Drivers and Barriers to Adoption: Towards the Last Mile

Saurabh Rahurkar, Brian E. Dixon, Nir Menachemi

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations


The need for health care reform and governmental health policy in both the United States and globally influences the adoption and use of health information exchange (HIE). The US government and ministries of health around the world are investing in health information technologies, including HIE. This chapter provides an overview of the current adoption and use of HIE. In addition, this chapter examines barriers to adoption and how current policies as well as health reform activities are addressing some of these barriers. Furthermore, this chapter examines emerging trends in population health, Big Data, natural language processing, and information blocking that are shaping the future adoption and use of HIE among health systems, health care professionals, and governmental public health agencies.

Original languageEnglish (US)
Title of host publicationHealth Information Exchange
Subtitle of host publicationNavigating and Managing a Network of Health Information Systems
PublisherElsevier Inc.
Number of pages17
ISBN (Electronic)9780128031506
ISBN (Print)9780128031353
StatePublished - Feb 11 2016



  • Adoption
  • Funding
  • Government
  • Health information technology
  • Health reform
  • Meaningful use
  • Policy
  • Population health
  • Privacy
  • Public financing
  • Quality of care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rahurkar, S., Dixon, B. E., & Menachemi, N. (2016). Drivers and Barriers to Adoption: Towards the Last Mile. In Health Information Exchange: Navigating and Managing a Network of Health Information Systems (pp. 41-57). Elsevier Inc..