The
state and pattern of health information technology adoption
Rand (Online publications)
Fonkych, Kateryna.
creator
Taylor, Roger
MD
Rand Corporation
text
bibliography
Electronic book.
Electronic books.
cau
Santa Monica, CA
Rand Corp.
2005
monographic
eng
1 online resource (xiv, 52 pages) : illustrations
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.
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.
Kateryna Fonkych, Roger Taylor.
"RAND Health."
Includes bibliographical references (pages 51-52).
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 Health
RA971.23 .F66 2005Internet
362.1/028
2006 B-753
WA 26.5 F673s 2005
State and pattern of health information technology adoption
Fonkych, Kateryna.
Santa Monica, CA : Rand Corp., 2005
(DLC) 2005021867
0833040987
9780833040985
22573/cttjmk9 JSTOR
http://www.jstor.org/stable/10.7249/mg409hlth
http://www.jstor.org/stable/10.7249/mg409hlth
COD
060531
20190131165428.0
eng