Title: Back to the future of IT adoption and evaluation in healthcare

Authors: Ton A.M. Spil, Cynthia LeRouge, Ken Trimmer, Carla Wiggins

Addresses: University of Twente, PO Box 217, 7500AE Enschede, The Netherlands. ' Decision Sciences/IT Management Department, John Cook School of Business, Saint Louis University, 3674 Lindell Avenue, DS 459, Saint Louis, MO 63108, USA; Health Care Management and Policy, School of Public Health, Saint Louis University, 3674 Lindell Avenue, DS 459, Saint Louis, MO 63108, USA. ' Department of CIS, College of Business, Idaho State University, Campus Box 8020, Pocatello, ID 83209, USA. ' Health Care Administration and Informatics, University of Wisconsin – Milwaukee, 2400 E Hartford Ave, Room 411, Milwaukee, WI 53211, USA

Abstract: This is a time of expansion, hope and change in the area of Health Information Technology (HIT). In this study, we provide an in-depth perspective into the adoption and diffusion of IT in healthcare based on a review of the current literature and upon expert panel assessments of adoption and diffusion issues, achievements to date, challenges facing key e-health technologies and future possibilities. These data are synthesised in the form of a research framework showing the main three areas of e-health (Electronic Medical Records, Clinical and Administrative systems and Telehealth) on three levels (individual, organisation and system). Current adoption and diffusion challenges and future possibilities are systematically presented via this research framework to inspire practice and research with both an individual and collective view of the key health systems currently confronting the healthcare sector.

Keywords: e-health adoption; e-health evaluation; HIT; health information technology; EMR; electronic medical records; EHR; electronic health records; HIT adoption; HIT evaluation; clinical HIT; telemedicine; electronic healthcare; e-healthcare; healthcare technology.

DOI: 10.1504/IJHTM.2011.037222

International Journal of Healthcare Technology and Management, 2011 Vol.12 No.1, pp.85 - 109

Published online: 30 Nov 2010 *

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