In his Health Affairs piece It Ain’t Necessarily So (which steals its title from my one Health Affairs article on which I was 4th banana author back in 1994) Jaan Sidorov claims that merely introducing “The Electronic Health Record” is unlikely to reduce overall system health care costs.
Stone him I say! Stone him!
Oh, hang on, I mostly agree. Although I do think that EMRs, eventually, will improve patient care quality, which he kinda doubts. But to actually reduce health care costs? Nice try RAND, CITL et al, but to do that requires limiting the amount of money put into the system. And that leads to unpleasant consequences for the main actors in the system. And as the Industry Veteran often reminds us, the whole IT thing is a side show helping us avoid that (eventual) conversation.