Abstract：
BACKGROUND: Digital healthcare aims to deliver on the quadruple aim: enhance patient experiences, improve population health, reduce costs and improve provider experiences. Despite large investments, it is unclear how advancing digital health enables these healthcare aims.
OBJECTIVE: Our objectives were to: 1) measure the correlation between digital capability and health system outcomes mapped to the quadruple aim, and 2) measure the longitudinal impact of electronic medical record implementations upon health system outcomes.
METHODS: We undertook two studies: 1) Digital health correlational study investigating the association among healthcare system capability and healthcare aims, and 2) Digital hospital longitudinal study investigating outcomes pre and post electronic medical record implementation.
RESULTS: Digital health capability was associated with lower staff turnover. Digitising healthcare services was associated with decreased medication errors, decreased nosocomial infections, increased hospital activity, and a transient increase in staff leave.
CONCLUSIONS: These results suggest positive impacts on the population health and healthcare costs aim, minimal impacts on the provider experience aim and no observed impacts to the patient experience aim.
CONCLUSIONS: These findings should provide confidence to healthcare decision-makers investing in digital health.
OBJECTIVE: Our objectives were to: 1) measure the correlation between digital capability and health system outcomes mapped to the quadruple aim, and 2) measure the longitudinal impact of electronic medical record implementations upon health system outcomes.
METHODS: We undertook two studies: 1) Digital health correlational study investigating the association among healthcare system capability and healthcare aims, and 2) Digital hospital longitudinal study investigating outcomes pre and post electronic medical record implementation.
RESULTS: Digital health capability was associated with lower staff turnover. Digitising healthcare services was associated with decreased medication errors, decreased nosocomial infections, increased hospital activity, and a transient increase in staff leave.
CONCLUSIONS: These results suggest positive impacts on the population health and healthcare costs aim, minimal impacts on the provider experience aim and no observed impacts to the patient experience aim.
CONCLUSIONS: These findings should provide confidence to healthcare decision-makers investing in digital health.
摘要：
背景：数字医疗旨在实现四重目标：增强患者体验，改善人口健康，降低成本并改善提供商体验。尽管进行了大量投资,目前尚不清楚推进数字健康如何实现这些医疗保健目标。
目标：我们的目标是：1）测量数字能力与符合四重目标的卫生系统结果之间的相关性，和2)测量电子病历实施对卫生系统结果的纵向影响。
方法：我们进行了两项研究：1）数字健康相关研究，调查医疗保健系统能力与医疗保健目标之间的关联，和2）数字医院纵向研究调查电子病历实施前后的结果。
结果：数字医疗能力与较低的员工流失率相关。数字化医疗服务与减少用药错误有关，减少医院感染，医院活动增加，以及员工休假的短暂增加。
结论：这些结果表明对人口健康和医疗成本目标的积极影响，对提供者体验目标的影响最小，对患者体验目标没有观察到的影响。
结论：这些发现应该为投资数字健康的医疗保健决策者提供信心。
目标：我们的目标是：1）测量数字能力与符合四重目标的卫生系统结果之间的相关性，和2)测量电子病历实施对卫生系统结果的纵向影响。
方法：我们进行了两项研究：1）数字健康相关研究，调查医疗保健系统能力与医疗保健目标之间的关联，和2）数字医院纵向研究调查电子病历实施前后的结果。
结果：数字医疗能力与较低的员工流失率相关。数字化医疗服务与减少用药错误有关，减少医院感染，医院活动增加，以及员工休假的短暂增加。
结论：这些结果表明对人口健康和医疗成本目标的积极影响，对提供者体验目标的影响最小，对患者体验目标没有观察到的影响。
结论：这些发现应该为投资数字健康的医疗保健决策者提供信心。
