Predicting the adoption of electronic health records by physicians: when will health care be paperless?
Journal
J Am Med Inform Assoc
Publication Date
2006 Jan-Feb
Volume
13
Issue
1
Pages
106-12
Summary:
- 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
- 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).