THE EFFECT OF HOSPITAL–PHYSICIAN INTEGRATION ON HEALTH INFORMATION TECHNOLOGY ADOPTION
Article first published online: 11 OCT 2012
Copyright © 2012 John Wiley & Sons, Ltd.
How to Cite
Lammers, E. (2012), THE EFFECT OF HOSPITAL–PHYSICIAN INTEGRATION ON HEALTH INFORMATION TECHNOLOGY ADOPTION. Health Econ.. doi: 10.1002/hec.2878
- Article first published online: 11 OCT 2012
- Manuscript Accepted: 11 SEP 2012
- Manuscript Revised: 1 JUN 2012
- Manuscript Received: 6 DEC 2011
- vertical integration;
- health information technology;
- transaction cost economics
The US federal government has recently made a substantial investment to enhance the US health information technology (IT) infrastructure. Previous literature on the impact of IT on firm performance across multiple industries has emphasized the importance of a process of co-invention whereby organizations develop complementary practices to achieve greater benefit from their IT investments. In health care, employment of physicians by hospitals can confer greater administrative control to hospitals over physicians' actions and resources and thus enable the implementation of new technology and initiatives aimed at maximizing benefit from use of the technology. In this study, I tested for the relationship between hospital employment of physicians and hospitals' propensity to use health IT. I used state laws that prohibit hospital employment of physicians as an instrument to account for the endogenous relationship with hospital IT use. Hospital employment of physicians is associated with significant increases in the probability of hospital health IT use. Therefore, subsidization of health IT among hospitals not employing physicians may be less efficient. Furthermore, state laws prohibiting hospitals from employing physicians may inhibit adoption of health IT, thus working against policy initiatives aimed at promoting use of the technology. Copyright © 2012 John Wiley & Sons, Ltd.