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Sustainability of Healthcare Information Exchanges: A Game-Theoretic Approach

Author

Listed:
  • Emre M. Demirezen

    (School of Management, Binghamton University, State University of New York, Binghamton, New York 13902)

  • Subodha Kumar

    (Mays Business School, Texas A&M University, College Station, Texas 77843)

  • Arun Sen

    (Mays Business School, Texas A&M University, College Station, Texas 77843)

Abstract

Based on our interactions with the key personnel of three different healthcare information exchange (HIE) providers in Texas, we develop models to study the sustainability of HIEs and participation levels in these networks. We first examine how heterogeneity among healthcare practitioners (HPs) (in terms of their expected benefit from the HIE membership) affects participation of HPs in HIEs. We find that, under certain conditions, low-gain HPs choose not to join HIEs. Hence, we explore several measures that can encourage more participation in these networks and find that it might be beneficial to (i) establish a second HIE in the region, (ii) propose more value to the low-gain HPs, or (iii) offer or incentivize value-added services. We present several other interesting and useful results that are somewhat counterintuitive. For example, increasing the highest benefit the HPs can get from the HIE might decrease the number of HPs that want to join the HIE. Furthermore, since the amount of funds from the government and the other agencies often changes (and will eventually cease), we analyze how the changes in the benefit HPs obtain from the HIE affect (i) participation in the network, (ii) the HIE subscription fee and the fee for value-added service, (iii) the number of HPs that request value-added service, and (iv) the net values of the HIE provider and HPs. We also provide guidelines for policy makers and HIE providers that may help them improve the sustainability of HIEs and increase the participation levels in these networks.

Suggested Citation

  • Emre M. Demirezen & Subodha Kumar & Arun Sen, 2016. "Sustainability of Healthcare Information Exchanges: A Game-Theoretic Approach," Information Systems Research, INFORMS, vol. 27(2), pages 240-258, June.
    • Handle: RePEc:inm:orisre:v:27:y:2016:i:2:p:240-258
    DOI: 10.1287/isre.2016.0626
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    References listed on IDEAS

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    Cited by:

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    3. Fan Zeng & Stacy Hyun Nam Lee & Chris Kwan Yu Lo, 2020. "The Role of Information Systems in the Sustainable Development of Enterprises: A Systematic Literature Network Analysis," Sustainability, MDPI, vol. 12(8), pages 1-29, April.
    4. Subodha Kumar & Liangfei Qiu & Arun Sen & Atish P. Sinha, 2022. "Putting analytics into action in care coordination research: Emerging issues and potential solutions," Production and Operations Management, Production and Operations Management Society, vol. 31(6), pages 2714-2738, June.
    5. Hilal Atasoy & Emre M. Demirezen & Pei‐Yu Chen, 2021. "Impacts of Patient Characteristics and Care Fragmentation on the Value of HIEs," Production and Operations Management, Production and Operations Management Society, vol. 30(2), pages 563-583, February.
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    8. Emre M. Demirezen & Subodha Kumar & Bala Shetty, 2020. "Two Is Better Than One: A Dynamic Analysis of Value Co‐Creation," Production and Operations Management, Production and Operations Management Society, vol. 29(9), pages 2057-2076, September.
    9. Seokjun Youn & Gregory R. Heim & Subodha Kumar & Chelliah Sriskandarajah, 2021. "Examining the Impacts of Clinical Practice Variation on Operational Performance," Production and Operations Management, Production and Operations Management Society, vol. 30(4), pages 839-863, April.
    10. Justin T. Kistler & Ramkumar Janakiraman & Subodha Kumar & Vikram Tiwari, 2021. "The Effect of Operational Process Changes on Preoperative Patient Flow: Evidence from Field Research," Production and Operations Management, Production and Operations Management Society, vol. 30(6), pages 1647-1667, June.
    11. Wei Zhao & Qianqian Ben Liu & Xitong Guo & Tianshi Wu & Subodha Kumar, 2022. "Quid pro quo in online medical consultation? Investigating the effects of small monetary gifts from patients," Production and Operations Management, Production and Operations Management Society, vol. 31(4), pages 1698-1718, April.
    12. Wu, Jen-Her & Kao, Hao-Yun & Sambamurthy, Vallabh, 2016. "The integration effort and E-health compatibility effect and the mediating role of E-health synergy on hospital performance," International Journal of Information Management, Elsevier, vol. 36(6), pages 1288-1300.

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