Haaksema, Marijke (2014) Exploring group-level of antecedents of healthcare proffesionals' adoption intentions towards the implementation of an Electronic Health Record. thesis, Other studies (UMCG).
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Abstract
Introduction Previous research shows that many attempts to implement Information Systems in healthcare fail. This case-study investigated group-level antecedents of adoption intentions on of healthcare professionals on towards an Electronic Health Record (EHR) in a Learning and Teaching Hospital in the Netherlands (LTHN). Using acceptance and resistance as complementary dimensions for measuring the adoption intentions. Methods The predefined antecedents of adoption intentions; usefulness, facilitating conditions and impact, were statistically tested using survey-data, and analyzed based on in-depth interviews. The antecedents degree of digitalization, degree of work interdependencies, and past experiences with digital systems were found through the inductive coding of the in-depth interviews. Results Both usefulness and impact influenced acceptance, and facilitating conditions influenced the support dimension. Digitalized departments were more likely to accept the system. Departments with more work interdependencies seemed to receive the EHR as more useful, and are therefore more likely to accept the system. Departments with more past experience expected a bigger impact; consequently they may be less likely to accept the system. Conclusion Group-level antecedents do influence the adoption intentions of healthcare professionals towards an Electronic Health Record. While it is not possible for managers to control adoption intentions, some ideas are formulated about enhancing the change on department and occupation level. Both system and organizational design should be adapted to each other, one or more (sub) visions are necessary, and tools to approach motivation and tools to avoid resistance can be used. The complementary view of acceptance and resistance can be used more often in researches and degree of digitalization, degree of work interdependencies and past experiences, should be further investigated.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Lesman-Leegte, dr. G.A.T. |
| Supervisor name: | Offenbeek, dr. M.A.G. van |
| Faculty: | Medical Sciences |
| Keywords: | Electronic Patient Record, Electronic Health Record, IS adoption, Resistance, Acceptance, Adoption intentions, Digitization, work interdependencies, past experiences |
| Date Deposited: | 25 Jun 2020 10:41 |
| Last Modified: | 25 Jun 2020 10:41 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/242 |
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