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Electronic medical record use and efficiency: A DEA and windows analysis of hospitals


  • Kazley, Abby Swanson
  • Ozcan, Yasar A.


We use data envelopment analysis (DEA) to examine the relationship between hospital electronic medical record (EMR) use and efficiency in a national sample of acute care hospitals. Data sources include the American Hospital Association (AHA), Health Information Management Systems Society (HIMSS), and Case Mix Index. Using two research approaches including a retrospective, cross-sectional design and a first differencing repeated measures design, we find limited evidence that EMRs can improve hospital efficiency. Small hospitals may benefit in the area of efficiency through EMR use, but medium and large hospitals generally do not demonstrate such a difference. Likewise, there does not appear to be a significant increase in efficiency over time associated with EMRs when compared to the efficiency of hospitals without such documentation.

Suggested Citation

  • Kazley, Abby Swanson & Ozcan, Yasar A., 2009. "Electronic medical record use and efficiency: A DEA and windows analysis of hospitals," Socio-Economic Planning Sciences, Elsevier, vol. 43(3), pages 209-216, September.
  • Handle: RePEc:eee:soceps:v:43:y:2009:i:3:p:209-216

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    References listed on IDEAS

    1. Simar, Leopold & Wilson, Paul W., 2007. "Estimation and inference in two-stage, semi-parametric models of production processes," Journal of Econometrics, Elsevier, vol. 136(1), pages 31-64, January.
    2. Emrouznejad, Ali & Parker, Barnett R. & Tavares, Gabriel, 2008. "Evaluation of research in efficiency and productivity: A survey and analysis of the first 30 years of scholarly literature in DEA," Socio-Economic Planning Sciences, Elsevier, vol. 42(3), pages 151-157, September.
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    Cited by:

    1. Ancarani, Alessandro & Di Mauro, Carmela & Gitto, Simone & Mancuso, Paolo & Ayach, Ali, 2016. "Technology acquisition and efficiency in Dubai hospitals," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 475-485.
    2. repec:gam:jsusta:v:10:y:2018:i:2:p:397-:d:130100 is not listed on IDEAS
    3. Natalia Zhivan & Mark Diana, 2012. "U.S. hospital efficiency and adoption of health information technology," Health Care Management Science, Springer, vol. 15(1), pages 37-47, March.
    4. repec:kap:hcarem:v:20:y:2017:i:4:d:10.1007_s10729-016-9365-3 is not listed on IDEAS
    5. Yusuf Yalcin Ileri, 2016. "Implementation Processes of Hospital Information Management Systems: A Field Study in Turkey," Journal of Information & Knowledge Management (JIKM), World Scientific Publishing Co. Pte. Ltd., vol. 15(03), pages 1-14, September.


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