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Contingency theory is tested herein to suggest that a hospital\u2019s structural constraints may explain the heterogeneity among hospitals in terms of their EHR use. Data collected from 297 acute care hospitals in 47 states reveals that critical access hospitals may be slow to use EHR, even in basic applications. Conversely, major teaching hospitals appear to be early adopters, achieving advanced EHR use. These findings are important for hospital executives, Health Information Technology managers, and policymakers concerned with directing resources with an aim toward EHR integration.<\/p>","DOI":"10.4018\/jhisi.2012040101","type":"journal-article","created":{"date-parts":[[2012,5,16]],"date-time":"2012-05-16T13:57:38Z","timestamp":1337176658000},"page":"1-16","source":"Crossref","is-referenced-by-count":12,"title":["Examining Heterogeneous Patterns of Electronic Health Records Use"],"prefix":"10.4018","volume":"7","author":[{"given":"David D.","family":"Dobrzykowski","sequence":"first","affiliation":[{"name":"Eastern Michigan University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2432","reference":[{"key":"jhisi.2012040101-0","year":"2005","journal-title":"Forward momentum: hospital use of information technology"},{"key":"jhisi.2012040101-1","doi-asserted-by":"publisher","DOI":"10.2307\/3150783"},{"key":"jhisi.2012040101-2","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M1427"},{"key":"jhisi.2012040101-3","doi-asserted-by":"publisher","DOI":"10.1007\/BF02723327"},{"key":"jhisi.2012040101-4","doi-asserted-by":"crossref","unstructured":"Borger, C., Smith, S., Truffer, C., Keehan, S., Sisko, A., Poisal, J., et al. 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