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Technology adoption by primary care physicians.

Tor Iversen1, Ching-To Albert Ma2

  • 1Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.

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|November 30, 2021
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Physician technology adoption for diabetes care is influenced by financial incentives and education. An education program significantly boosted adoption, especially for physicians with more diabetic patients and in markets with higher adoption rates.

Keywords:
education programincentivesmonitoringprimary caretechnology

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Area of Science:

  • Health Services Research
  • Medical Informatics
  • Health Economics

Background:

  • Primary care physicians' adoption of prevention and monitoring technologies is crucial for managing chronic diseases like Type 2 diabetes.
  • Physician adoption decisions are complex, influenced by perceived benefits, costs, financial incentives, and educational support.
  • Understanding these factors is key to improving healthcare delivery and patient outcomes through technology integration.

Purpose of the Study:

  • To investigate the factors influencing primary care physicians' adoption of prevention and monitoring technologies.
  • To evaluate the impact of a new payment incentive for Type 2 diabetic patient checkups and an educational assistance program on technology adoption.
  • To analyze the role of market characteristics and peer effects in technology adoption.

Main Methods:

  • Utilized national Norwegian register and physician claims data from 2009-2014.
  • Employed fixed-effect regressions, two-part models, and hazard models to estimate adoption decisions.
  • Applied a difference-in-difference model to assess the impact of the educational assistance program.

Main Results:

  • Financial incentives (payment for checkups) and educational assistance significantly influence technology adoption.
  • A peer effect was identified, supporting the influence of colleagues' adoption decisions.
  • The education program demonstrated a strong positive impact, particularly for physicians with a higher patient load and in markets with greater existing adoption.

Conclusions:

  • Payment incentives and educational programs are effective strategies for promoting physician technology adoption in primary care.
  • Peer effects play a role in technology diffusion among physicians.
  • Targeted educational interventions can enhance the adoption of preventive and monitoring technologies for chronic disease management, especially in high-demand settings.