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Do Market Characteristics Matter? Factors Associated with Health Information Exchange

Author

Listed:
  • Na-Eun Cho

    (Department of Business Administration, School of Business, Hongik University, Seoul 04066, Korea)

  • KiHoon Hong

    (Department of Business Administration, School of Business, Hongik University, Seoul 04066, Korea)

  • Jongwha Chang

    (Department of Healthcare Administration, College of Business, Texas Woman’s University, Denton, TX 76204, USA)

Abstract

This study explores factors associated with the breadth (extent) and depth (level of detail) of digital information exchange among stakeholders in health information technology (IT) systems. Annual and IT surveys of the American Hospital Association and the U.S. Census Bureau’s small-area income and poverty estimates from 2014–2016 were analyzed for associations between key factors and breadth and depth of information exchange. OLS Regression was used with a sample consisting of 10,040 year-hospital observations. We found that hospital-level variables such as size, ownership type, system affiliation, physician-hospital arrangement, and revenue model affect information exchange. We further found that market-level variables such as concentration ratio, urbanness, and median household income, although they directly affect information exchange, do not moderate the relationship between hospital-level variables and information exchange. Our study fills a gap in the previous literature arising from the lack of research on the determinants of health information exchange.

Suggested Citation

  • Na-Eun Cho & KiHoon Hong & Jongwha Chang, 2021. "Do Market Characteristics Matter? Factors Associated with Health Information Exchange," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11976-:d:679278
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    References listed on IDEAS

    as
    1. Eric Lammers, 2013. "The Effect Of Hospital–Physician Integration On Health Information Technology Adoption," Health Economics, John Wiley & Sons, Ltd., vol. 22(10), pages 1215-1229, October.
    2. Timothy H. Hannan & John M. McDowell, 1984. "The Determinants of Technology Adoption: The Case of the Banking Firm," RAND Journal of Economics, The RAND Corporation, vol. 15(3), pages 328-335, Autumn.
    3. Sarv Devaraj & Rajiv Kohli, 2003. "Performance Impacts of Information Technology: Is Actual Usage the Missing Link?," Management Science, INFORMS, vol. 49(3), pages 273-289, March.
    4. repec:mpr:mprres:7993 is not listed on IDEAS
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