COMPETITION AND MULTILEVEL TECHNOLOGY ADOPTION: A DYNAMIC ANALYSIS OF ELECTRONIC MEDICAL RECORDS ADOPTION IN US HOSPITALS

• 成果类型: Article
• 署名作者: Wang, Yanfei
• 署名单位: Renmin University of China
• 刊物名称: INTERNATIONAL ECONOMIC REVIEW
• ISSN/ISSBN: 0020-6598
• DOI: 10.1111/iere.12586
• 发表日期: 2022
• 页码: 1357-1395
• 关键词: health information-technology; market-structure; empirical-model; entry; care; industry; CHOICE; estimators; diffusion; physician

摘要

This article develops and estimates a dynamic oligopoly model to study the multilevel adoption of electronic medical records in U.S. hospitals. I find substantial competitive effects in the adoption process, and hospitals of the same adoption level compete more intensely than hospitals of different levels do. Counterfactual experiments suggest that competitive effects prompt hospitals to engage in preemptive adoption and greatly deter the second adopter in a duopoly market. By evaluating the government's subsidy policy enacted in 2009, I find that a policy strategy accounting for market and hospital heterogeneity and competitive effects would have been more effective in stimulating adoption.