Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/64846 
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dc.contributor.authorCallaway, Branten
dc.contributor.authorGhosal, Viveken
dc.date.accessioned2012-09-26-
dc.date.accessioned2012-10-11T15:55:39Z-
dc.date.available2012-10-11T15:55:39Z-
dc.date.issued2012-
dc.identifier.urihttp://hdl.handle.net/10419/64846-
dc.description.abstractWe empirically examine the determinants of adoption of information technology by primary healthcare clinics using a large sample of physician clinics from several States in the U.S. Ours is one of the first studies to intensively investigate primary care clinics. These clinics are important as they represent the frontlines in the delivery of services in this large and complex market. Our study generates several interesting results related to the adoption and diffusion of Health Information Technology (HIT), including: (1) the adoption probabilities vary considerably by the specific type of clinic; (2) in contrast to numerous studies in the broader technology adoption literature, we find little evidence to suggest a relationship between firm (clinic) size and the likelihood of adoption; (3) there appears to be no definitive relationship between the age of a clinic and the likelihood of adoption; (4) there is a strong effect of geographic location, as measured by specific types of urban and rural counties, on the likelihood of adoption; (5) market competitive forces appear to have a mixed influence on adoption; (6) there is a distinct State-specific effect suggesting that information privacy, medical malpractice laws and State initiatives may play an important role in adoption; and (7) HIT is diffusing at a faster rate over time. Our findings have the potential to provide a better understanding of the longer-run effectiveness and efficiency in the provision of healthcare, and crafting appropriate policy responses. We note some future extensions of our work.en
dc.language.isoengen
dc.publisher|aCenter for Economic Studies and ifo Institute (CESifo) |cMunichen
dc.relation.ispartofseries|aCESifo Working Paper |x3925en
dc.subject.jelO33en
dc.subject.jelI11en
dc.subject.jelI18en
dc.subject.jelM15en
dc.subject.jelM21en
dc.subject.ddc330en
dc.subject.keywordhealthcareen
dc.subject.keywordprimary careen
dc.subject.keywordhealth information technologyen
dc.subject.keywordelectronic medical recordsen
dc.subject.keywordtechnologyen
dc.subject.keywordadoptionen
dc.subject.keyworddiffusionen
dc.subject.keywordurban and rural locationsen
dc.subject.keywordcompetitionen
dc.subject.keywordhealthcare policyen
dc.subject.stwBasisgesundheitsversorgungen
dc.subject.stwE-Healthen
dc.subject.stwInformationstechniken
dc.subject.stwInnovationsdiffusionen
dc.subject.stwUSAen
dc.titleAdoption and diffusion of health information technology: The case of primary care clinics-
dc.typeWorking Paperen
dc.identifier.ppn72645320Xen
dc.rightshttp://www.econstor.eu/dspace/Nutzungsbedingungenen

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