遵循市场或母系统：连锁医院采用健康IT的证据

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-04-21 DOI:10.1111/ecin.13147

Jianjing Lin

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引用次数: 0

摘要

我研究了连锁医院在技术采用中如何考虑内部和外部网络利益之间的权衡。我估计了一个离散选择模型，该模型使用2005年至2014年美国医院的全国样本来表征采用决策。在测量了供应商的市场和系统份额之后，我发现附属医院倾向于选择内部首选的供应商，但经验丰富的采用者也欢迎外部流行的选择。影响权衡的因素包括链的大小和内部协调的需要。连锁企业采用医疗信息技术的内部整合动机更强，可能会对外部共享信息产生摩擦。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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To follow the market or the parent system: Evidence from health IT adoption by hospital chains

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.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.