Monitoring technology and firm boundaries: Physician-hospital integration and technology utilization

Jeffrey S. McCullough; Eli M. Snir

doi:10.1016/j.jhealeco.2010.03.003

Monitoring technology and firm boundaries: Physician-hospital integration and technology utilization

Jeffrey S. McCullough
, Eli M. Snir

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

We study the relationship between physician-hospital integration and its relation to monitoring IT utilization. We develop a theoretical model in which monitoring IT may complement or substitute for integration and test these relationships using a novel data source. Physician labor market heterogeneity identifies the empirical model. We find that monitoring IT utilization is increasing in integration, implying that expanded firm boundaries complement monitoring IT adoption. We argue that the relationship between monitoring IT and firm boundaries depends upon the contractibility of the monitored information.

Original language	English (US)
Pages (from-to)	457-467
Number of pages	11
Journal	Journal of Health Economics
Volume	29
Issue number	3
DOIs	https://doi.org/10.1016/j.jhealeco.2010.03.003
State	Published - May 2010
Externally published	Yes

Bibliographical note

Funding Information:
We gratefully acknowledge the Health Information Management Systems Society (HIMSS) for use of their data. Additionally, The Robert Wood Johnson Foundation's Changes in Health Financing and Organization (Grant #64845 ) provided funding for this research. We express our appreciation to Bryan Dowd, Lorin Hitt, Joe Terza, Anandasivam Gopal, Steve Parente, and Jim Burgess for their suggestions and comments. We also thank participants in our 2007 Workshop on Information Systems Economics and International Health Economics Association sessions as well as our anonymous reviewers. Finally, we thank the Minnesota Supercomputing Institute for their invaluable support.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 8 Decent Work and Economic Growth

Keywords

Firm boundaries
Health information technology
Nonprofit institutions
Vertical integration

Publisher link

10.1016/j.jhealeco.2010.03.003

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abstract = "We study the relationship between physician-hospital integration and its relation to monitoring IT utilization. We develop a theoretical model in which monitoring IT may complement or substitute for integration and test these relationships using a novel data source. Physician labor market heterogeneity identifies the empirical model. We find that monitoring IT utilization is increasing in integration, implying that expanded firm boundaries complement monitoring IT adoption. We argue that the relationship between monitoring IT and firm boundaries depends upon the contractibility of the monitored information.",

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note = "Funding Information: We gratefully acknowledge the Health Information Management Systems Society (HIMSS) for use of their data. Additionally, The Robert Wood Johnson Foundation's Changes in Health Financing and Organization (Grant \#64845 ) provided funding for this research. We express our appreciation to Bryan Dowd, Lorin Hitt, Joe Terza, Anandasivam Gopal, Steve Parente, and Jim Burgess for their suggestions and comments. We also thank participants in our 2007 Workshop on Information Systems Economics and International Health Economics Association sessions as well as our anonymous reviewers. Finally, we thank the Minnesota Supercomputing Institute for their invaluable support. ",

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doi = "10.1016/j.jhealeco.2010.03.003",

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PY - 2010/5

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N2 - We study the relationship between physician-hospital integration and its relation to monitoring IT utilization. We develop a theoretical model in which monitoring IT may complement or substitute for integration and test these relationships using a novel data source. Physician labor market heterogeneity identifies the empirical model. We find that monitoring IT utilization is increasing in integration, implying that expanded firm boundaries complement monitoring IT adoption. We argue that the relationship between monitoring IT and firm boundaries depends upon the contractibility of the monitored information.

AB - We study the relationship between physician-hospital integration and its relation to monitoring IT utilization. We develop a theoretical model in which monitoring IT may complement or substitute for integration and test these relationships using a novel data source. Physician labor market heterogeneity identifies the empirical model. We find that monitoring IT utilization is increasing in integration, implying that expanded firm boundaries complement monitoring IT adoption. We argue that the relationship between monitoring IT and firm boundaries depends upon the contractibility of the monitored information.

KW - Firm boundaries

KW - Health information technology

KW - Nonprofit institutions

KW - Vertical integration

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ER -

Monitoring technology and firm boundaries: Physician-hospital integration and technology utilization

Abstract

Bibliographical note

UN SDGs

Keywords

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