IDEAS home Printed from https://ideas.repec.org/a/inm/orisre/v22y2011i3p491-503.html
   My bibliography  Save this article

An Analysis of the Adoption of Digital Health Records Under Switching Costs

Author

Listed:
  • Zafer Ozdemir

    (Decision Sciences/MIS, Miami University, Oxford, Ohio 45056)

  • Jack Barron

    (Purdue University, West Lafayette, Indiana 47907)

  • Subhajyoti Bandyopadhyay

    (Information Systems and Operations Management, University of Florida, Gainesville, Florida 32611)

Abstract

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.

Suggested Citation

  • Zafer Ozdemir & Jack Barron & Subhajyoti Bandyopadhyay, 2011. "An Analysis of the Adoption of Digital Health Records Under Switching Costs," Information Systems Research, INFORMS, vol. 22(3), pages 491-503, September.
    • Handle: RePEc:inm:orisre:v:22:y:2011:i:3:p:491-503
    DOI: 10.1287/isre.1110.0349
    as

    Download full text from publisher

    File URL: http://dx.doi.org/10.1287/isre.1110.0349
    Download Restriction: no
    File URL: https://libkey.io/10.1287/isre.1110.0349?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Paul Klemperer, 1995. "Competition when Consumers have Switching Costs: An Overview with Applications to Industrial Organization, Macroeconomics, and International Trade," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 62(4), pages 515-539.
    2. repec:bla:jindec:v:49:y:2001:i:3:p:281-98 is not listed on IDEAS
    3. von Weizsacker, C Christian, 1984. "The Costs of Substitution," Econometrica, Econometric Society, vol. 52(5), pages 1085-1116, September.
    4. Thomas Gehrig & Rune Stenbacka, 2004. "Differentiation‐Induced Switching Costs and Poaching," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 13(4), pages 635-655, December.
    5. Paul Klemperer, 1987. "The Competitiveness of Markets with Switching Costs," RAND Journal of Economics, The RAND Corporation, vol. 18(1), pages 138-150, Spring.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Laurence C. Baker & Kate Bundorf & Daniel Kessler, 2014. "Expanding Patients' Property Rights In Their Medical Records," NBER Working Papers 20565, National Bureau of Economic Research, Inc.
    2. Ali, Omar & Shrestha, Anup & Soar, Jeffrey & Wamba, Samuel Fosso, 2018. "Cloud computing-enabled healthcare opportunities, issues, and applications: A systematic review," International Journal of Information Management, Elsevier, vol. 43(C), pages 146-158.
    3. Jing Wu & He Li & Zhangxi Lin & Haichao Zheng, 2017. "Competition in wearable device market: the effect of network externality and product compatibility," Electronic Commerce Research, Springer, vol. 17(3), pages 335-359, September.
    4. Sharma, Mahak & Sehrawat, Rajat, 2020. "A hybrid multi-criteria decision-making method for cloud adoption: Evidence from the healthcare sector," Technology in Society, Elsevier, vol. 61(C).
    5. Emre M. Demirezen & Subodha Kumar & Arun Sen, 2016. "Sustainability of Healthcare Information Exchanges: A Game-Theoretic Approach," Information Systems Research, INFORMS, vol. 27(2), pages 240-258, June.
    6. Brown, A. & Fishenden, Jerry & Thompson, M. & Venters, Will, 2017. "Appraising the impact and role of platform models and Government as a Platform (GaaP) in UK Government public service reform: towards a Platform Assessment Framework (PAF)," LSE Research Online Documents on Economics 73864, London School of Economics and Political Science, LSE Library.
    7. Sebastian Hermes & Tobias Riasanow & Eric K. Clemons & Markus Böhm & Helmut Krcmar, 2020. "The digital transformation of the healthcare industry: exploring the rise of emerging platform ecosystems and their influence on the role of patients," Business Research, Springer;German Academic Association for Business Research, vol. 13(3), pages 1033-1069, November.
    8. Jing Wu & He Li & Zhangxi Lin & Khim-Yong Goh, 2017. "How big data and analytics reshape the wearable device market – the context of e-health," International Journal of Production Research, Taylor & Francis Journals, vol. 55(17), pages 5168-5182, September.
    9. Sean Hansen & A. James Baroody, 2020. "Electronic Health Records and the Logics of Care: Complementarity and Conflict in the U.S. Healthcare System," Information Systems Research, INFORMS, vol. 31(1), pages 57-75, March.
    10. Xu, Zhuo, 2019. "An empirical study of patients' privacy concerns for health informatics as a service," Technological Forecasting and Social Change, Elsevier, vol. 143(C), pages 297-306.
    11. Singha, Sumanta & Arha, Himanshu & Kar, Arpan Kumar, 2023. "Healthcare analytics: A techno-functional perspective," Technological Forecasting and Social Change, Elsevier, vol. 197(C).
    12. Tarakci, Hakan & Kulkarni, Shailesh & Ozdemir, Zafer D., 2018. "The impact of wearable devices and performance payments on health outcomes," International Journal of Production Economics, Elsevier, vol. 200(C), pages 291-301.
    13. Kraus, Sascha & Schiavone, Francesco & Pluzhnikova, Anna & Invernizzi, Anna Chiara, 2021. "Digital transformation in healthcare: Analyzing the current state-of-research," Journal of Business Research, Elsevier, vol. 123(C), pages 557-567.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ciotti, Fabrizio & Hornuf, Lars & Stenzhorn, Eliza, 2021. "Lock-In Effects in Online Labor Markets," LIDAM Discussion Papers CORE 2021014, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    2. Gehrig, Thomas & ,, 2002. "Introductory Offers in a Model of Strategic Competition," CEPR Discussion Papers 3189, C.E.P.R. Discussion Papers.
    3. Jackie Krafft & Evens Salies, 2008. "Why and how should innovative industries with high consumer switching costs be re-regulated?," Documents de Travail de l'OFCE 2008-04, Observatoire Francais des Conjonctures Economiques (OFCE).
    4. Mengze Shi, 2013. "A theoretical analysis of endogenous and exogenous switching costs," Quantitative Marketing and Economics (QME), Springer, vol. 11(2), pages 205-230, June.
    5. Gehrig, Thomas & ,, 2005. "Two at the Top: Quality Differentiation in Markets with Switching Costs," CEPR Discussion Papers 4996, C.E.P.R. Discussion Papers.
    6. Thomas, Catherine & Chen, Zhuoqiong (Charlie) & Stanton, Christopher T., 2020. "Information Spillovers in Experience Goods Competition," CEPR Discussion Papers 15255, C.E.P.R. Discussion Papers.
    7. Mengze Shi, 2013. "A theoretical analysis of endogenous and exogenous switching costs," Quantitative Marketing and Economics (QME), Springer, vol. 11(2), pages 205-230, June.
    8. Michael Wohlfarth, 2019. "Data Portability on the Internet," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 61(5), pages 551-574, October.
    9. Wohlfarth, Michael, 2017. "Data Portability on the Internet: An Economic Analysis," 28th European Regional ITS Conference, Passau 2017 169506, International Telecommunications Society (ITS).
    10. repec:hal:spmain:info:hdl:2441/eu4vqp9ompqllr09hc03jc5h8 is not listed on IDEAS
    11. Mark J. Tremblay, 2019. "Platform Competition and Endogenous Switching Costs," Journal of Industry, Competition and Trade, Springer, vol. 19(4), pages 537-559, December.
    12. Mitja Kovač & Ann-Sophie Vandenberghe, 2015. "Regulation of Automatic Renewal Clauses: A Behavioural Law and Economics Approach," Journal of Consumer Policy, Springer, vol. 38(3), pages 287-313, September.
    13. Angelo Secchi & Federico Tamagni & Chiara Tomasi, 2016. "Export price adjustments under financial constraints," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 49(3), pages 1057-1085, August.
    14. Allen N. Berger & Astrid A. Dick, 2007. "Entry into Banking Markets and the Early‐Mover Advantage," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 39(4), pages 775-807, June.
    15. Marie Allard & Pierre Thomas Léger & Lise Rochaix, 2009. "Provider Competition in a Dynamic Setting," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 18(2), pages 457-486, June.
    16. Javier D. Donna, 2021. "Measuring long‐run gasoline price elasticities in urban travel demand," RAND Journal of Economics, RAND Corporation, vol. 52(4), pages 945-994, December.
    17. Jorge Fernández‐Ruiz, 2019. "A Mixed Duopoly With Switching Costs," The Japanese Economic Review, Japanese Economic Association, vol. 70(2), pages 235-257, June.
    18. Giuliano Masiero & Hugh Gravelle, 2000. "Quality incentives under a capitation regime: the role of patient expectations," Departmental Working Papers 2000-07, Department of Economics, Management and Quantitative Methods at Università degli Studi di Milano.
    19. Wing Man Wynne Lam, 2017. "Switching Costs in Two-Sided Markets," Journal of Industrial Economics, Wiley Blackwell, vol. 65(1), pages 136-182, March.
    20. Donna, Javier D., 2018. "Measuring Long-Run Price Elasticities in Urban Travel Demand," MPRA Paper 90059, University Library of Munich, Germany.
    21. Evens Salies, 2012. "Product Innovation when Consumers have Switching Costs," Chapters, in: Michael Dietrich & Jackie Krafft (ed.), Handbook on the Economics and Theory of the Firm, chapter 31, Edward Elgar Publishing.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:inm:orisre:v:22:y:2011:i:3:p:491-503. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Asher (email available below). General contact details of provider: https://edirc.repec.org/data/inforea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.