Healthcare Technology (Bronsoler, Doyle and Van Reenen)
Healthcare seems in many ways the ideal place for the adoption of ICT. It is a large and growing sector, information intensive and highly skilled. Because of rapid job growth, there is less fears of automation here than in many other declining sectors of the economy.
Nevertheless, the experience of healthcare IT has not been wonderful. In the UK billions of pounds were sunk in the 2000s in "wiring the NHS" with very disappointing results. Similarly, in the US, the 2009 HITECH Act was meant to cause a sea change in efficiency through better use of ICT such as Electronic Healthcare Records. Despite great expenditure, healthcare costs have continued to rise, so that today almost one dollar in every five is spent on healthcare.
We will have a series of projects looking at the impact of healthcare IT on productivity, clinical quality, jobs and wages. We can use the myriad of government incentives to create some exogenous variation in the adoption of healthcare IT across different hospitals.
Read our initial survey of the literature.
Certainly, we suspect that complementary investments in management capabilities are critical in determining whether ICT investment are successful.
"Healthy Business? Managerial Education and Management in Healthcare" (Van Reenen, Bloom, Lemos and Sadun) Review of Economics and Statistics 2(3) 506-517.
"Management in Healthcare: Why Good Practice Really Matters" (Van Reenen, Bloom, Dorgan, Homkes, Layton and Sadun).