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Health Affairs, 24, no. 5 (2005): 1121-1123
doi: 10.1377/hlthaff.24.5.1121
© 2005 by Project HOPE
 
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Economics Of Health Information Technology

PERSPECTIVE

Hope And Hype: Predicting The Impact Of Electronic Medical Records

David U. Himmelstein and Steffie Woolhandler

The current fascination with electronic medical records (EMRs) is not new. For decades, vendors have capitalized on this enthusiasm. But hospitals and clinics have ended up with little to show for their large outlays. Indeed, computing at a typical hospital has not gotten much beyond what was available twenty-five years ago. The RAND analysis continues the tradition of hope and hype. Unfortunately, behind their impressive predictions of savings lie a disturbing array of unproven assumptions, wishful thinking, and special effects.


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