@techreport{NBERw18281,
 title = "The Trillion Dollar Conundrum: 
Complementarities and Health Information Technology",
 author = "David Dranove and Christopher Forman and Avi Goldfarb and Shane Greenstein",
 institution = "National Bureau of Economic Research",
 type = "Working Paper",
 series = "Working Paper Series",
 number = "18281",
 year = "2012",
 month = "August",
 URL = "http://www.nber.org/papers/w18281",
 abstract = {We examine the relationship between the adoption of EMR and hospital operating costs. We first identify a puzzle that has been seen in prior studies: Adoption of EMR is associated with a slight cost increase. We draw on the literature on IT and productivity to demonstrate that the average effect masks important differences across time, locations, and hospitals. We find: (1) EMR adoption is initially associated with higher costs; (2) At hospitals with access to complementary inputs, EMR adoption leads to a cost decrease after three years; (3) Hospitals in unfavorable conditions experience increased costs even after six years.},
}