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Deepen electronic health record diffusion beyond breadth: game changers and decision drivers

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Abstract

Cloud computing, financial incentive and patient-centered care are the game changers that deepen EHR diffusion beyond breadth. Based on the innovation diffusion theory (IDT), technology-organization-environment (TOE) framework and alignment literature, this study examines how these changes shape business requirement, service value and society need that drive different phases of EHR diffusion in terms of planning, adoption, usage and upgrade. A longitudinal analysis with the USA National Ambulatory Medical Care Survey (NAMCS) reveals the impacts of different drivers on EHR diffusion. In addition to quantitative results, interview observations corroborate the relationships among game changers, decision drivers and EHR diffusion. The findings provide healthcare providers, system vendors and policy-makers the insights on the best practices of promoting EHR diffusion for long-term success.

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Authors and Affiliations

  1. The University of Texas Rio Grande Valley, 1201 W University Dr. EMAGC 3.328, Edinburg, TX, 78539, USA

    Xuan Wang

  2. The University of Texas Rio Grande Valley, 1201 W University Dr. EMAGC 3.338, Edinburg, TX, 78539, USA

    Jun Sun

  3. The University of Texas Rio Grande Valley, 1201 W University Dr. EMAGC 3.222, Edinburg, TX, 78539, USA

    Ying Wang

  4. University of the Incarnate Word, 4301 Broadway St. CPO #437, San Antonio, TX, 78209, USA

    Yi Liu

Authors
  1. Xuan Wang
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  2. Jun Sun
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  3. Ying Wang
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  4. Yi Liu
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Correspondence to Xuan Wang.

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Table 4 . Variables used in analyses
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Wang, X., Sun, J., Wang, Y. et al. Deepen electronic health record diffusion beyond breadth: game changers and decision drivers. Inf Syst Front 24, 537–548 (2022). https://doi.org/10.1007/s10796-020-10093-6

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