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Impact of Health Information Exchange Adoption on Referral Patterns

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  • Saeede Eftekhari

    (A. B. Freeman School of Business, Tulane University, New Orleans, Louisiana 70118)

  • Niam Yaraghi

    (Miami Herbert Business School, University of Miami, Coral Gables, Florida 33146; Governance Studies, The Brookings Institution, Washington, District of Columbia 20036)

  • Ram D. Gopal

    (Warwick Business School, The University of Warwick, Coventry CV4 7AL, United Kingdom)

  • Ram Ramesh

    (School of Management, State University of New York at Buffalo, Buffalo, New York 14260)

Abstract

Efforts to promote Health Information Exchanges (HIEs) on a nationwide scale are beset with major challenges, and one of them is its meaningful use for both physicians and patients. Referrals potentially provide a context for the meaningful use of HIE, and we are yet to understand how HIEs affect referrals. This research studies the impact of HIE on referral patterns. We establish that participation in an HIE network increases the referrals sent to and received from other HIE participants. We investigate this relationship using both econometric and network-analytic methods. Whereas the econometric analysis focuses on the underlying associations between HIE adoption and referral patterns, the network analysis addresses the transformation process by which HIE adoption and referrals coevolve over time. This study has significant implications for healthcare policy making, development of innovative HIE business models, and management of healthcare organizations.

Suggested Citation

  • Saeede Eftekhari & Niam Yaraghi & Ram D. Gopal & Ram Ramesh, 2023. "Impact of Health Information Exchange Adoption on Referral Patterns," Management Science, INFORMS, vol. 69(3), pages 1615-1638, March.
    • Handle: RePEc:inm:ormnsc:v:69:y:2023:i:3:p:1615-1638
    DOI: 10.1287/mnsc.2022.4435
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