Drivers and Barriers in Health IT Adoption

Journal: Applied Clinical Informatics
ISSN: 1869-0327
Issue: Vol. 3: Issue 4 2012
Pages: 488-500

Drivers and Barriers in Health IT Adoption

A Proposed Framework


A. C. Avgar (1), A. S. Litwin (2), P. J. Pronovost (3)

(1) School of Labor and Employment Relations and The College of Medicine, University of Illinois at Urbana Champaign, Champaign, IL; (2) The Johns Hopkins Carey Business School, Baltimore, MD; (3) The Johns Hopkins University School of Medicine, Baltimore, MD


Health information technology, strategic choice, technology adoption, organizations


Despite near (and rare) consensus that the adoption and diffusion of health information technology (health IT) will bolster outcomes for organizations, individuals, and the healthcare system as a whole, there has been surprisingly little consideration of the structures and processes within organizations that might drive the adoption and effective use of the technology. Management research provides a useful lens through which to analyze both the determinants of investment and the benefits that can ultimately be derived from these investments. This paper provides a conceptual framework for understanding health IT adoption. In doing so, this paper highlights specific organizational barriers or enablers at different stages of the adoption process – investment, implementation, and use – and at different levels of organizational decision-making – strategic, operational, and frontline. This framework will aid both policymakers and organizational actors as they make sense of the transition from paper-based to electronic systems.

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