Why Don't Docs Digitize? The Adoption of Health Information Technology in Primary Care Medicine

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dc.contributor.author Litwin, Adam Seth
dc.date.accessioned 2009-08-07T17:57:46Z
dc.date.available 2009-08-07T17:57:46Z
dc.date.issued 2009-05-11
dc.identifier.uri http://jhir.library.jhu.edu/handle/1774.2/33501
dc.description.abstract Reformers in the US have earmarked substantial resources towards encouraging the adoption of electronic health records (EHRs). However, studies have yet to explain why physicians resist adoption and why the investments resulting from a policy push may prove ineffective for improving the efficiency of healthcare delivery. I theorize that health information technology (IT) facilitates certain outcomes that bolster industry-level efficiency, but that the conventional, “fee-for-service” financing of primary care prevents many physicians from appropriating these benefits. Those physicians financing care delivery from a prepaid premium, on the other hand, are positioned to internalize what are otherwise external economies attendant to health IT investment. I find strong statistical support for this theory in a unique panel of US-practicing primary care physicians that allows us to examine health IT adoption as far back as 2001 - long before it garnered policymakers’ attention. The results imply that reformers should focus not on encouraging health IT adoption per se, but on reforms that enable physicians to internalize what are presently socialized benefits. en
dc.description.provenance Made available in DSpace on 2009-08-07T17:57:46Z (GMT). No. of bitstreams: 1 WhyDontDocsDigitize.pdf: 185400 bytes, checksum: 6758f973de802ae01280b26fa1efc01b (MD5) Previous issue date: 2009-05-11 en
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dc.language.iso en_US en
dc.publisher Carey Business School, Johns Hopkins University en
dc.relation.ispartofseries The Johns Hopkins Carey Business School Working Paper Series;09-05-001
dc.subject health information technology (IT) en
dc.subject electronic health records (EHRs) en
dc.subject information technology (IT) en
dc.subject.classification I10: Health: General
dc.subject.classification L20: Firm Objectives, Organization, and Behavior: General
dc.subject.classification O30: Technological Change; Research and Development: General
dc.title Why Don't Docs Digitize? The Adoption of Health Information Technology in Primary Care Medicine en
dc.type Working Paper en

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