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


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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