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首页> 外文期刊>Journal of management information systems >Healthcare IT Adoption: An Analysis of Knowledge Transfer in Socioeconomic Networks
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Healthcare IT Adoption: An Analysis of Knowledge Transfer in Socioeconomic Networks

机译：医疗信息技术的采用：社会经济网络中知识转移的分析

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Despite the potential of health information technology (HIT) systems to significantly reduce medical errors, streamline clinical processes, contain healthcare costs, and ultimately improve the quality of healthcare, their adoption by hospitals in the United States has been rather slow. To study this adoption process and get insights into the underlying mechanisms, in this work we synthesize the theories on social networks and knowledge transfer. We propose a research framework in which the absorptive capacity of a potential adopter and the collective disseminative capacity of connected adopters act as two key determinants of knowledge transfer in a socioeconomic network, and these two capacities substitute for each other in affecting HIT adoption. We also propose that, in a network setting, the mechanism of knowledge transfer manifests quite differently from that of social contagion in its impact on the diffusion process at different stages of adoption. Using a large longitudinal data set covering adoption decisions of more than five thousand hospitals across a thirteen-year horizon, we find strong support for our hypotheses. Our analysis shows that knowledge flow in provider networks plays a key role in fostering technology diffusion in initial years, allowing the contagion effect to set in sooner for quicker adoption in later years. Therefore, recent efforts at multiple levels to form integrated healthcare delivery networks should accelerate HIT adoption.
机译：尽管健康信息技术（HIT）系统具有显着减少医疗错误，简化临床过程，控制医疗保健成本并最终改善医疗保健质量的潜力，但在美国医院中采用它们的速度仍然很慢。为了研究采用过程并深入了解潜在机制，在这项工作中，我们综合了关于社交网络和知识转移的理论。我们提出了一个研究框架，其中潜在采用者的吸收能力和关联采用者的集体传播能力是社会经济网络中知识转移的两个关键决定因素，并且这两种能力在影响HIT采纳方面相互替代。我们还建议，在网络环境中，知识转移的机制在采用过程的不同阶段对社会传播的影响与社会传播的机制有很大不同。我们使用一个庞大的纵向数据集来涵盖十三年来的五千多家医院的采用决策，我们为我们的假设提供了有力的支持。我们的分析表明，供应商网络中的知识流在促进最初几年的技术传播方面起着关键作用，从而可以更快地建立起传染效应，以便在以后几年更快地采用。因此，近期在多层次上形成整合的医疗保健交付网络的努力应加快HIT的采用。

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