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Measurement Error In Performance Studies Of Health Information Technology: Lessons From The Management Literature, Adam Seth Litwin, Ariel Avgar, Peter Pronovost
Measurement Error In Performance Studies Of Health Information Technology: Lessons From The Management Literature, Adam Seth Litwin, Ariel Avgar, Peter Pronovost
Adam Seth Litwin
Just as researchers and clinicians struggle to pin down the benefits attendant to health information technology (IT), management scholars have long labored to identify the performance effects arising from new technologies and from other organizational innovations, namely the reorganization of work and the devolution of decision-making authority. This paper applies lessons from that literature to theorize the likely sources of measurement error that yield the weak statistical relationship between measures of health IT and various performance outcomes. In so doing, it complements the evaluation literature’s more conceptual examination of health IT’s limited performance impact. The paper focuses on seven issues, …
Explaining The Health Information Technology Paradox, Ariel Avgar, Adam Seth Litwin
Explaining The Health Information Technology Paradox, Ariel Avgar, Adam Seth Litwin
Adam Seth Litwin
Excerpt] The substantial gap between the promise inherent in upgrading information systems in health care and the documented reality has baffled health care scholars. Why is a technology so clearly capable of creating efficiencies, increasing safety, and promoting greater information sharing and coordination across professionals failing to live up to expectations?
Review Of Cleaning Up: How Hospital Outsourcing Is Hurting Workers And Endangering Patients, Adam Seth Litwin
Review Of Cleaning Up: How Hospital Outsourcing Is Hurting Workers And Endangering Patients, Adam Seth Litwin
Adam Seth Litwin
[Excerpt] Researchers sensitive to the plight of low-wage workers in advanced industrialized economies have long sought to convey the magnitude of the problem by retelling sorrowful tales of worker exploitation. Sadly, even their most sympathetic readers have numbed to these accounts. Author Dan Zuberi has found a clever way to transcend this apathy in his new monograph based on about 100 interviews plus behind-the- scenes observations of the impact of hospital support staff outsourcing on patients and workers. Through a well-developed understanding of the work process and changes in the employment relationship, he ties outsourcing and the resulting exploitation of …