Drivers and Barriers in Health IT Adoption: A Proposed Framework
Applied Clinical Informatics, Vol. 3, No. 4, pp. 488-500, 2012
13 Pages Posted: 10 Jan 2013 Last revised: 10 Jun 2013
Date Written: 2012
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 (IT), electronic health records (EHRs), research methods, organizational behavior
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