Becker's Healthcare May 13, 2025
Naomi Diaz

U.S.-based EHR giants such as Epic, Oracle Health, Meditech and Altera are facing mounting competition from a new generation of regional and international vendors, according to a May 10 report from Black Book Market Research.

The findings are based on input from more than 11,000 clinicians, IT leaders and healthcare operations executives across 44 countries.

Here are five takeaways from the report:

  1. While major U.S.-based health IT vendors continue to secure global contracts, they are encountering increased resistance abroad.
  2. Health leaders outside the U.S. cited rising anti-American sentiment, trade-related tariffs and digital protectionism as reasons to avoid U.S.-based systems in 2025 and beyond.
  3. In 28 of the 44 countries surveyed, 71%...

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