Appl Clin Inform 2012; 03(04): 488-500
DOI: 10.4338/ACI-2012-07-R-0029
Schattauer GmbH

Drivers and Barriers in Health IT Adoption

A Proposed Framework
A.C. Avgar
1  School of Labor and Employment Relations and The College of Medicine, University of Illinois at Urbana Champaign, Champaign, IL
A.S. Litwin
2  The Johns Hopkins Carey Business School, Baltimore, MD
P.J. Pronovost
3  The Johns Hopkins University School of Medicine, Baltimore, MD
› Author Affiliations
Further Information

Publication History

Received 20 July 2012

Accepted 01 December 2012

Publication Date:
19 December 2017 (online)


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 front-line. This framework will aid both policymakers and organizational actors as they make sense of the transition from paper-based to electronic systems.

Citation: Avgar AC, Litwin AS, Pronovost PJ. Drivers and barriers in health IT adoption: A proposed framework. Appl Clin Inf 2012; 3: 488–500