Check Only Once? Health Information Exchange between Competing Private Hospitals

Niu, Baozhuang; Xu, Haotao; Zhi-peng, Dai

doi:10.1016/j.omega.2021.102556

Cited by 12 publications

(4 citation statements)

References 54 publications

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“…Nowadays, in most nations, health care is provided by both public and private (for-profit and non-profit) hospitals. Profitability is one of the core business objectives of private providers, while public providers typically consider social responsibility above profitability (Niu et al, 2022). Public hospitals have closer ties to politicians or those in power as they are often appointed as board members and contribute to formulating strategic directions.…”

Section: Corruption and Health Information Exchangementioning

confidence: 99%

Measuring the effects of electronic government services and corrupt practices on information exchange: a comparison of public and private hospitals

Shrivastava,

Han,

Daneshvar Kakhki

et al. 2023

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Purpose Health Information Exchange (HIE) is essential for the efficient and cost-effective delivery of health-care services. The provider’s administrative structure and external environment can substantially influence adopting technologies involving inter-organizational linkages, such as HIE. Using the theoretical lens of institutional theory, this study aims to compare how public and private hospitals' engagement in HIE is influenced by corruption and government online services or e-government usage. Design/methodology/approach The study uses the positivist research design of secondary data analysis to test the six hypotheses proposed. Data from multiple third-party reliable sources, including the European Commission and World Bank, are combined into the final dataset consisting of observations from 1,442 hospitals across 30 countries in Europe. A multilevel modeling approach is used to associate country and hospital-level variables and test the hypothesis. Findings The study finds that, on average, a 10% increase in corruption leads to a 6.3% decrease, while a 10% increase in e-government leads to a 7% increase in the probability of HIE engagement for a hospital. The negative impact of corruption on average is 18% more in public than private hospitals, while the positive impact of e-government is 75% stronger in public in comparison to private hospitals. The study also finds that HIE engagements in health systems with predominantly public hospitals are more sensitive to corruption and e-government. Originality/value To the best of the authors’ knowledge, the study is one of the first to use the institutional view to test the influence of government actions and public providers' concentration on HIE engagement. The comparison of public and private institutions enriches our understanding of promoters and inhibitors of HIE.

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Section: Corruption and Health Information Exchangementioning

confidence: 99%

Measuring the effects of electronic government services and corrupt practices on information exchange: a comparison of public and private hospitals

Shrivastava,

Han,

Daneshvar Kakhki

et al. 2023

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“…They found that whether blockchain technology could increase profitability of the manufacturer's offline channel depended on the cross-channel effect. Niu et al [24] studied a two-period model where two private hospitals compete in both service quality and service charges. They suggested that to save patients' costs, blockchain-based health information exchange for differentiated service should be adopted.…”

Section: Application Of Blockchain Technology In Supply Chain Managementmentioning

confidence: 99%

Governmental Anti-Pandemic and Subsidy Strategies for Blockchain-Enabled Food Supply Chains in the Post-Pandemic Era

Liao

Shui

2022

Sustainability

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Aiming to explore whether governments should choose anti-pandemic or subsidy strategies in the post-pandemic era, this study constructed a three-level food supply chain that was composed of a leading third-party logistics provider, a supplier and a retailer, in which the third-party logistics provider used blockchain technology for food traceability to address consumer concerns about food safety. We then used game theory to analyze the pricing decisions, traceability levels, anti-pandemic effort levels and subsidy levels of the supply chain under different governmental anti-pandemic or subsidy strategies. Our results showed that in all scenarios, the higher the consumer preference for traceability information, the larger the traceability levels and anti-pandemic effort levels and the more favorable the outcome for all parties; thus, governments should improve consumer awareness of pandemic prevention. For the benefit of all parties, governments should adopt anti-pandemic and subsidy strategies simultaneously, even in the post-pandemic era. Interestingly, for the scenario in which governments could only adopt one strategy, when the cost coefficient of traceability was small, the governmental subsidies would actually lead to lower traceability levels of the 3PL. This study could provide decision-making references for governments during the post-pandemic era and a new possibility for blockchain application.

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“…They note that competition in the healthcare industry can lead to undesirable outcomes, such as lengthier, more disorganized waiting times. Niu et al [31] investigate incentives for the exchange of health information to enhance decision-making coordination among competing institutions. They contemplate the profit and social responsibility objectives of institutions.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Contract Mechanisms between the Government and Private Hospitals on the Social Utility

Teymourifar,

Kaya,

Ozturk

2023

Preprint

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In this work, we deal with a real healthcare system, in which public and private hospitals with different characteristics co-exist. While public hospitals have lower costs, they also suffer from long waiting times, diminishing the perceived quality of care for patients. Conversely, private hospitals, with their higher fees, offer shorter waiting periods, resulting in a more favorable perception of quality. A balanced healthcare system could offer societal benefits. Pricing strategies greatly influence a patient's hospital selection. For instance, reduced fees in private hospitals attract more patients, consequently reducing overcrowding in public facilities and elevating the overall quality of services provided. This study aims to develop pricing models to foster a balanced and socially advantageous healthcare system. Within this system, private hospital pricing is determined through contract mechanisms with the government. Thus, we delve into the ramifications of various contract models between the government and private hospitals on social utility. Our findings underscore the communal advantages of contract mechanisms. Furthermore, we generalize the proposed models to be applicable to similar systems.

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Check Only Once? Health Information Exchange between Competing Private Hospitals

Cited by 12 publications

References 54 publications

Measuring the effects of electronic government services and corrupt practices on information exchange: a comparison of public and private hospitals

Measuring the effects of electronic government services and corrupt practices on information exchange: a comparison of public and private hospitals

Governmental Anti-Pandemic and Subsidy Strategies for Blockchain-Enabled Food Supply Chains in the Post-Pandemic Era

The Effects of Contract Mechanisms between the Government and Private Hospitals on the Social Utility

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