The state and pattern of health information technology adoption / Kateryna Fonkych, Roger Taylor.
By: Fonkych, Kateryna.
Contributor(s): Taylor, Roger, MD | Rand Corporation.Material type: BookPublisher: Santa Monica, CA : Rand Corp., 2005Description: 1 online resource (xiv, 52 pages) : illustrations.Content type: text Media type: computer Carrier type: online resourceISBN: 0833040987; 9780833040985.Report number: MG-409-HLTHSubject(s): Health services administration -- Information technology | Medical care -- Information technology | Informatics | Information Science | Medical Informatics Applications | Medical Informatics | Public Health Informatics | Health & Biological Sciences | HEALTH & FITNESS -- Diseases -- General | HEALTH & FITNESS -- Health Care Issues | Hospitals & Medical Centers | MEDICAL -- Diseases | MEDICAL -- Health Care Delivery | MEDICAL -- Health Policy | MEDICAL -- Public Health | Public HealthGenre/Form: Electronic book. | Electronic books.Additional physical formats: Print version:: State and pattern of health information technology adoption.DDC classification: 362.1/028 Online resources: Digital version
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Includes bibliographical references (pages 51-52).
Literature findings on the factors of HIT adoption and on the influence of HIT -- Estimates of current HIT adoption and of HIT diffusion -- Factors related to HIT adoption -- Summary of results and conclusions.
Innovations in information technology (IT) have improved efficiency and quality in many industries. Healthcare has not been one of them. Although some administrative IT systems, such as those for billing, scheduling, and inventory management, are already in place in the healthcare industry, little adoption of clinical IT, such as Electronic Medical Record Systems (EMR-S) and Clinical Decision Support tools, has occurred. Government intervention has been called for to speed the adoption process for Healthcare Information Technology (HIT), based on the widespread belief that its adoption, or diffusion, is too slow to be socially optimal. In this report, we estimate the current level and pattern of HIT adoption in the different types of healthcare organizations, and we evaluate factors that affect this diffusion process. First, we make an effort to derive a population-wide adoption level of administrative and clinical HIT applications according to information in the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database (formerly the Dorenfest IHDS+TM Database, Second release, 2004) and compare our estimates to alternative ones. We then attempt to summarize the current state and dynamics of HIT adoption according to these data and briefly review existing empirical studies on the HIT-adoption process. By comparing adoption rates across different types of healthcare providers and geographical areas, we help focus the policy agenda by identifying which healthcare providers lag behind and may need the most incentives to adopt HIT. Next, we employ regression analysis to separate the effects of the provider's characteristics and factors on adoption of Electronic Medical Records (EMR), Computerized Physician Order Entry (CPOE), and Picture Archiving Communications Systems (PACS), and compare the effects to findings in the literature.
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