Information and communications technology in chronic disease care: why is adoption so slow and is slower better?
Unlike the widespread adoption of information and communications technology (ICT) in much of the economy, adoption of ICT in clinical care is limited. We examine how a number of not previously emphasized features of the health care and ICT markets interact and exacerbate each other to create barrier...
Gespeichert in:
Hauptverfasser: | , |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Cambridge, Mass.
National Bureau of Economic Research
2007
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Schriftenreihe: | Working paper series / National Bureau of Economic Research
13078 |
Online-Zugang: | kostenfrei |
Zusammenfassung: | Unlike the widespread adoption of information and communications technology (ICT) in much of the economy, adoption of ICT in clinical care is limited. We examine how a number of not previously emphasized features of the health care and ICT markets interact and exacerbate each other to create barriers for adoption. We also examine how standards can address these barriers and the key issues to consider before investing in ICT. We conclude that the ICT market exhibits a number of unique features that may delay or completely prevent adoption, including low product differentiation, high switching costs, and lack of technical compatibility. These barriers are compounded by the many interlinked markets in health care, which substantially blunt the use of market forces to influence adoption. Patient heterogeneity also exacerbates the barriers by wide variation in needs and ability for using ICT, by high demands for interoperability, and by higher replacement costs. Technical standards are critical for ensuring optimal use of the technology. Careful consideration of the socially optimal time to invest is needed. The value of waiting in health care is likely to be so much greater than in other sectors because the costs of adopting the wrong type of ICT are so much higher. |
Beschreibung: | 66 S. 22 cm |
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520 | 8 | |a Unlike the widespread adoption of information and communications technology (ICT) in much of the economy, adoption of ICT in clinical care is limited. We examine how a number of not previously emphasized features of the health care and ICT markets interact and exacerbate each other to create barriers for adoption. We also examine how standards can address these barriers and the key issues to consider before investing in ICT. We conclude that the ICT market exhibits a number of unique features that may delay or completely prevent adoption, including low product differentiation, high switching costs, and lack of technical compatibility. These barriers are compounded by the many interlinked markets in health care, which substantially blunt the use of market forces to influence adoption. Patient heterogeneity also exacerbates the barriers by wide variation in needs and ability for using ICT, by high demands for interoperability, and by higher replacement costs. Technical standards are critical for ensuring optimal use of the technology. Careful consideration of the socially optimal time to invest is needed. The value of waiting in health care is likely to be so much greater than in other sectors because the costs of adopting the wrong type of ICT are so much higher. | |
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author | Christensen, Michael C. Remler, Dahlia K. |
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index_date | 2024-07-02T22:41:31Z |
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physical | 66 S. 22 cm |
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spelling | Christensen, Michael C. Verfasser (DE-588)133357317 aut Information and communications technology in chronic disease care why is adoption so slow and is slower better? Michael C. Christensen ; Dahlia Remler Cambridge, Mass. National Bureau of Economic Research 2007 66 S. 22 cm txt rdacontent n rdamedia nc rdacarrier Working paper series / National Bureau of Economic Research 13078 Unlike the widespread adoption of information and communications technology (ICT) in much of the economy, adoption of ICT in clinical care is limited. We examine how a number of not previously emphasized features of the health care and ICT markets interact and exacerbate each other to create barriers for adoption. We also examine how standards can address these barriers and the key issues to consider before investing in ICT. We conclude that the ICT market exhibits a number of unique features that may delay or completely prevent adoption, including low product differentiation, high switching costs, and lack of technical compatibility. These barriers are compounded by the many interlinked markets in health care, which substantially blunt the use of market forces to influence adoption. Patient heterogeneity also exacerbates the barriers by wide variation in needs and ability for using ICT, by high demands for interoperability, and by higher replacement costs. Technical standards are critical for ensuring optimal use of the technology. Careful consideration of the socially optimal time to invest is needed. The value of waiting in health care is likely to be so much greater than in other sectors because the costs of adopting the wrong type of ICT are so much higher. Remler, Dahlia K. Verfasser (DE-588)129563730 aut Erscheint auch als Online-Ausgabe National Bureau of Economic Research <Cambridge, Mass.> NBER working paper series 13078 (DE-604)BV002801238 13078 http://papers.nber.org/papers/w13078.pdf kostenfrei Volltext |
spellingShingle | Christensen, Michael C. Remler, Dahlia K. Information and communications technology in chronic disease care why is adoption so slow and is slower better? |
title | Information and communications technology in chronic disease care why is adoption so slow and is slower better? |
title_auth | Information and communications technology in chronic disease care why is adoption so slow and is slower better? |
title_exact_search | Information and communications technology in chronic disease care why is adoption so slow and is slower better? |
title_exact_search_txtP | Information and communications technology in chronic disease care why is adoption so slow and is slower better? |
title_full | Information and communications technology in chronic disease care why is adoption so slow and is slower better? Michael C. Christensen ; Dahlia Remler |
title_fullStr | Information and communications technology in chronic disease care why is adoption so slow and is slower better? Michael C. Christensen ; Dahlia Remler |
title_full_unstemmed | Information and communications technology in chronic disease care why is adoption so slow and is slower better? Michael C. Christensen ; Dahlia Remler |
title_short | Information and communications technology in chronic disease care |
title_sort | information and communications technology in chronic disease care why is adoption so slow and is slower better |
title_sub | why is adoption so slow and is slower better? |
url | http://papers.nber.org/papers/w13078.pdf |
volume_link | (DE-604)BV002801238 |
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