Drivers and barriers in health IT adoption: A proposed framework

Ariel C. Avgar, A. S. Litwin, P. J. Pronovost

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations


Despite near (and rare) consensus that the adoption and diffusion of health information technology (health IT) will bolster outcomes for organizations, individuals, and the healthcare system as a whole, there has been surprisingly little consideration of the structures and processes within organizations that might drive the adoption and effective use of the technology. Management research provides a useful lens through which to analyze both the determinants of investment and the benefits that can ultimately be derived from these investments. This paper provides a conceptual framework for understanding health IT adoption. In doing so, this paper highlights specific organizational barriers or enablers at different stages of the adoption process - investment, implementation, and use - and at different levels of organizational decision-making - strategic, operational, and frontline. This framework will aid both policymakers and organizational actors as they make sense of the transition from paper-based to electronic systems.

Original languageEnglish (US)
Pages (from-to)488-500
Number of pages13
JournalApplied clinical informatics
Issue number4
StatePublished - 2012
Externally publishedYes


  • Health information technology
  • Organizations
  • Strategic choice
  • Technology adoption

ASJC Scopus subject areas

  • Health Informatics
  • Computer Science Applications
  • Health Information Management


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