Do Market Characteristics Matter? Factors Associated with Health Information Exchange

Na-Eun Cho, KiHoon Hong and Jongwha Chang
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Na-Eun Cho: Department of Business Administration, School of Business, Hongik University, Seoul 04066, Korea
KiHoon Hong: Department of Business Administration, School of Business, Hongik University, Seoul 04066, Korea
Jongwha Chang: Department of Healthcare Administration, College of Business, Texas Woman’s University, Denton, TX 76204, USA

IJERPH, 2021, vol. 18, issue 22, 1-10

Abstract: This study explores factors associated with the breadth (extent) and depth (level of detail) of digital information exchange among stakeholders in health information technology (IT) systems. Annual and IT surveys of the American Hospital Association and the U.S. Census Bureau’s small-area income and poverty estimates from 2014–2016 were analyzed for associations between key factors and breadth and depth of information exchange. OLS Regression was used with a sample consisting of 10,040 year-hospital observations. We found that hospital-level variables such as size, ownership type, system affiliation, physician-hospital arrangement, and revenue model affect information exchange. We further found that market-level variables such as concentration ratio, urbanness, and median household income, although they directly affect information exchange, do not moderate the relationship between hospital-level variables and information exchange. Our study fills a gap in the previous literature arising from the lack of research on the determinants of health information exchange.

Keywords: health information technology; information exchange; hospital; market (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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