IDEAS home Printed from https://ideas.repec.org/a/inm/orisre/v26y2015i1p1-18.html
   My bibliography  Save this article

Health Information Exchange as a Multisided Platform: Adoption, Usage, and Practice Involvement in Service Co-Production

Author

Listed:
  • Niam Yaraghi

    (Center for Technology Innovation, Governance Studies, The Brookings Institution, Washington, DC 20036)

  • Anna Ye Du

    (Management Science and Systems Department, State University of New York at Buffalo, Buffalo, New York 14260)

  • Raj Sharman

    (Management Science and Systems Department, State University of New York at Buffalo, Buffalo, New York 14260)

  • Ram D. Gopal

    (Department of Operations and Information Management, University of Connecticut, Storrs, Connecticut 06269)

  • Ram Ramesh

    (Management Science and Systems Department, State University of New York at Buffalo, Buffalo, New York 14260)

Abstract

Health Information Exchanges (HIE) are becoming integral parts of the national healthcare reform efforts, chiefly because of their potential impact on cost reduction and quality enhancement in healthcare services. However, the potential of an HIE platform can only be realized when its multiple constituent users actively participate in using its variety of services. In this research, we model HIE systems as multisided platforms that incorporate self-service technologies whose value to the users depends on both user-specific and network-specific factors. We develop a model of adoption, use, and involvement of clinical practices in the coproduction of the HIE services. This model is grounded in social network theory, service operations theory, and institutional isomorphism theory. A longitudinal study of actual adoption and use behaviors of 2,054 physicians within 430 community medical practices in Western New York over a three-year period has been carried out to evaluate the proposed model. This study has been supported by HEALTHeLINK, the Regional Health Information Organization of Western New York, which has an extensive database comprising over half a million transactions on patient records by the HIE users. We extracted panel data on adoption, use, and service coproduction behaviors from this database and carried out a detailed analysis using metrics derived from the foundational theories. Positioning practices within two distinct but interrelated networks of patients and practitioners, we show that adoption, use, and service coproduction behaviors are influenced by the topographies of the two networks, isomorphic effects of large practices on the smaller ones, and practice labor inputs in HIE use. Our findings provide a comprehensive view of the drivers of HIE adoption and use at the level of medical practices. These results have implications for marketing and revenue management of HIE platforms, as well as public health and national/regional healthcare policy making.

Suggested Citation

  • Niam Yaraghi & Anna Ye Du & Raj Sharman & Ram D. Gopal & Ram Ramesh, 2015. "Health Information Exchange as a Multisided Platform: Adoption, Usage, and Practice Involvement in Service Co-Production," Information Systems Research, INFORMS, vol. 26(1), pages 1-18, March.
    • Handle: RePEc:inm:orisre:v:26:y:2015:i:1:p:1-18
    DOI: 10.1287/isre.2014.0547
    as

    Download full text from publisher

    File URL: http://dx.doi.org/10.1287/isre.2014.0547
    Download Restriction: no
    File URL: https://libkey.io/10.1287/isre.2014.0547?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. Nirup M. Menon & Byungtae Lee & Leslie Eldenburg, 2000. "Productivity of Information Systems in the Healthcare Industry," Information Systems Research, INFORMS, vol. 11(1), pages 83-92, March.
    2. Zvi Griliches, 1998. "Productivity, R&D, and the Data Constraint," NBER Chapters, in: R&D and Productivity: The Econometric Evidence, pages 347-374, National Bureau of Economic Research, Inc.
    3. Mei Xue & Lorin M. Hitt & Patrick T. Harker, 2007. "Customer Efficiency, Channel Usage, and Firm Performance in Retail Banking," Manufacturing & Service Operations Management, INFORMS, vol. 9(4), pages 535-558, April.
    4. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 112-134.
    5. Melnick, Glenn & Keeler, Emmett, 2007. "The effects of multi-hospital systems on hospital prices," Journal of Health Economics, Elsevier, vol. 26(2), pages 400-413, March.
    6. Gardner, B. Delworth & Warner, John E., 1994. "Two steps forward - one step back," Choices: The Magazine of Food, Farm, and Resource Issues, Agricultural and Applied Economics Association, vol. 9(01), pages 1-6.
    7. Victor R. Fuchs, 1968. "The Service Economy," NBER Books, National Bureau of Economic Research, Inc, number fuch68-1.
    8. repec:mpr:mprres:7285 is not listed on IDEAS
    9. Julia Adler-Milstein & Catherine M. DesRoches & Ashish K. Jha, 2011. "Health Information Exchange Among US Hospitals," Mathematica Policy Research Reports bcb4110b4fec4921a6e0d1e25, Mathematica Policy Research.
    10. Gerald C. Kane & Giuseppe (Joe) Labianca, 2011. "IS Avoidance in Health-Care Groups: A Multilevel Investigation," Information Systems Research, INFORMS, vol. 22(3), pages 504-522, September.
    11. Mei Xue & Lorin M. Hitt & Pei-yu Chen, 2011. "Determinants and Outcomes of Internet Banking Adoption," Management Science, INFORMS, vol. 57(2), pages 291-307, February.
    12. Robert E. Kraut & Ronald E. Rice & Colleen Cool & Robert S. Fish, 1998. "Varieties of Social Influence: The Role of Utility and Norms in the Success of a New Communication Medium," Organization Science, INFORMS, vol. 9(4), pages 437-453, August.
    13. Ramnath K. Chellappa & Nilesh Saraf, 2010. "Alliances, Rivalry, and Firm Performance in Enterprise Systems Software Markets: A Social Network Approach," Information Systems Research, INFORMS, vol. 21(4), pages 849-871, December.
    14. Viswanath Venkatesh & Xiaojun Zhang & Tracy A. Sykes, 2011. "“Doctors Do Too Little Technology”: A Longitudinal Field Study of an Electronic Healthcare System Implementation," Information Systems Research, INFORMS, vol. 22(3), pages 523-546, September.
    15. Ravi Aron & Shantanu Dutta & Ramkumar Janakiraman & Praveen A. Pathak, 2011. "The Impact of Automation of Systems on Medical Errors: Evidence from Field Research," Information Systems Research, INFORMS, vol. 22(3), pages 429-446, September.
    16. Mauro Bampo & Michael T. Ewing & Dineli R. Mather & David Stewart & Mark Wallace, 2008. "The Effects of the Social Structure of Digital Networks on Viral Marketing Performance," Information Systems Research, INFORMS, vol. 19(3), pages 273-290, September.
    17. Lawrence Loh & N. Venkatraman, 1992. "Diffusion of Information Technology Outsourcing: Influence Sources and the Kodak Effect," Information Systems Research, INFORMS, vol. 3(4), pages 334-358, December.
    18. Sharath Sasidharan & Radhika Santhanam & Daniel J. Brass & Vallabh Sambamurthy, 2012. "The Effects of Social Network Structure on Enterprise Systems Success: A Longitudinal Multilevel Analysis," Information Systems Research, INFORMS, vol. 23(3-part-1), pages 658-678, September.
    19. Rajdeep Grewal & Gary L. Lilien & Girish Mallapragada, 2006. "Location, Location, Location: How Network Embeddedness Affects Project Success in Open Source Systems," Management Science, INFORMS, vol. 52(7), pages 1043-1056, July.
    20. Catherine Tucker, 2008. "Identifying Formal and Informal Influence in Technology Adoption with Network Externalities," Management Science, INFORMS, vol. 54(12), pages 2024-2038, December.
    21. Gerald C. Kane & Maryam Alavi, 2008. "Casting the Net: A Multimodal Network Perspective on User-System Interactions," Information Systems Research, INFORMS, vol. 19(3), pages 253-272, September.
    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. Rubbio, Iacopo & Bruccoleri, Manfredi, 2023. "Unfolding the relationship between digital health and patient safety: The roles of absorptive capacity and healthcare resilience," Technological Forecasting and Social Change, Elsevier, vol. 195(C).
    2. Diwas KC & TI Tongil Kim & Jiayi Liu, 2022. "Electronic prescription monitoring and the opioid epidemic," Production and Operations Management, Production and Operations Management Society, vol. 31(11), pages 4057-4074, November.
    3. Zhijun Yan & Lini Kuang & Liangfei Qiu, 2022. "Prosocial behaviors and economic performance: Evidence from an online mental healthcare platform," Production and Operations Management, Production and Operations Management Society, vol. 31(10), pages 3859-3876, October.
    4. Tharanga Rajapakshe & Subodha Kumar & Arun Sen & Chelliah Sriskandarajah, 2020. "Sustainability Planning for Healthcare Information Exchanges with Supplier Rebate Program," Operations Research, INFORMS, vol. 68(3), pages 793-817, May.
    5. Wenjuan Fan & Qiqi Zhou & Liangfei Qiu & Subodha Kumar, 2023. "Should Doctors Open Online Consultation Services? An Empirical Investigation of Their Impact on Offline Appointments," Information Systems Research, INFORMS, vol. 34(2), pages 629-651, June.
    6. Daniel Fürstenau & Carolin Auschra & Stefan Klein & Martin Gersch, 2019. "A process perspective on platform design and management: evidence from a digital platform in health care," Electronic Markets, Springer;IIM University of St. Gallen, vol. 29(4), pages 581-596, December.
    7. Ramkumar Janakiraman & Eunho Park & Emre M. Demirezen & Subodha Kumar, 2023. "The Effects of Health Information Exchange Access on Healthcare Quality and Efficiency: An Empirical Investigation," Management Science, INFORMS, vol. 69(2), pages 791-811, February.
    8. Martin Poniatowski & Hedda Lüttenberg & Daniel Beverungen & Dennis Kundisch, 2022. "Three layers of abstraction: a conceptual framework for theorizing digital multi-sided platforms," Information Systems and e-Business Management, Springer, vol. 20(2), pages 257-283, June.
    9. Daniel Gartner & Yiye Zhang & Rema Padman, 2018. "Cognitive workload reduction in hospital information systems," Health Care Management Science, Springer, vol. 21(2), pages 224-243, June.
    10. Yu-Kai Lin & Mingfeng Lin & Hsinchun Chen, 2019. "Do Electronic Health Records Affect Quality of Care? Evidence from the HITECH Act," Service Science, INFORMS, vol. 30(1), pages 306-318, March.
    11. Chen Chen & Dylan Walker, 2023. "A Bitter Pill to Swallow? The Consequences of Patient Evaluation in Online Health Question-and-Answer Platforms," Information Systems Research, INFORMS, vol. 34(3), pages 867-889, September.
    12. Daniel Fürstenau & Stefan Klein & Amyn Vogel & Carolin Auschra, 2021. "Multi-sided platform and data-driven care research," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 811-828, December.
    13. Abadie, Amelie & Roux, Mélanie & Chowdhury, Soumyadeb & Dey, Prasanta, 2023. "Interlinking organisational resources, AI adoption and omnichannel integration quality in Ghana’s healthcare supply chain," Journal of Business Research, Elsevier, vol. 162(C).

    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. Gang Peng & Debabrata Dey, 2013. "Research Note ---A Dynamic View of the Impact of Network Structure on Technology Adoption: The Case of OSS Development," Information Systems Research, INFORMS, vol. 24(4), pages 1087-1099, December.
    2. Miller, Amalia R. & Tucker, Catherine, 2014. "Health information exchange, system size and information silos," Journal of Health Economics, Elsevier, vol. 33(C), pages 28-42.
    3. Arun Sundararajan & Foster Provost & Gal Oestreicher-Singer & Sinan Aral, 2013. "Research Commentary ---Information in Digital, Economic, and Social Networks," Information Systems Research, INFORMS, vol. 24(4), pages 883-905, December.
    4. 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.
    5. Fernández-Bonilla, Fernando & Navío-Marco, Julio & Gijón, Covadonga, 2021. "Business Innovation in the Spanish Companies (2003-2016): The Human Factors Definitively Count," 23rd ITS Biennial Conference, Online Conference / Gothenburg 2021. Digital societies and industrial transformations: Policies, markets, and technologies in a post-Covid world 238021, International Telecommunications Society (ITS).
    6. Hemant K. Bhargava & Abhay Nath Mishra, 2014. "Electronic Medical Records and Physician Productivity: Evidence from Panel Data Analysis," Management Science, INFORMS, vol. 60(10), pages 2543-2562, October.
    7. Gensler, Sonja & Leeflang, Peter & Skiera, Bernd, 2012. "Impact of online channel use on customer revenues and costs to serve: Considering product portfolios and self-selection," International Journal of Research in Marketing, Elsevier, vol. 29(2), pages 192-201.
    8. Breunig, Christoph & Kummer, Michael & Ohnemus, Jörg & Viete, Steffen, 2016. "IT outsourcing and firm productivity: Eliminating bias from selective missingness in the dependent variable," ZEW Discussion Papers 16-092, ZEW - Leibniz Centre for European Economic Research.
    9. Sarah Gelper & Ralf van der Lans & Gerrit van Bruggen, 2021. "Competition for Attention in Online Social Networks: Implications for Seeding Strategies," Management Science, INFORMS, vol. 67(2), pages 1026-1047, February.
    10. D'Agostino, Antonello & Serafini, Roberta & Ward-Warmedinger, Melanie E., 2006. "Sectoral Explanations of Employment in Europe: The Role of Services," IZA Discussion Papers 2257, Institute of Labor Economics (IZA).
    11. Fei Gao & Xuanming Su, 2018. "Omnichannel Service Operations with Online and Offline Self-Order Technologies," Management Science, INFORMS, vol. 64(8), pages 3595-3608, August.
    12. Xiaohua Zeng & Liyuan Wei, 2013. "Social Ties and User Content Generation: Evidence from Flickr," Information Systems Research, INFORMS, vol. 24(1), pages 71-87, March.
    13. Lorenz Graf-Vlachy & Katharina Buhtz & Andreas König, 2018. "Social influence in technology adoption: taking stock and moving forward," Management Review Quarterly, Springer, vol. 68(1), pages 37-76, February.
    14. Ramnath K. Chellappa & V. Sambamurthy & Nilesh Saraf, 2010. "Competing in Crowded Markets: Multimarket Contact and the Nature of Competition in the Enterprise Systems Software Industry," Information Systems Research, INFORMS, vol. 21(3), pages 614-630, September.
    15. Mi Zhou & Dan Geng & Vibhanshu Abhishek & Beibei Li, 2020. "When the Bank Comes to You: Branch Network and Customer Omnichannel Banking Behavior," Information Systems Research, INFORMS, vol. 31(1), pages 176-197, March.
    16. Alexandre Almeida & Aurora A.C. Teixeira, 2007. "Does Patenting negatively impact on R&D investment?An international panel data assessment," FEP Working Papers 255, Universidade do Porto, Faculdade de Economia do Porto.
    17. Ulrich Gunter & Egon Smeral, 2016. "The decline of tourism income elasticities in a global context," Tourism Economics, , vol. 22(3), pages 466-483, June.
    18. 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.
    19. Guillaume Roels, 2014. "Optimal Design of Coproductive Services: Interaction and Work Allocation," Manufacturing & Service Operations Management, INFORMS, vol. 16(4), pages 578-594, October.
    20. Yuan, Christina T. & Nembhard, Ingrid M. & Kane, Gerald C., 2020. "The influence of peer beliefs on nurses' use of new health information technology: A social network analysis," Social Science & Medicine, Elsevier, vol. 255(C).

    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:26:y:2015:i:1:p:1-18. 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.