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Research Article Open access CC BY 4.0

Critical Factors Influencing Electronic Health Record Adoption in U.S. Hospitals: An Empirical Analysis Using the Technology-Organization- Environment Framework

Apoorva Muley, Sumanth Cheemalapati, George Kurian, Prathamesh Muzumdar, Kuldeep Singh

Asian Journal of Advanced Research and Reports · pp. 11–19 · Published 13 Feb 2025

10.9734/ajarr/2025/v19i3917

Abstract

There is a growing agreement that electronic health record (EHR) can play a key role in improving healthcare quality and efficiency.  Despite the benefits associated with the use of EHR, the adoption of EHR is low in the United States. The main aim of this study is to identify the critical factors affecting the hospitals’ adoption of EHR. This study identifies seven critical factors that are key to the adoption of EHR by using the technology, organization, and environment (TOE) framework. Moreover, we propose a research framework that provides future research opportunities that can offer further insights into the study of adoption of EHR.

Electronic Health Record (EHR) health quality technology organization environment toe framework

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