Resistance Is Futile: But It Is Slowing the Pace of EHR Adoption Nonetheless

Ford, Eric W.; Menachemi, Nir; Peterson, Lori T.; Huerta, Timothy R.

doi:10.1197/jamia.m3042

Cited by 126 publications

(74 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ford, Menachemi, Peterson, and Huerta (2009) used a technology diffusion model (Bass model) and data from a meta-analysis of 13 studies conducted between 2001 and 2008 to predict that 47% of physicians working in small practices will have implemented an EHR by 2014 (Ford et al, 2009). In contrast, the Congressional Budget Office (CBO) predicted that the incentive payments under HITECH will result in physician adoption rates of 85% in 2014and 90% in 2019, compared to only 40% and 65% in 2014and 2019under prior law (CBO, 2009.…”

Section: Literature Reviewmentioning

confidence: 99%

Forecasting the Use of Electronic Health Records: An Expert Opinion Ap

Blavin¹,

Buntin²

2013

MMRR

View full text Add to dashboard Cite

Background:To promote the widespread adoption and use of electronic health records (EHRs), in 2011, CMS started making Medicare and Medicaid incentive payments to providers who demonstrate that they are "meaningful users" of certified EHR systems. Data and Methods:This paper combines an expert opinion method, a modified Delphi technique, with a technological diffusion framework to create a forecast of the percent of office-based physicians who will become adopters and "meaningful users" of health information technology from 2012 to 2019. The panel consisted of 18 experts from industry, academia, and government who are knowledgeable about the adoption and use of EHRs in office-based settings and are recognized as opinion leaders in their respective professions.Results: Overall, the expert panel projected that primary care physicians in large group practices are more likely to achieve the meaningful use of EHRs relative to primary care physicians in small group practices and all other specialists: the group projected that 65 percent of primary care physicians in large group practices, 45 percent of primary care physicians in small group practices, and 44 percent of all other specialists could achieve meaningful use by 2015. In 2019, these projections increase to 80 percent, 65 percent, and 66 percent for these three groups, respectively. Conclusions and Policy Implications:The information from this study is especially valuable when there is a lack of data and a high degree of uncertainty in a new policy environment and could help inform and evaluate government programs, such as the Regional Extension Centers (REC), by providing data from leading experts.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Forecasting the Use of Electronic Health Records: An Expert Opinion Ap

Blavin¹,

Buntin²

2013

MMRR

View full text Add to dashboard Cite

show abstract

“…In general, subjective norm refers to the influence that the judgment of significant others can have on individual's perception about a behaviour in question (Fishbein and Ajzen, 1975). These social-normative pressures also play a major role in individuals' decisions to adopt innovation (van den Bulte and Lilien, 2001), which, in turn, are reported to be a function of exposure to other actors' knowledge, attitudes, or behaviours concerning the innovative product/service (Ford, Menachemi, Peterson and Huerta, 2009). …”

Section: Theory Of Planned Behaviour and Physicians' Behavioural Intementioning

confidence: 99%

“…Despite the fact that physicians are by definition autonomous and self-regulated professionals (Ford, Menachemi, Peterson and Huerta, 2009;Freidson, 1988), their working status can have a significant influence on the way they make innovation adoption decisions.…”

Section: Working Statusmentioning

confidence: 99%

See 1 more Smart Citation

Determinants of Physicians' Purchase Intention for Innovative Services: Integrating Professional Characteristics With Technology Acceptance Model and Theory of Planned Behaviour

Kostopoulos

Rizomyliotis

Konstantoulaki³

2015

Int. J. Innov. Mgt.

View full text Add to dashboard Cite

This paper seeks to explore the factors that influence physicians' purchase intention for supplementary professional services that have been recently introduced to the market. For that reason, a model has been developed and empirically tested using data collected from 100 physicians regarding an innovative e-detailing service. Results show that physicians' purchase intention is significantly influenced by five factors. Three of them derive from the integration of Technology Acceptance Model (TAM) with the Theory of Planned behaviour (TPB), i.e. perceived usefulness, perceived ease of use and professional image. The rest, namely work experience, working status and innovativeness, refer to physicians' professional characteristics. Work experience and innovativeness were found to have a significant effect on physicians' perceptions of the innovative service, whereas, physicians' current working status was not found to have significant influence on either their perceptions of the innovative service or their purchase intention.

show abstract

“…The last year that participants in this incentive program could join to gain the maximum benefit was 2012, and professionals who do not implement an EMR system by 2015 will begin to be penalized by payment adjustments downward of up to 5%. Further, in addition to the payment adjustments that violators will incur for not adopting EMRs by 2015, CMS wants to "promote" e-prescribing using a similar model (Ford et al 2009). Although non-CMS providers are not currently being forced to adopt EMRs, the blending of private and government health care promises to make opting out more and more difficult in the coming years.…”

Section: Medical Appsmentioning

confidence: 99%

Medical Apps: Public and Academic Perspectives

Krieger

2013

pbm

View full text Add to dashboard Cite

Medical apps have featured in popular websites and mainstream news media in recent months. However, there has been almost no mention of these tools in journals focusing on relevant ethical or social issues, including conflict of interest, the role of politics in science, and technological oversight. This essay examines the role that these philosophical issues might play in answering both public and academic questions about these pieces of emergent technology.

show abstract

Resistance Is Futile: But It Is Slowing the Pace of EHR Adoption Nonetheless

Abstract: The external forces driving EHR diffusion have grown in importance since 2004 relative to physicians' internal motivation to adopt such systems. Several national forces are likely contributing to the slowing pace of EHR diffusion.

Cited by 126 publications

References 24 publications

Forecasting the Use of Electronic Health Records: An Expert Opinion Ap

Forecasting the Use of Electronic Health Records: An Expert Opinion Ap

Determinants of Physicians' Purchase Intention for Innovative Services: Integrating Professional Characteristics With Technology Acceptance Model and Theory of Planned Behaviour

Medical Apps: Public and Academic Perspectives

Contact Info

Product

Resources

About