The state and pattern of health information technology adoption / Kateryna Fonkych, Roger Taylor

Author:: Fonkych, Kateryna
Published:: Santa Monica, CA : Rand Corp., 2005.
Physical Description:: xiv, 52 pages : illustrations ; 26 cm
Additional Creators:: Taylor, Roger, MD., RAND Health, Rand Corporation, Cerner Corporation, General Electric Company, Hewlett-Packard Company, Johnson & Johnson, and Xerox Corporation

Online Version

www.rand.org , Online access

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Contents:

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.

Summary:

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.

Report Numbers:

RAND/MG-409-HLTH

Subject(s):

ISBN:

0833038478 (pbk. : alk. paper)

Note:

"RAND Health."

Bibliography Note:

Includes bibliographical references (pages 51-52).

Other Forms:

Also available on the internet via WWW in PDF format.

Funding Information:

Cerner Corporation. UHR05 4005
General Electric. UHR05 4005
Hewlett-Packard. UHR05 4005
Johnson & Johnson. UHR05 4005

Complexity Note:

Companion volume to RAND/WR-295, RAND/MG-272-HLTH, RAND/MG-408-HLTH, RAND/MG-410-HLTH.
Summarized by RAND/RB-9136-HLTH.

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