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

See all articles by Ariel C. Avgar

Ariel C. Avgar

University of Illinois at Urbana-Champaign, School of Labor & Employment Relations and College of Medicine

Adam Seth Litwin

Cornell University

Peter Pronovost

Johns Hopkins University - Johns Hopkins Medical Institutions

Date Written: 2012

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 (IT), electronic health records (EHRs), research methods, organizational behavior

Suggested Citation

Avgar, Ariel C. and Litwin, Adam Seth and Pronovost, Peter, Drivers and Barriers in Health IT Adoption: A Proposed Framework (2012). Applied Clinical Informatics, Vol. 3, No. 4, pp. 488-500, 2012, Available at SSRN: https://ssrn.com/abstract=2198473

Ariel C. Avgar (Contact Author)

University of Illinois at Urbana-Champaign, School of Labor & Employment Relations and College of Medicine

504 East Armory Avenue
Champaign, IL 61820-6297
United States

Adam Seth Litwin

Cornell University ( email )

ILR School
363 Ives Hall
Ithaca, NY 14853-3901
United States
(607) 255-7326 (Phone)

Peter Pronovost

Johns Hopkins University - Johns Hopkins Medical Institutions ( email )

550 N. Broadway
Baltimore, MD 21205
United States

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