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Predicting the adoption of electronic health records by physicians: when will health care be paperless?

Authors
Ford, E. W., Menachemi, N., Phillips, M. T.
Journal
J Am Med Inform Assoc
Publication Date
2006 Jan-Feb
Volume
13
Issue
1
Pages
106-12
  • HIT Description: EHR More info...
  • Purpose of Study: estimate when EHR will be widely adopted
  • Years of study: Not Available
  • Study Design: predictive analysis
  • Outcomes: time to EHR adoption, estimates of EHR adoption by 2014
Summary:
  • Settings: physician groups in small practices
  • Intervention: adoption of EHR
  • Evaluation Method: predictive analysis using data from 6 prior studies of adoption, and framed using Rogers theory of diffusion of innovation, using the Bass Model
  • System Penetration: The model predicts that by 2014 about 62% of practices will have EHRs with a best estimate of 72% and a conservative estimate of 56%. Best estimate of the time until 90% of practices have EHRs is beyond 2020.
  • Extrinsic Factors in valuing cost and benefits: EHRs represent a disruptive change, cost subsidies in other countries identified as a factor facilitating adoption, but still are predeicted by the model to be less important than internal influence factors (such as social contagion or the tipping point).
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