Original Investigation

Adoption of Health Information Technologies by Area Socioeconomic Deprivation Among US Hospitals

JAMA Health Forum 10.1001/jamahealthforum.2025.3035

September 05, 2025 at 11:00 AM EDT

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How does hospital adoption of health information technology (HIT) in the US vary by area socioeconomic deprivation?In this cross-sectional study including 16 646 hospital-level observations and 9218 observations for health information exchange functionalities, using 2018-2023 pooled data of nonfederal acute care hospitals, those in the most deprived areas were significantly less likely to adopt HIT, including treatment-stage telehealth, postdischarge telehealth, electronic data query capability, and data availability. Adoption increased over time across all hospitals and deprivation levels.Hospitals in under-resourced communities may not fully realize the benefits of HIT-enabled care, but targeted policies may help close geographic adoption gaps.

Corresponding Author: Alice S. Yan, MAcc, Department of Health Policy and Management, School of Public Health, University of Maryland, 4200 Valley Dr, Room 3310, College Park, MD 20742 (asyan@umd.edu).

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