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. 2012 Dec 19;3(4):488-500.
doi: 10.4338/ACI-2012-07-R-0029. Print 2012.

Drivers and barriers in health IT adoption: a proposed framework

A C Avgar  1 , A S Litwin, P J Pronovost
Affiliations

Drivers and barriers in health IT adoption: a proposed framework

A C Avgar et al. Appl Clin Inform. .

Abstract

Despite near (and rare) consensus that the adoption and diffusion of health information technology (health IT) will bolster outcomes for organizations, individuals, and the healthcare system as a whole, there has been surprisingly little consideration of the structures and processes within organizations that might drive the adoption and effective use of the technology. Management research provides a useful lens through which to analyze both the determinants of investment and the benefits that can ultimately be derived from these investments. This paper provides a conceptual framework for understanding health IT adoption. In doing so, this paper highlights specific organizational barriers or enablers at different stages of the adoption process - investment, implementation, and use - and at different levels of organizational decision-making - strategic, operational, and frontline. This framework will aid both policymakers and organizational actors as they make sense of the transition from paper-based to electronic systems.

Keywords: Health information technology; organizations; strategic choice; technology adoption.

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References

    1. Hillestead R, Bigelow J, Bower A, Girosi F, Meili R, Scoville R, Taylor R. Can electronic medical record systems transform healthcare? Potential healthcare benefits, savings, and costs. Health Aff (Millwood) 2005; 24(5): 1103-1117 - PubMed
    1. Shortliffe EH. Strategic action in health information technology: Why the obvious has taken so long. Health Aff (Millwood) 2005; 24(5): 1222-1233. - PubMed
    1. DesRoches CM, Campbell EG, Rao SR, Donelan K, Ferris TG, Jha A, Kaushal R, Levy DE, Rosenbaum S, Shields AE, Blumenthal D. Electronic health records in ambulatory care – a national survey of physicians. New Engl J Med 2008; 359: 50-60 - PubMed
    1. Wu S, Chaudhry B, Wang J, Maglione M, Mojica W, Roth E, Morton SC, Shekelle PG. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Inter Med 2009; 144(10): 742-752 - PubMed
    1. Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. The benefits of health information technology: A review of the recent literature shows predominantly positive results. Health Aff (Millwood) 2011; 30(3): 464-471 - PubMed

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