Skip to main content

Advertisement

Log in

Reexamining the impact of information technology investment on productivity using regression tree and multivariate adaptive regression splines (MARS)

  • Published:
Information Technology and Management Aims and scope Submit manuscript

Abstract

As health care costs increased significantly in the 1990s, investments in information technology (IT) in the health care industry have also increased continuously in order to improve the quality of patient care and to respond to government pressure to reduce costs. Several studies have investigated the impact of IT on productivity with mixed conclusions. In this paper, we revisit this issue and re-examine the impact of investments in IT on hospital productivity using two data mining techniques, which allowed us to explore interactions between the input variables as well as conditional impacts. The results of our study indicated that the relationship between IT investment and productivity is very complex. We found that the impact of IT investment is not uniform and the rate of IT impact varies contingent on the amounts invested in the IT Stock, Non-IT Labor, Non-IT Capital, and possibly time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. A. Abraham, Analysis of hybrid soft and hard computing techniques for forex monitoring systems, in World Congress on Computational Intelligence, May, 2002, pp. 1616–1622

  2. A. Abraham, D. Steinberg, Is neural network a reliable forecaster on earth? in eds. by J. Mira and A. Prieto A MARS Query! International Work—Conference on Artificial and Natural Neural Networks (Springer-Verlag Germany, 2001), pp. 679 –686

  3. D. Autor, L. Katz, A. Krueger, Computing inequality: have computers changed the labor market? Quart. J. Econ. 113(4), 1169–1213 (1998)

    Article  Google Scholar 

  4. A. Barua, C.H. Sophie Lee, B.W. Andrew, The calculus of reengineering. Inform. Syst. Res. 7(4), 409–428 (1996)

    Article  Google Scholar 

  5. F. Andoh-Baidoo, K.-M. Osei-Bryson, Exploring the characteristics of internet security breaches that impact the market value of breached firms. Expert. Syst. Appl. V32(3), 703–725 (2007)

    Article  Google Scholar 

  6. F. Bergeron, L. Raymond, S. Rivard, Fit in strategic information technology management research: an empirical comparison of perspectives. Omega 29, 125–142 (2001)

    Article  Google Scholar 

  7. L. Breiman, J.H. Friedman, R. Olsen, C. Stone, Classification and Regression Trees (Belmond, California, Wadsworth International Group 1984)

    Google Scholar 

  8. L.C. Briand, B. Freimut, F. Vollei, Using Multiple Adaptive Regression Splines to Understand Trends in Inspection Data and Identify Optimal Inspection Rates. International Software Engineering Research Network (ISERN), ISERN-00-07 Version 1 (2000)

  9. E. Brynjolfsson, L.M. Hitt, Paradox Lost? Firm-level evidence on the returns to information systems spending. Manag. Sci. 42(4), 541–558 (1996)

    Google Scholar 

  10. W.P. Carey, S.S. Yee, Calibration of nonlinear solid-state sensor arrays using multivariate regression techniques. Sensor Actuator 9, 113–122 (1992)

    Article  Google Scholar 

  11. A. Ciampi, A. Negassa, Z. Lou, Tree-structured prediction for censored survival data and the cox model. J. Clin. Epidemiol. 48(5), 675–689 (1995)

    Article  Google Scholar 

  12. J. Deichmann, A. Eshghi, D. Jaigjtpm, S. Sayek, N. Teebagy, Application of multiple adaptive regression splines (MARS) in direct response modeling. J. Interact. Market. Autumn, 15–27 (2002)

  13. R.D. De Veaux, D.C. Psichogios, L.H. Ungar, A comparison of two nonparametric estimation schemes: MARS and neural networks. Comput. Chem. Eng. 17(8), 819–837 (1993)

    Article  Google Scholar 

  14. S. Dewan, C.K. Min, The substitution of information technology for other factors of production: a firm level analysis. Manag. Sci. 43(12), 1660–1675 (1997)

    Google Scholar 

  15. K.E. Dusterhoff, A.W. Black, P.A. Taylor, Using decision trees within the tilt intonation model to predict F0 contours, in Proceedings of Eurospeech, http://www.citeseer.nj.nec.com/dusterhoff99using.html (1999). Accessed July 2006

  16. T. Ekman, G. Kubin, Nonlinear prediction of mobile radio channels: measurements and MARS model designs, in IEEE International Conference on Acoustics, Speech and Signal Processing, pp. 2667–2670 (1999)

  17. J. Friedman, Multivariate adaptive regression splines. Ann. Stat. 19, 1–141 (1991)

    Article  Google Scholar 

  18. S.S. Gokhale, M.R. Lyu, Regression tree modeling for the prediction of software quality, in ed. by H. Pham, Proceedings of Third ISSAT International Conference on Reliability & Quality in Design, Anaheim, CA, (1997), pp. 31–36. http://www.citeseer.nj.nec.com/gokhale97regression.html. Accessed July 2006

  19. W.L. Griffin, N.I. Fisher, J.H. Friedman, C.G. Ryan, Statistical technique for the classification of chromites in diamond exploration samples. J. Geochem. Explorat. 59, 233–249 (1997)

    Article  Google Scholar 

  20. E.R. Groff, J. Wartell, J.T. McEwen An exploratory analysis of homicides in Washington, DC, in The 2001 American Society of Criminology Conference, 2001

  21. J. Han, M. Kamber, Data Mining Concepts and Techniques (San Diego, Academic Press, 2001)

    Google Scholar 

  22. T. Hastie, R. Tishirani, J.H. Friedman, The Elements of Statistical Learning: Data Mining, Inference, and Prediction (Springer, 2001)

  23. L.M. Hitt, E. Brynjolfsson, Productivity, business profitability, and consumer surplus: three different measures of information technology value. MIS Quart. 20(2), 121–142 (1996)

    Article  Google Scholar 

  24. R. Jin, W. Chen, T.W. Simpson, Comparative Studies of Metamodeling Techniques Under Multiple Modeling Criteria (American Institute of Aeronautics and Astronautics, 2000), AIAA-2000-4801

  25. H. Kim, G.J. Koehler, Theory and practice of decision tree induction. Omega 23(6), 637–652 (1995)

    Article  Google Scholar 

  26. M. Ko, K.M. Osei-Bryson, Using regression splines to assess the impact of information technology investments on productivity in the health care industry. Inform. Syst. J. 14, 43–63 (2004)

    Article  Google Scholar 

  27. S. Kudyba, R. Diwan, Research report: increasing returns to information technology. Inform. Syst. Res. 13(1), 104–111 (2002)

    Article  Google Scholar 

  28. F.R. Lichtenberg, The output contributions of computer equipment and personnel: a firm-level analysis. Econom. Inform. New Technol. 3(4), 201–217 (1995)

    Article  Google Scholar 

  29. W.T. Lin, B. Shao, The business value of information technology and inputs substitution: the productivity paradox revisited. Decision Support Syst. 42(2), 493–507 (2006)

    Article  Google Scholar 

  30. M. MacLean, P. Mix, Measuring hospital productivity and output: the omission of outpatient services. Health Rep. 3, 229–244 (1991)

    Google Scholar 

  31. B.K. Mallick, D.G.T. Denison, A.F.M. Smith (1997) Bayesian Survival Analysis Using a MARS Model. Technical Report, Imperial College, London

  32. I.S. Markham, R.G. Mathieu, B.A. Wray, A rule induction approach for determining the number of kanbans in a just-in-time production system. Comput. Industr. Eng. 34(4), 717–727 (1998)

    Google Scholar 

  33. N.M. Menon, B. Lee, Cost Control and production performance enhancement by IT investment and regulation changes: evidence from the healthcare industry. Decision Support Syst. 30(2), 153–169 (2000)

    Article  Google Scholar 

  34. N.M. Menon, B. Lee, L. Eldenburg, Productivity of Information Systems in the Healthcare Industry. Inform. Syst. Res. 11, 83–92 (2000)

    Article  Google Scholar 

  35. T. Mukopadhyay, F. Lerch, V. Mangal, Assessing the impact of information technology on labor productivity—a field study. Decision Support Syst. 19, 109–122 (1997)

    Article  Google Scholar 

  36. K.M. Osei-Bryson, Evaluation of decision trees: a multi-criteria approach. Comput. Operat. Res. 31, 1933–1945 (2004)

    Article  Google Scholar 

  37. P. Pendarkar, An exploratory study of object-oriented software component size determinants and the application of regression tree forecasting models. Inform. Manag. 42(1), 61–73 (2004)

    Google Scholar 

  38. A.M. Prasad, L.R. Iverson, Predictive vegetation mapping using a custom built model-chooser: comparison of regression tree analysis and multivariate adaptive regression splines, in 4th International Conference on Integrating GIS and Environmental Modeling (GIS/EM4): Problems, Prospects and Research Needs, Banff, Alberta, Canada, 2000.

  39. W. Raghupathi, Health care information systems. Commun. ACM 40, 81–82 (1997)

    Article  Google Scholar 

  40. C. Scott, W.T. Sause, R. Byhardt, V. Marcial, T.F. Pajak, A. Herskovic, J.D. Cox, Recursive partitioning analysis of 1593 patients on four radiation therapy oncology group studies in inoperable non-small cell lung cancer. Lung Cancer. 17, S59–S74 (1997)

    Article  Google Scholar 

  41. F.H. Selto, J.R. Celia, S. Mark Young, Assessing the organizational fit of a just-in-time manufacturing system: testing selection, interaction and systems models of contingency theory. Account. Org. Soc. 20(7–8), 665–684 (1995)

    Article  Google Scholar 

  42. H. Shin, The impact of information technology on the financial performance of diversified firms. Decision Support Syst. 41, 698–707 (2006)

    Article  Google Scholar 

  43. B. Shao, W. Lin, Measuring the value of information technology in technical efficiency with stochastic production frontiers. Inform. Software Technol. 43, 447–456 (2001)

    Article  Google Scholar 

  44. D. Steinberg, P.L. Colla, K. Martin, MARS User Guide (San Diego, CA, Salford Systems 1999)

    Google Scholar 

  45. H.L. Smith, W. Butlers Jr., N.F. Piland, Does information technology make a difference in healthcare organization performance? A multiyear study. Health Topics Res. Perspect. Healthcare 78, 13–22 (2000)

    Google Scholar 

  46. A.T. Sumner, M.L. Moreland, The potential impact of diagnosis related group medical management on hospital utilization and profitability. Health Care Manag. Rev. 20, 92–100 (1995)

    Google Scholar 

  47. L. Torgo, Predicting the density of algae communities using local regression trees, in Proceedings of the European Congress on Intelligent Techniques and Soft Computing (EUFIT’99), 1999

  48. W. Walsh, P. Kleiber, Generalized additive model and regression tree analyses of Blue Shark (Prionace Glauca) Catch rates by the Hawaii-based commercial longline fishery, Fisheries Research, 2001

  49. T.P. York, L.J. Eaves, Common disease analysis using multivariate adaptive regression splines (MARS): genetic analysis workshop 12 simulated sequence data. Genet. Epidemiol. 21, 649–654 (2001)

    Google Scholar 

Download references

Acknowledgments

The authors are grateful to Professors Byungtae Lee and Nirup M. Menon for sharing their dataset and Professor Menon’s SAS program with us, thus facilitating this study. We also thank the anonymous referees for their valuable comments. This research was supported in part by a grant from the 2007 Summer Research Program of the School of Business of Virginia Commonwealth University, Richmond, VA. USA.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Myung Ko.

Appendices

Appendix A: derivatives of IT Impact Formulas

In this appendix, we display the results of the differentiating with respect to loge T, each “IT Impact Formula” in Table 9.

Table A1 Derivatives of IT Impact Formulas

Appendix B: impact of Administrative IT on Productivity

In this appendix, we display the regression splines model that describes the impact of Administrative IT on the Productivity of Non-IT Labor, and which is used to generate the results in Table 14.

Table B1 Basis functions in MARS model on Impact of Administrative IT on Productivity

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ko, M., Osei-Bryson, KM. Reexamining the impact of information technology investment on productivity using regression tree and multivariate adaptive regression splines (MARS). Inf Technol Manage 9, 285–299 (2008). https://doi.org/10.1007/s10799-008-0036-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10799-008-0036-z

Keywords

Navigation