Deepen electronic health record diffusion beyond breadth: game changers and decision drivers

被引：11

作者：

Wang, Xuan ^{[1
]}

Sun, Jun ^{[2
]}

Wang, Ying ^{[3
]}

Liu, Yi ^{[4
]}

机构：

[1] Univ Texas Rio Grande Valley, 1201 W Univ Dr,EMAGC 3-328, Edinburg, TX 78539 USA

[2] Univ Texas Rio Grande Valley, 1201 W Univ Dr,EMAGC 3-338, Edinburg, TX 78539 USA

[3] Univ Texas Rio Grande Valley, 1201 W Univ Dr,EMAGC 3-222, Edinburg, TX 78539 USA

[4] Univ Incarnate Word, 4301 Broadway St,CPO 437, San Antonio, TX 78209 USA

来源：

INFORMATION SYSTEMS FRONTIERS | 2022年 / 24卷 / 02期

关键词：

Cloud computing; Financial incentive; Longitudinal analysis; Business requirement; Service value; Society need; MEANINGFUL USE; CARE; ADOPTION; TECHNOLOGY; QUALITY; SYSTEMS;

D O I：

10.1007/s10796-020-10093-6

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Cloud computing, financial incentive and patient-centered care are the game changers that deepen EHR diffusion beyond breadth. Based on the innovation diffusion theory (IDT), technology-organization-environment (TOE) framework and alignment literature, this study examines how these changes shape business requirement, service value and society need that drive different phases of EHR diffusion in terms of planning, adoption, usage and upgrade. A longitudinal analysis with the USA National Ambulatory Medical Care Survey (NAMCS) reveals the impacts of different drivers on EHR diffusion. In addition to quantitative results, interview observations corroborate the relationships among game changers, decision drivers and EHR diffusion. The findings provide healthcare providers, system vendors and policy-makers the insights on the best practices of promoting EHR diffusion for long-term success.

引用

页码：537 / 548

页数：12

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