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050  4 RA971.23|b.F66 2005 
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082 04 362.1/028|222 
088    MG-409-HLTH 
090    RA971.23|b.F66 2005Internet 
100 1  Fonkych, Kateryna.|0https://id.loc.gov/authorities/names/
       n2005183153 
245 14 The state and pattern of health information technology 
       adoption /|cKateryna Fonkych, Roger Taylor. 
264  1 Santa Monica, CA :|bRand Corp.,|c2005. 
300    1 online resource (xiv, 52 pages) :|billustrations 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
347    data file|2rda 
500    "RAND Health." 
504    Includes bibliographical references (pages 51-52). 
505 0  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. 
520    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. 
588 0  Print version record. 
590    JSTOR|bBooks at JSTOR Open Access 
590    eBooks on EBSCOhost|bEBSCO eBook Subscription Academic 
       Collection - North America 
650  0 Health services administration|0https://id.loc.gov/
       authorities/subjects/sh85059600|xInformation technology.
       |0https://id.loc.gov/authorities/subjects/sh2002012003 
650  0 Medical care|0https://id.loc.gov/authorities/subjects/
       sh85082871|xInformation technology.|0https://id.loc.gov/
       authorities/subjects/sh2002012003 
650  7 Health services administration.|2fast|0https://
       id.worldcat.org/fast/953286 
650  7 Information technology.|2fast|0https://id.worldcat.org/
       fast/973089 
650  7 Medical care.|2fast|0https://id.worldcat.org/fast/1013753 
650  7 Medical care.|2homoit|0https://homosaurus.org/v3/
       homoit0001004 
655  0 Electronic book. 
655  4 Electronic books. 
700 1  Taylor, Roger,|cMD.|0https://id.loc.gov/authorities/names/
       n2005183154 
710 2  Rand Corporation.|0https://id.loc.gov/authorities/names/
       n78083407 
740 0  Rand (Online publications) 
776 08 |iPrint version:|aFonkych, Kateryna.|tState and pattern of
       health information technology adoption.|dSanta Monica, CA 
       : Rand Corp., 2005|w(DLC)  2005021867 
856 40 |uhttps://www.jstor.org/stable/10.7249/mg409hlth|zOnline 
       ebook. Open Access via JSTOR. 
856 40 |uhttps://rider.idm.oclc.org/login?url=https://
       search.ebscohost.com/login.aspx?direct=true&scope=site&
       db=nlebk&AN=197644|zOnline ebook via EBSCO. Access 
       restricted to current Rider University students, faculty, 
       and staff. 
901    MARCIVE 20231220 
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