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First published February 28, 2007 as JAMIA PrePrint; doi:10.1197/jamia.M2254
Journal of the American Medical Informatics Association 2007;14(3):361-367
© 2007 American Medical Informatics Association

A more recent version of this article appeared on May 1, 2007
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Submitted on August 24, 2006
Accepted on January 26, 2007

Toward an Effective Strategy for the Diffusion and Use of Clinical Information Systems

Stephen M. Davidson PhD1* and Janelle Heineke DBA1

Affiliation of the authors: 1 Boston University School of Management, Boston, MA

* To whom correspondence should be addressed.

The full impact of IT in health care has not been realized because of the failure to recognize that (1) the path from availability of applications to the anticipated benefits passes through a series of steps and (2) progress can be stopped at any one of those steps. As a result, strategies for diffusion, adoption, and use have been incomplete and have produced disappointing results. In this paper, we present a comprehensive framework for identifying factors that affect the spread, use, and effects of IT in the U.S. health care sector. The framework can be used by researchers to focus their efforts on unanswered questions, by practitioners considering IT adoption, and by policymakers searching for ways to spread IT throughout the system.




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M. I. Harrison, R. Koppel, and S. Bar-Lev
Unintended Consequences of Information Technologies in Health Care An Interactive Sociotechnical Analysis
J. Am. Med. Inform. Assoc., September 1, 2007; 14(5): 542 - 549.
[Abstract] [Full Text] [PDF]


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