U.S. Healthcare Provider Capabilities and Performance: the Mediating Roles of Service Innovation and Quality

Rapid advancements in information and communication technologies (ICT) combined with improvements in socioeconomic standards of living have led to an increase in consumers’ demands for personal services in a variety of industries including healthcare. Despite the tremendous potential of Health Information Technology (HIT), the healthcare industry lags behind in the use of HIT to effectively deliver innovative services. In this study, we combine the capabilities perspective and an adapted Capability-Quality-Performance (CQP) model to investigate the roles service innovation and quality play in the relationship between a healthcare provider’s IT-enabled capabilities and provider performance. We propose that IT-enabled capabilities by themselves do not lead to improved healthcare provider performance. It is how those capabilities are manipulated and utilized that determines the competitive advantage the healthcare provider can gain over its competitors. The theory-based model was empirically tested using a survey of 202 U.S. healthcare organizations. Results of exploratory hypotheses testing showed that service innovation and quality play significant roles in mediating the relationship between IT-enabled capabilities and healthcare provider performance

Investigating the antecedents of perceived threats and user resistance to health information technology: a case study of a public hospital

Health information technology (HIT) can improve the quality of healthcare, but improvements are likely to be hindered if physicians and nurses resist HIT. In response, this study investigates the antecedents of the perceived threats to HIT and user resistance by examining the organisational factors, the personal traits of users, HIT-related factors, and the factors related to the interaction between physicians, nurses, and the organisation. By building on an in-depth case study of a public hospital, the study develops a conceptual model. The main findings of the study suggest that perceived dissatisfaction and loss of professional autonomy are the main perceived threats of HIT for physicians and nurses. Furthermore, five factors that influence these perceptions are identified, and they include related knowledge, management support, user involvement, system performance, and social influences. The study will ensure a better understanding of the phenomenon, as it will contribute to identifying the core reasons for resistance