{"title":"To follow the market or the parent system: Evidence from health IT adoption by hospital chains","authors":"Jianjing Lin","doi":"10.1111/ecin.13147","DOIUrl":null,"url":null,"abstract":"<p>I study how hospital chains consider the tradeoff between internal and external network benefits in technology adoption. I estimate a discrete-choice model that characterizes adoption decisions using a national sample of U.S. hospitals from 2005 to 2014. After instrumenting a vendor's market and system shares, I find affiliated hospitals tend to choose the internally preferred vendor, but experienced adopters also welcome external popular options. Factors affecting the tradeoff include chain size and the need for internal coordination. The stronger incentives for internal integration in health IT adoption among chains might create frictions to sharing information externally.</p>","PeriodicalId":51380,"journal":{"name":"Economic Inquiry","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Economic Inquiry","FirstCategoryId":"96","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ecin.13147","RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 0
Abstract
I study how hospital chains consider the tradeoff between internal and external network benefits in technology adoption. I estimate a discrete-choice model that characterizes adoption decisions using a national sample of U.S. hospitals from 2005 to 2014. After instrumenting a vendor's market and system shares, I find affiliated hospitals tend to choose the internally preferred vendor, but experienced adopters also welcome external popular options. Factors affecting the tradeoff include chain size and the need for internal coordination. The stronger incentives for internal integration in health IT adoption among chains might create frictions to sharing information externally.
期刊介绍:
Published since 1962, (formerly Western Economic Journal), EI is widely regarded as one of the top scholarly journals in its field. Besides containing research on all economics topic areas, a principal objective is to make each article understandable to economists who are not necessarily specialists in the article topic area. Nine Nobel laureates are among EI long list of prestigious authors.