U.S. Adoption of Computerized Physician Order Entry Systems

Posted: 26 Jul 2007  

David M. Cutler

Harvard University - Department of Economics; National Bureau of Economic Research (NBER); Harvard University - Harvard Kennedy School (HKS)

Naomi E. Feldman

Federal Reserve Board

Jill R. Horwitz

UCLA School of Law; National Bureau of Economic Research (NBER)

Abstract

Computerized physician order entry (CPOE) has been shown to reduce preventable, potential adverse events. Despite this evidence, fewer than 5 percent of U.S. hospitals have fully implemented these systems. We assess empirically alternative reasons for low CPOE implementation using data from various sources. We find that CPOE is related to hospital ownership and teaching status; government and teaching hospitals are much more likely than other hospital types are to invest in CPOE. Hospital profitability is not associated with CPOE investment. Although greater diffusion of CPOE is needed, it might have to await continuing publicity efforts and substantial reimbursement system changes.

Suggested Citation

Cutler, David M. and Feldman, Naomi E. and Horwitz, Jill R., U.S. Adoption of Computerized Physician Order Entry Systems. Health Affairs, Vol. 24, No. 6, 2005. Available at SSRN: https://ssrn.com/abstract=1002694

David M. Cutler (Contact Author)

Harvard University - Department of Economics ( email )

Littauer Center, Room 315A
Cambridge, MA 02138
United States
617-496-5216 (Phone)
617-495-8570 (Fax)

National Bureau of Economic Research (NBER) ( email )

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617-868-3900 (Phone)
617-868-2742 (Fax)

Harvard University - Harvard Kennedy School (HKS) ( email )

79 John F. Kennedy Street
Cambridge, MA 02138
United States

Naomi E. Feldman

Federal Reserve Board ( email )

Washington, DC 20551
United States

Jill R. Horwitz

UCLA School of Law ( email )

Box 951476
Los Angeles, CA 90095-1476
United States
310-206-1577 (Phone)

National Bureau of Economic Research (NBER) ( email )

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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