'Where to, Doc?' Electronic Health Record Systems and the Mobility of Chronic Care Patients

40 Pages Posted: 26 Aug 2017 Last revised: 27 Jul 2018

See all articles by Kartik K. Ganju

Kartik K. Ganju

McGill University

Hilal Atasoy

Temple University - Department of Accounting; IZA Institute of Labor Economics

Paul A. Pavlou

Temple University - Department of Management Information Systems; Temple University - Department of Strategic Management

Date Written: August 3, 2017

Abstract

Electronic Health Record (EHR) systems enable the coordination of care across providers and locations by sharing information electronically. This is particularly important for patients with chronic conditions who require regular care from multiple specialists over a long period of time. EHR systems can allow patients with chronic conditions to coordinate their care from a network of ambulatory outpatient centers rather than a central inpatient location, and, as a result, patients can receive care at locations that are more convenient to them and offer better quality care. In this paper, we examine the adoption of EHR systems in inpatient and outpatient facilities, and its effects on mobility of patients with chronic conditions. The results showed multiple changes in the management of chronic care visits due to EHR systems. First, we found evidence that the adoption of EHR systems is associated with an increase in the number of ambulatory locations at which patients with chronic conditions receive their care. Second, these patients have a greater number of visits to those ambulatory centers. Third, patients interact with more healthcare providers at ambulatory centers, controlling for the increased number of visits. These effects on patient mobility are stronger in rural areas, and when the ambulatory centers are located close to inpatient centers. We also found that increased patient mobility is associated with lower healthcare costs. Finally, we discuss implications on patient mobility and the quality of care for patients with chronic conditions in ambulatory centers after the adoption of EHR systems.

Keywords: Health IT, Electronic Health Record (EHR) Systems, Chronic Care Management, Patient Mobility, Ambulatory Care.

Suggested Citation

Ganju, Kartik K. and Atasoy, Hilal and Pavlou, Paul A., 'Where to, Doc?' Electronic Health Record Systems and the Mobility of Chronic Care Patients (August 3, 2017). Available at SSRN: https://ssrn.com/abstract=3012966 or http://dx.doi.org/10.2139/ssrn.3012966

Kartik K. Ganju (Contact Author)

McGill University ( email )

1001 Sherbrooke Street
Montréal, H3A 1G5
Canada

Hilal Atasoy

Temple University - Department of Accounting ( email )

Philadelphia, PA 19122
United States

IZA Institute of Labor Economics ( email )

P.O. Box 7240
Bonn, D-53072
Germany

Paul A. Pavlou

Temple University - Department of Management Information Systems ( email )

1810 N. 13th Street
Floor 2
Philadelphia, PA 19128
United States

Temple University - Department of Strategic Management ( email )

Fox School of Business and Management
Philadelphia, PA 19122
United States

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