Abstract
Using a large-scale panel of U.S. hospitals across health referral regions (HRRs), we empirically examine how a hospital's and its neighboring hospitals' adoption of the Clinical Decision Support System (CDSS) (and their meaningful use of CDSS) affects the hospital's quality of care. We find that CDSS adoption significantly reduces a hospital's readmission rate of heart failure, acute myocardial infarction, and pneumonia patients. We also reveal the regional spillover effects of adoption, where neighboring hospitals' CDSS adoption in the same HRR also reduces a hospital's readmission rates. Such spillover effects become more significant with electronic data interchange, facilitating seamless and errorless communications among hospitals. We also show that the spillover effects may depend on HRRs' different market structures and hospitals' meaningful-use status. Our findings offer theoretical and managerial insights for both healthcare researchers and practitioners.
| Original language | English |
|---|---|
| Article number | 113816 |
| Journal | Decision Support Systems |
| Volume | 159 |
| DOIs | |
| Publication status | Published - 2022 Aug |
Bibliographical note
Funding Information:The authors thank the associate editor and the two anonymous reviewers for their constructive suggestions and guidance. The authors also thank participants at the 52nd Hawaii International Conference on System Sciences (HICSS-52) for their helpful comments. This work was supported by the Yonsei University Research Grant of 2022 and the GRF #9042724/#9043055 at City University of Hong Kong
Publisher Copyright:
© 2022 Elsevier B.V.
All Science Journal Classification (ASJC) codes
- Management Information Systems
- Information Systems
- Developmental and Educational Psychology
- Arts and Humanities (miscellaneous)
- Information Systems and Management