دورية أكاديمية

Does Competition Lead to Agglomeration or Dispersion in EMR Vendor Decisions?

التفاصيل البيبلوغرافية
العنوان: Does Competition Lead to Agglomeration or Dispersion in EMR Vendor Decisions?
المؤلفون: Freedman, Seth, Lin, Haizhen, Prince, Jeffrey
المصدر: Review of Industrial Organization; Aug2018, Vol. 53 Issue 1, p57-79, 23p, 9 Charts, 2 Graphs
مصطلحات موضوعية: HOSPITAL mergers, ELECTRONIC health records, ECONOMIES of agglomeration, ECONOMIC competition, VENDORS (Real property)
مستخلص: We examine hospital Electronic Medical Record (EMR) vendor adoption patterns and how they relate to hospital market structure. As in many network technology adoption decisions, hospitals face countervailing incentives to coordinate or differentiate in their choice of vendors. We find evidence of substantial agglomeration on EMR vendors, which increases as hospital markets become more competitive. These findings suggest that incentives to coordinate dominate incentives to differentiate overall, and the relative balance grows stronger in favor of coordination as markets become more competitive. Our findings also have important implications regarding antitrust policy. A potential downside of hospital consolidation—increased obstacles in information sharing due to vendor differentiation—should be taken into account in evaluation of hospital mergers. [ABSTRACT FROM AUTHOR]
Copyright of Review of Industrial Organization is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:0889938X
DOI:10.1007/s11151-018-9624-1