Adoption of electronic medical records: the role of network effects

Ayers, Douglas J.; Menachemi, Nir; Ramamonjiarivelo, Zo; Matthews, Michael; Brooks, Robert G.

doi:10.1108/10610420910949022

Cited by 26 publications

(24 citation statements)

References 32 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Policy makers globally face the challenge of keeping up with the fast pace of innovations; innovators find it hard to integrate their solutions into the over-regulated healthcare systems. This process is disturbed by patients' and caregivers' reluctance to change (20). To make digital health fill the gaps and function properly, we need to build knowledge and attitude.…”

Section: The New Status Quomentioning

confidence: 99%

Digital health is a cultural transformation of traditional healthcare

Meskó¹,

Drobni²,

Bényei³

et al. 2017

mHealth

459

302

View full text Add to dashboard Cite

Under the term "digital health", advanced medical technologies, disruptive innovations and digital communication have gradually become inseparable from providing best practice healthcare. While the cost of treating chronic conditions is increasing and doctor shortages are imminent worldwide, the needed transformation in the structure of healthcare and medicine fails to catch up with the rapid progress of the medical technology industry. This transition is slowed down by strict regulations; the reluctance of stakeholders in healthcare to change; and ignoring the importance of cultural changes and the human factor in an increasingly technological world. With access and adoption of technology getting higher, the risk of patients primarily turning to an accessible, but unregulated technological solution for their health problem is likely to increase. In this paper, we discuss how the old paradigm of the paternalistic model of medicine is transforming into an equal level partnership between patients and professionals and how it is aided and augmented by disruptive technologies. We attempt to define what digital health means and how it affects the status quo of care and also the study design in implementing technological innovations into the practice of medicine.

show abstract

Section: The New Status Quomentioning

confidence: 99%

Digital health is a cultural transformation of traditional healthcare

Meskó¹,

Drobni²,

Bényei³

et al. 2017

mHealth

459

302

View full text Add to dashboard Cite

show abstract

“…As such, current communication methods and strategies may not effectively address this target population [39]. Adoption starts at the grassroots level and these physicians form the grassroots of the physician community [40-42]. …”

Section: Conceptual Framework and Proposition Developmentmentioning

confidence: 99%

“…The autonomous nature of physicians often makes it difficult to precipitate peer-to-peer discussions about issues regarding technology adoption. Nevertheless, social networks, virtual communities, and social media can be used in the diffusion of innovation among this group [40]. …”

Section: Conceptual Framework and Proposition Developmentmentioning

confidence: 99%

Understanding Electronic Medical Record Adoption in the United States: Communication and Sociocultural Perspectives

Nambisan¹,

Kreps²,

Polit³

2013

Interact J Med Res

View full text Add to dashboard Cite

BackgroundThis paper adopts a communication and sociocultural perspective to analyze the factors behind the lag in electronic medical record (EMR) adoption in the United States. Much of the extant research on this topic has emphasized economic factors, particularly, lack of economic incentives, as the primary cause of the delay in EMR adoption. This prompted the Health Information Technology on Economic and Clinical Health Act that allow financial incentives through the Centers of Medicare and Medicaid Services for many health care organizations planning to adopt EMR. However, financial incentives alone have not solved the problem; many new innovations do not diffuse even when offered for free. Thus, this paper underlines the need to consider communication and sociocultural factors to develop a better understanding of the impediments of EMR adoption.ObjectiveThe objective of this paper was to develop a holistic understanding of EMR adoption by identifying and analyzing the impact of communication and sociocultural factors that operate at 3 levels: macro (environmental), meso (organizational), and micro (individual).MethodsWe use the systems approach to focus on the 3 levels (macro, meso, and micro) and developed propositions at each level drawing on the communication and sociocultural perspectives.ResultsOur analysis resulted in 10 propositions that connect communication and sociocultural aspects with EMR adoption.ConclusionsThis paper brings perspectives from the social sciences that have largely been missing in the extant literature of health information technology (HIT) adoption. In doing so, it implies how communication and sociocultural factors may complement (and in some instances, reinforce) the impact of economic factors on HIT adoption.

show abstract

“…Research largely focuses on the evaluation of the economic benefits of improved MCB [14,15], as well as a function included within EMR systems [16][17][18]. Facilitating these improvements is the increase in adoption of mobile ICTs by physicians for various applications, as it has expanded rapidly in a variety of areas [19,20].…”

Section: Opportunities For Technologymentioning

confidence: 99%

ChargeMed: Development of a Mobile Application for Medical Coding and Billing within the Ontario Healthcare Environment

Agarwal¹,

Xenodemetropoulos

Abdelrahman³

et al. 2013

2013 46th Hawaii International Conference on System Sciences

View full text Add to dashboard Cite

Traditional processes involved in coding and billing for medical services performed by physicians present many inherent challenges in complete charge capture, accurate coding and entry as well as timely submission for reimbursement. Process improvement facilitated by the adoption of mobile electronic billing management systems has demonstrated the potential for considerable financial benefit. This paper outlines the conceptual and technical architecture for a mobile coding and billing application facilitating physician remuneration for practices in Ontario, including a description of the relevant contextual background, potential mechanisms for the functional evaluation of this tool and a discussion of possible evolutionary modifications of the proposed application.

show abstract

Adoption of electronic medical records: the role of network effects

Cited by 26 publications

References 32 publications

Digital health is a cultural transformation of traditional healthcare

Digital health is a cultural transformation of traditional healthcare

Understanding Electronic Medical Record Adoption in the United States: Communication and Sociocultural Perspectives

ChargeMed: Development of a Mobile Application for Medical Coding and Billing within the Ontario Healthcare Environment

Contact Info

Product

Resources

About