The perceived benefits of healthcare information technology adoption: construct and survey development

This paper is a part of a large study, which examines healthcare professionals’ attitudes regarding the adoption, use and perceived benefits of healthcare information technology (HIT). To date, literature on HIT has shown many important benefits related to quality and efficiency as well as limitations related to generalization and to a lack of empirical data on benefits. The aim of this paper is to develop a survey instrument focused the perceived benefits of HIT adoption. We exhaustively reviewed the construct of perceived benefits in various research areas to identify established approaches to predicting individual’s intentions to adopt technology. The items of perceived benefits taken from previous studies were developed and modified, and three benefit dimensions (direct, indirect and strategic benefits) were described. The questionnaire addressed the following issues: demographic information, perceived benefits of computerized physician/provider order entry (CPOE), and intent to adopt CPOE. We present a survey instrument containing the perceived benefits construct targeting healthcare executives. This is developed and validated by the translational validity test that attempts to assess the degree to which we accurately translated our construct into the operationalization. The Importance of the instrument for perceived benefits of HIT adoption as well as its limitations is also presented

DO RISK PERCEPTIONS INFLUENCE PHYSICIAN\u27S RESISTANCE TO USE ELECTRONIC MEDICAL RECORDS? AN EXPLORATORY RESEARCH IN GERMAN HOSPITALS

IT in health care can lower the cost of health care delivery, improve the quality of care for patients and reduce medical errors.Given these strong advantages, it is interesting that technology diffusion for process support in hospitals is somewhat slow.The major process of a hospital -delivering patient care- is still supported by traditional paper files in the vast majority ofGerman hospitals.In this paper, we ask what the barriers towards implementing and using an electronic medical record (EMR) -the electronicpatient file- might be. Technology resistance theories indicate that perceived risks are a major inhibitor towards systemsacceptance. In the absence of thorough empirical studies, we start our investigation by conducting exploratory research intothe risks hospital-based physicians associate with using an EMR. A list of possible risks was derived from the literature and10 physicians were interviewed to gather their assessment. Our findings show that, indeed, physicians associate several riskswith adopting EMRs, thereby suggesting these risks will need to be mitigated to enable proper user acceptance

Perceptions of community hospital physicians on computerized physician order entry

Objectives: To identify the perceptions of community hospital physicians on computerized physician order entry. Design: Multi-method approach consisting of a mail survey of 659 community hospital physicians with active admitting privileges at three PeaceHealth, Inc., along with follow-up personal interviews with stratified random selection from completed survey. Measurements: Perceptions were assessed by means of a mail survey that asked physicians to rank themselves on a scale that represented the five adopter categories contained in the Diffusion of Innovation (DOI) change theory, along with several questions regarding computer use and attitudes toward potential effects of computers and CPOE on medicine and healthcare. Physicians representing four of the five adopter categories were interviewed to assess general perceptions and perceived attributes of innovations, an another construct within the DOI theory. Results: The response rate was 41%. Medical specialty, years in practice, and gender were found not to influence attitudes toward use of computers or, more specifically CPOE in medicine and healthcare. However, more medical specialists favor CPOE implementation at PeaceHealth than expected. Self-ranking on the DOI five adopter categories appears to influence attitudes toward use of computers in medicine and healthcare with positive trends in improving quality, rapport, and patient satisfaction mainly in the Innovator, Early Adopter, and Early Majority categories. A positive trend was seen in the relationship between CPOE's potential effects on improving patient care, not interfering with communication, and improving patient satisfaction with negative relationships with impact on physician workflow and enjoyment of medical practice. A relationship is seen between the five adopter categories and favoring CPOE implementation at PeaceHealth. The perceived attributes of innovations of Ease of Use, Result Demonstrability, and Visibility were supported by interview responses. Relative Advantage seemed to be supported by other questions. The concept of Compatibility was also supported. No steps of the processes of change construct within the Transtheoretical Model were identified during the interviews. Conclusions: This study appears to refute the suggestion that there might be a difference between medical specialists and surgical specialists, age, or gender in their support of computers and specifically CPOE. These data appear to support the Diffusion of Innovation theory is appropriate to consider in investigating CPOE and its diffusion among community hospital physicians. Implementing CPOE according to adopter categories would provide the option for interested physicians to use CPOE, to use CPOE on certain hospital units or patients, and to expand its use before making mandatory. Communication should be targeted toward the adopter categories rather than mass media and emphasize the perceived attributes of innovation

How Can Physicians’ Knowledge Be Activated To Provide Better Healthcare? Explaining Electronic Health Record Adaptation by Physicians.

Despite the rising costs of healthcare and falling quality of care, the integration of EHR (Electronic Health Records) in supporting collaboration to increase the efficiency and effectiveness of healthcare remains a challenge. It appears that the physicians are at the center of this bottleneck. The literature suggests that the reasons for the limited use relate to policy, financial and usability considerations, but it does not provide an understanding of reasons for physicians\u27 limited interaction and adaptation of EHR. Following an analysis of qualitative data, collected in a case study at a hospital using interviews, this research shows how a collaborative technology architecture can enable the physicians to better interact with their partners using the E.H.R technology for the purpose of improving healthcare provision

The organisational and communication implications of electronic ordering systems for hospital pathology services

Computerised Provider Order Entry (CPOE) systems provide clinicians with the ability to electronically enter hospital orders for laboratory tests and services. CPOE is able to integrate with hospital information systems and provide point of care decision support to users thereby making a potentially significant contribution to the efficiency and effectiveness of care delivery. The evidence of the impact of CPOE systems on pathology services is not extensive and insufficient attention has been paid to their effect on organisational and communication processes. This thesis aimed to investigate the implications of CPOE systems for pathology laboratories, their work processes and relationships with other hospital departments, using comparative examinations to identify the tasks they are involved in and the particular needs the laboratories expect to be filled by the new system. This longitudinal study of a CPOE system was carried out over three years using multiple cases from a hospital pathology service based at a large Sydney teaching hospital. Multi-methods using quantitative and qualitative data were employed to achieve triangulation of data, theory and methods. The findings provide evidence of a significant 14.3% reduction of laboratory turnaround times from 42 to 36 minutes when laboratory data for two months were compared before and after CPOE implementation. The findings also reveal changes in the pattern and organisation of information communication, highlighting transformations in the way that work is planned, negotiated and synchronised. These findings are drawn together in a comprehensive organisational communication framework that is highly relevant for developing a contingent and situational understanding of the impact of CPOE on pathology services

The Trajectory of IT in Healthcare at HICSS: A Literature Review, Analysis, and Future Directions

Research has extensively demonstrated that healthcare industry has rapidly implemented and adopted information technology in recent years. Research in health information technology (HIT), which represents a major component of the Hawaii International Conference on System Sciences, demonstrates similar findings. In this paper, review the literature to better understand the work on HIT that researchers have conducted in HICSS from 2008 to 2017. In doing so, we identify themes, methods, technology types, research populations, context, and emerged research gaps from the reviewed literature. With much change and development in the HIT field and varying levels of adoption, this review uncovers, catalogs, and analyzes the research in HIT at HICSS in this ten-year period and provides future directions for research in the field

Patients’ Resistance towards Health Information Technology A Perspective of the Dual Factor Model of IT Usage

This paper presents a research model of patients’ resistance towards Health Information Technology (HIT). In particularly it examines patients’ reactions towards a new Patient Portal System (PPS). This work provides an integration of the technology acceptance and resistance to change literatures. The Resistance to Change construct from the User Resistance Model (URM), and the Unified Theory of Acceptance and Use of Technology (UTAUT) are bridged using the dual-factor model of technology usage. This model explains the asymmetric effects of use inhibitors such as Resistance to Change on use enablers such as Performance Expectancy and Effort Expectancy. The integrative model is empirically supported using survey data collected from patients of a large public international hospital. Total of 265 valid responses were used for the data analysis. This study highlights the importance of integrating resistance to change with the technology use research especially in healthcare settings that is considered to be under researched. Moreover, it is considered to be one of the first studies in IS that brings in patients’ perspectives of new HIT