The Clayton Christensen Institute For Disruptive Technology is a think tank that understands how different products can actually start small and grow into prominence in the marketplace. You can read their reasoning for why EHR is not disrupting the marketplace here. Their article explain why most EHR offerings are just a more expensive way to do what paperwork is already doing. This fact, coupled with government incentives, makes for what they call a sustaining model, where each year you are offered new, more expensive products that are hardly an improvement from the year before. In the end, it’s a mean game of horse and carrot, and not a “disruption” that improves industry output and “consumer” satisfaction (doctors in this case are the consumers, and the output is more efficient hospital operation). So yes, we are talking theory here. But, the model’s predictions do match the data–which is that hospitals have spent lots of money on software and seen paltry results.
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