An Analysis of the Adoption of Digital Health Records Under Switching Costs
成果类型：
Article
署名作者：
Ozdemir, Zafer; Barron, Jack; Bandyopadhyay, Subhajyoti
署名单位：
University System of Ohio; Miami University; Purdue University System; Purdue University; State University System of Florida; University of Florida
刊物名称：
INFORMATION SYSTEMS RESEARCH
ISSN/ISSBN：
1047-7047
DOI：
10.1287/isre.1110.0349
发表日期：
2011
页码：
491-503
关键词：
摘要：
We investigate the incentive issues that surround the adoption and sharing of electronic health records (EHR) and the potential role of a personal health record (PHR) platform in facilitating data sharing. Through our analysis, we find evidence that health-care providers may not have an incentive to share patients' records electronically even though EHR systems will increase consumer surplus, especially in the presence of provider heterogeneity and myopic consumers. In this context, we find that an independent PHR platform can create incentives for the providers to share their patients' records electronically with other providers by selectively subsidizing them. In a pluralistic health-care system like that in the United States, where health-care providers have varying incentives to implement electronic health records, an online PHR platform can provide a proxy for a national health information network,' wherein consumers can freely exchange their health records among competing providers.