{"id":"https://openalex.org/W1853981183","doi":"https://doi.org/10.1186/1472-6947-6-1","title":"Assessing the level of healthcare information technology adoption in the United States: a snapshot","display_name":"Assessing the level of healthcare information technology adoption in the United States: a snapshot","publication_year":2006,"publication_date":"2006-01-05","ids":{"openalex":"https://openalex.org/W1853981183","doi":"https://doi.org/10.1186/1472-6947-6-1","mag":"1853981183","pmid":"https://pubmed.ncbi.nlm.nih.gov/16396679"},"language":"en","primary_location":{"id":"doi:10.1186/1472-6947-6-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6947-6-1","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/track/pdf/10.1186/1472-6947-6-1","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/track/pdf/10.1186/1472-6947-6-1","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055015263","display_name":"Eric G. Poon","orcid":"https://orcid.org/0000-0002-7251-5842"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Eric G Poon","raw_affiliation_strings":["Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA. epoon@partners.org","Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA. epoon@partners.org","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101726350","display_name":"Ashish K. Jha","orcid":"https://orcid.org/0000-0002-6602-6444"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashish K Jha","raw_affiliation_strings":["Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","Department of Medicine, Harvard Medical School, Boston, MA, USA","Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","institution_ids":[]},{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061319171","display_name":"Melissa A. Christino","orcid":"https://orcid.org/0000-0002-5003-7632"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa Christino","raw_affiliation_strings":["Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013331605","display_name":"Melissa Honour","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa M Honour","raw_affiliation_strings":["Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001425665","display_name":"Rushika Fernandopulle","orcid":"https://orcid.org/0000-0002-0875-4021"},"institutions":[{"id":"https://openalex.org/I158133745","display_name":"MGH Institute of Health Professions","ror":"https://ror.org/037msyf12","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I158133745"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rushika Fernandopulle","raw_affiliation_strings":["Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I158133745","https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025124149","display_name":"Blackford Middleton","orcid":"https://orcid.org/0000-0002-1819-1234"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Blackford Middleton","raw_affiliation_strings":["Center for Information Technology Leadership, Partners Healthcare, Wellesley, MA, USA","Clinical Informatics Research and Development, Partners Information Systems, Partners HealthCare, Wellesley, MA, USA","Department of Medicine, Harvard Medical School, Boston, MA, USA","Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Information Technology Leadership, Partners Healthcare, Wellesley, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Clinical Informatics Research and Development, Partners Information Systems, Partners HealthCare, Wellesley, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055066308","display_name":"Joseph P. Newhouse","orcid":"https://orcid.org/0000-0001-5837-3203"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I178102782","display_name":"John F. Kennedy University","ror":"https://ror.org/050p9wj26","country_code":"US","type":"education","lineage":["https://openalex.org/I178102782","https://openalex.org/I4210086682"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Newhouse","raw_affiliation_strings":["Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","Kennedy School of Government, Harvard University, Cambridge, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","institution_ids":[]},{"raw_affiliation_string":"Kennedy School of Government, Harvard University, Cambridge, MA, USA","institution_ids":["https://openalex.org/I178102782","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108763328","display_name":"Lucian L. Leape","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lucian Leape","raw_affiliation_strings":["Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036110536","display_name":"David W. Bates","orcid":"https://orcid.org/0000-0001-6268-1540"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David W Bates","raw_affiliation_strings":["Center for Information Technology Leadership, Partners Healthcare, Wellesley, MA, USA","Clinical Informatics Research and Development, Partners Information Systems, Partners HealthCare, Wellesley, MA, USA","Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","Department of Medicine, Harvard Medical School, Boston, MA, USA","Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Information Technology Leadership, Partners Healthcare, Wellesley, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Clinical Informatics Research and Development, Partners Information Systems, Partners HealthCare, Wellesley, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA","institution_ids":[]},{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103036496","display_name":"David Blumenthal","orcid":"https://orcid.org/0000-0003-1504-3559"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I158133745","display_name":"MGH Institute of Health Professions","ror":"https://ror.org/037msyf12","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I158133745"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Blumenthal","raw_affiliation_strings":["Department of Medicine, Harvard Medical School, Boston, MA, USA","Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I158133745","https://openalex.org/I4210087915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043209770","display_name":"Rainu Kaushal","orcid":"https://orcid.org/0000-0002-4694-2517"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I158133745","display_name":"MGH Institute of Health Professions","ror":"https://ror.org/037msyf12","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I158133745"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rainu Kaushal","raw_affiliation_strings":["Department of Medicine, Harvard Medical School, Boston, MA, USA","Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I158133745","https://openalex.org/I4210087915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5055015263"],"corresponding_institution_ids":["https://openalex.org/I1283280774"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":52.1104,"has_fulltext":true,"cited_by_count":321,"citation_normalized_percentile":{"value":0.99886914,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":100},"biblio":{"volume":"6","issue":"1","first_page":"1","last_page":"1"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8206999897956848,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8206999897956848,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.055799998342990875,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.0142000000923872,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6097882986068726},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.5920531153678894},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.5898481011390686},{"id":"https://openalex.org/keywords/stakeholder","display_name":"Stakeholder","score":0.5633798241615295},{"id":"https://openalex.org/keywords/reimbursement","display_name":"Reimbursement","score":0.5556339621543884},{"id":"https://openalex.org/keywords/delphi-method","display_name":"Delphi method","score":0.48308756947517395},{"id":"https://openalex.org/keywords/health-information-exchange","display_name":"Health information exchange","score":0.46849045157432556},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.43765074014663696},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.4282049238681793},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.4023561179637909},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3678382635116577},{"id":"https://openalex.org/keywords/public-relations","display_name":"Public relations","score":0.3145214319229126},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.28234750032424927},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.24296137690544128},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.12559247016906738},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.12054190039634705}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6097882986068726},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.5920531153678894},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5898481011390686},{"id":"https://openalex.org/C201305675","wikidata":"https://www.wikidata.org/wiki/Q852998","display_name":"Stakeholder","level":2,"score":0.5633798241615295},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5556339621543884},{"id":"https://openalex.org/C60641444","wikidata":"https://www.wikidata.org/wiki/Q841602","display_name":"Delphi method","level":2,"score":0.48308756947517395},{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.46849045157432556},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.43765074014663696},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4282049238681793},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.4023561179637909},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3678382635116577},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3145214319229126},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.28234750032424927},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.24296137690544128},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.12559247016906738},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.12054190039634705},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003120","descriptor_name":"Colorado","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003120","descriptor_name":"Colorado","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003120","descriptor_name":"Colorado","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003697","descriptor_name":"Delphi Technique","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003697","descriptor_name":"Delphi Technique","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003697","descriptor_name":"Delphi Technique","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004059","descriptor_name":"Diffusion of Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007256","descriptor_name":"Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007256","descriptor_name":"Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007256","descriptor_name":"Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D032921","descriptor_name":"Consensus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032921","descriptor_name":"Consensus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032921","descriptor_name":"Consensus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1186/1472-6947-6-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6947-6-1","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/track/pdf/10.1186/1472-6947-6-1","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:16396679","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16396679","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:dash.harvard.edu:1/42643012","is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42643012","pdf_url":null,"source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:9ac107e7e39c4fa7a41067abcd618675","is_oa":true,"landing_page_url":"https://doaj.org/article/9ac107e7e39c4fa7a41067abcd618675","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 6, Iss 1, p 1 (2006)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1343543","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1343543","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/1472-6947-6-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6947-6-1","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/track/pdf/10.1186/1472-6947-6-1","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.4099999964237213,"id":"https://metadata.un.org/sdg/8","display_name":"Decent work and economic growth"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1853981183.pdf","grobid_xml":"https://content.openalex.org/works/W1853981183.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W144532748","https://openalex.org/W202075127","https://openalex.org/W304533987","https://openalex.org/W1492301466","https://openalex.org/W1549915690","https://openalex.org/W1606842557","https://openalex.org/W1784750808","https://openalex.org/W2024641550","https://openalex.org/W2026418466","https://openalex.org/W2029143237","https://openalex.org/W2029966033","https://openalex.org/W2034898504","https://openalex.org/W2036685064","https://openalex.org/W2048082566","https://openalex.org/W2083062358","https://openalex.org/W2095818009","https://openalex.org/W2098449853","https://openalex.org/W2121963706","https://openalex.org/W2140941654","https://openalex.org/W2147616631","https://openalex.org/W2153080225","https://openalex.org/W2321994211","https://openalex.org/W2410179032","https://openalex.org/W2423435892","https://openalex.org/W2992903187","https://openalex.org/W3045455194","https://openalex.org/W3121227600","https://openalex.org/W4255411484","https://openalex.org/W4302365441"],"related_works":["https://openalex.org/W2947806815","https://openalex.org/W2095138262","https://openalex.org/W2010414510","https://openalex.org/W2399118680","https://openalex.org/W2163249903","https://openalex.org/W4387147547","https://openalex.org/W1833893427","https://openalex.org/W380775947","https://openalex.org/W2591836596","https://openalex.org/W2291585943"],"abstract_inverted_index":{"BACKGROUND:":[0],"Comprehensive":[1],"knowledge":[2,27],"about":[3,213],"the":[4,13,88,95,119,125,189],"level":[5,89,121,132],"of":[6,58,90,122,158,166,191,220],"healthcare":[7],"information":[8],"technology":[9,141],"(HIT)":[10],"adoption":[11,91,123,131,142,165,184],"in":[12,70,133,188,207],"United":[14],"States":[15],"remains":[16,185],"limited.":[17],"We":[18,30,63,129],"therefore":[19],"performed":[20],"a":[21,66],"baseline":[22],"assessment":[23],"to":[24,53,86,93,98,109,117,176,179,243],"address":[25],"this":[26],"gap.":[28],"METHODS:":[29],"segmented":[31],"HIT":[32,178,221,245],"into":[33],"eight":[34],"major":[35,40,96],"stakeholder":[36,80],"groups":[37],"and":[38,60,72,92,104,135,170,182,196,210,224,258],"identified":[39],"functionalities":[41,159],"that":[42],"should":[43],"ideally":[44],"exist":[45],"for":[46,102],"each,":[47],"focusing":[48],"on":[49,139,216],"applications":[50],"most":[51],"likely":[52,226],"improve":[54,180],"patient":[55],"safety,":[56],"quality":[57,171],"care":[59,252],"organizational":[61],"efficiency.":[62],"then":[64,107,115],"conducted":[65],"multi-site":[67],"qualitative":[68],"study":[69],"Boston":[71,103,134],"Denver":[73,105,136],"by":[74,144],"interviewing":[75],"key":[76],"informants":[77],"from":[78,148],"each":[79],"group.":[81],"Interview":[82],"transcripts":[83],"were":[84,106,152],"analyzed":[85],"assess":[87],"document":[94],"barriers":[97],"further":[99],"adoption.":[100],"Findings":[101],"presented":[108],"an":[110],"expert":[111,150],"panel,":[112],"which":[113],"was":[114,137],"asked":[116],"estimate":[118],"national":[120],"using":[124],"modified":[126],"Delphi":[127],"approach.":[128],"measured":[130],"graded":[138],"Rogers'":[140],"curve":[143],"co-investigators.":[145],"National":[146],"estimates":[147],"our":[149],"panel":[151],"expressed":[153],"as":[154,239],"percentages.":[155],"RESULTS:":[156],"Adoption":[157,219],"with":[160,168],"financial":[161,205,231,240],"benefits":[162],"far":[163],"exceeds":[164],"those":[167],"safety":[169,181],"benefits.":[172],"Despite":[173],"growing":[174],"interest":[175],"adopt":[177],"quality,":[183],"limited,":[186],"especially":[187],"area":[190],"ambulatory":[192],"electronic":[193],"health":[194,251],"records":[195],"physician-patient":[197],"communication.":[198],"Organizations,":[199],"particularly":[200],"physicians'":[201],"practices,":[202],"face":[203],"enormous":[204],"challenges":[206],"adopting":[208],"HIT,":[209],"concerns":[211],"remain":[212,227],"its":[214],"impact":[215],"productivity.":[217],"CONCLUSION:":[218],"is":[222],"limited":[223],"will":[225],"slow":[228],"unless":[229],"significant":[230],"resources":[232],"are":[233],"made":[234],"available.":[235],"Policy":[236],"changes,":[237],"such":[238],"incentivesto":[241],"clinicians":[242],"use":[244],"or":[246],"pay-for-performance":[247],"reimbursement,":[248],"may":[249],"help":[250],"providers":[253],"defray":[254],"upfront":[255],"investment":[256],"costs":[257],"initial":[259],"productivity":[260],"loss.":[261]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":14},{"year":2020,"cited_by_count":16},{"year":2019,"cited_by_count":11},{"year":2018,"cited_by_count":14},{"year":2017,"cited_by_count":20},{"year":2016,"cited_by_count":24},{"year":2015,"cited_by_count":12},{"year":2014,"cited_by_count":16},{"year":2013,"cited_by_count":25},{"year":2012,"cited_by_count":19}],"updated_date":"2026-06-13T07:54:00.901334","created_date":"2025-10-10T00:00:00"}
