This Article Full Text Full Text (PDF) All Versions of this Article: M2254v1 14/3/361    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Davidson, S. M. Articles by Heineke, J. Search for Related Content PubMed PubMed Citation Articles by Davidson, S. M. Articles by Heineke, J.

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

Boston University School of Management, Boston, MA.

^_* Correspondence and reprints: Stephen M. Davidson, Ph.D., Boston University School of Management, 595 Commonwealth Avenue, Boston, MA 02215 (Email: sdavidso{at}bu.edu).

Received for publication: 08/24/06; accepted for publication: 01/26/07.

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.

This article has been cited by other articles:

				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]