
issued: 1986
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Hospital decision-makers face several uncertainties during evaluation and selection of computerized hospital information systems. Cost-benefit analysis is one method of predictive economic evaluation and is particularly important from the perspective of the hospital. Unless hospitals can economically justify such systems, it makes little sense to pursue them unless there are over-riding political or qualitative reasons. This thesis discusses the principles of cost-benefit analysis and a general framework for such analysis from the perspective of the hospital, in order to answer the question of whether a proposed hospital information system is justifiable on cost-benefit grounds relative to the status quo method of handling information. Three dominant approaches to planning for such systems in British Columbia and Ministry of Health funding guidelines and policies are discussed in relation to the framework. An application of the framework is made to a community general hospital in British Columbia using actual data obtained during the complete planning process for a proposed system. The analysis demonstrates that over the expected duration of the project, the sample hospital will experience net costs, as opposed to net savings for the proposed system, even if all one-time capital costs are funded by others. It is unlikely that this finding is unique to this single hospital; thus, there are broader implications for other hospitals considering such systems, especially in the face of recently published expenditure limits and priorities in British Columbia.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/25919
note: A GENERAL FRAMEWORK FOR PREDICTIVE ECONOMIC EVALUATION OF COMPUTERIZED HOSPITAL INFORMATION SYSTEMS AND AN APPLICATION TO A BRITISH COLUMBIA HOSPITAL by RONALD RAYMOND LINDSTROM B . S c , The U n i v e r s i t y of B r i t i s h Columbia, 1972 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE i n THE FACULTY OF GRADUATE STUDIES Department of Health Care and Epidemiology (Health S e r v i c e s P l a n n i n g and A d m i n i s t r a t i o n Programme We accept t h i s t h e s i s as conforming to the r e q u i r e d standard THE UNIVERSITY OF BRITISH COLUMBIA APRIL 1986 © R O N A L D RAYMOND LINDSTROM, 1986 I n p r e s e n t i n g t h i s t h e s i s i n p a r t i a l f u l f i l m e n t o f t h e r e q u i r e m e n t s f o r an advanced degree a t the U n i v e r s i t y o f B r i t i s h C o l u m b i a , I a g r e e t h a t t h e L i b r a r y s h a l l make i t f r e e l y a v a i l a b l e f o r r e f e r e n c e and s t u d y . I f u r t h e r agree t h a t p e r m i s s i o n f o r e x t e n s i v e c o p y i n g o f t h i s t h e s i s f o r s c h o l a r l y p u r p o s e s may be g r a n t e d by t h e head o f my department o r by h i s o r h e r r e p r e s e n t a t i v e s . I t i s u n d e r s t o o d t h a t c o p y i n g o r p u b l i c a t i o n o f t h i s t h e s i s f o r f i n a n c i a l g a i n s h a l l n o t be a l l o w e d w i t h o u t my w r i t t e n p e r m i s s i o n . Department O f Health Care and Epidemiology The U n i v e r s i t y o f B r i t i s h C o l u m b i a 2075 Wesbrook P l a c e Vancouver, Canada V6T 1W5 ^ 29 A p r i l 1986 Date DE-6 (2/79) ABSTRACT H o s p i t a l d e c i s i o n - m a k e r s f a c e s e v e r a l u n c e r t a i n t i e s d u r i n g e v a l u a t i o n a n d s e l e c t i o n o f c o m p u t e r i z e d h o s p i t a l i n f o r m a t i o n s y s t e m s . C o s t - b e n e f i t a n a l y s i s i s one m e t h o d o f p r e d i c t i v e e c o n o m…
has type: Thesis/Dissertation
is shown at: 10.14288/1.0100296
language: eng
degree discipline: Health Care and Epidemiology
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/25919