The relationship between local hospital IT capabilities and physician EMR adoption

Nir Menachemi, Michael Matthews, Eric W. Ford, Neset Hikmet, Robert G. Brooks

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


In light of new federal policies allowing hospitals to subsidize the cost of information systems for physicians, we examine the relationship between local hospital investments in information technology (IT) and physician EMR adoption. Data from two Florida surveys were combined with secondary data from the State of Florida and the Area Resource File (ARF). Hierarchal logistic regression was used to examine the effect of hospital adoption of clinical information systems on physician adoption of EMR systems after controlling for confounders. In multivariate analysis, each additional clinical IT application adopted by a local hospital was associated with an 8% increase in the odds of EMR adoption by physicians practicing in that county. Given this existing relationship between hospital IT capabilities and physician adoption patterns, federal policies designed to encourage this more directly will positively promote the proliferation of EMR systems.

Original languageEnglish (US)
Pages (from-to)329-335
Number of pages7
JournalJournal of Medical Systems
Issue number5
StatePublished - Oct 2009
Externally publishedYes


  • Hospital information systems
  • Physician EMR adoption
  • Stark law

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Informatics
  • Health Information Management
  • Information Systems


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