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Journal of Political Economy Vol. 119 No. 2 2011

Can Health Care Information Technology Save Babies?

Amalia R. Miller1,2; Catherine E. Tucker3

1 University of Virginia · 2 RAND Corporation · 3 Massachusetts Institute of Technology

Abstract

Electronic medical records (EMRs) facilitate fast and accurate access to patient records, which could improve diagnosis and patient monitoring. Using a 12-year county-level panel, we find that a 10 percent increase in births that occur in hospitals with EMRs reduces neonatal mortality by 16 deaths per 100,000 live births. This is driven by a reduction of deaths from conditions requiring careful monitoring. We also find a strong decrease in mortality when we instrument for EMR adoption using variation in state medical privacy laws. Rough cost-effectiveness calculations suggest that EMRs are associated with a cost of $531,000 per baby’s life saved.

DOI
10.1086/660083
Volume
119
Issue
2
Pages
289-324
Language
en
Sources
openalex crossref bibtex:phds-export.bib

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