Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals

Hospital Information System (HIS) is important in the healthcare industry as it supports a wide range of highly specialized health-care tasks and services. In Malaysia, HIS diffusion is still in its early stage and there is slow rate of adoption among large, medium, and small public hospitals. To in...

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Main Authors: Ahmadi, H., Nilashi, M., Shahmoradi, L., Ibrahim, O.
Format: Article
Published: Elsevier Ltd 2017
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Online Access:http://eprints.utm.my/id/eprint/75958/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84999293342&doi=10.1016%2fj.chb.2016.10.023&partnerID=40&md5=9b0a1446a6b7df4a1b32752d0316f83f
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spelling my.utm.759582018-05-30T04:17:34Z http://eprints.utm.my/id/eprint/75958/ Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals Ahmadi, H. Nilashi, M. Shahmoradi, L. Ibrahim, O. QA75 Electronic computers. Computer science Hospital Information System (HIS) is important in the healthcare industry as it supports a wide range of highly specialized health-care tasks and services. In Malaysia, HIS diffusion is still in its early stage and there is slow rate of adoption among large, medium, and small public hospitals. To investigate the factors influencing the adoption of HIS in the hospitals’ work processes, this study proposed the initial theoretical framework based on the combined Technology Organization Environment (TOE), institutional theory, and Human Organization Technology (HOT) fit model. A nationwide survey was conducted on small, medium, and large public hospitals involving both HIS adopters and non-adopters in Malaysia to verify the validity of the initial integrated framework. We find that relative advantage, compatibility, security concern, hospital size, mimetic pressure-competitors, vendor support, perceived technical competence of IS staff, and employees’ IS knowledge as the influential factors on HIS adoption. In addition to the only moderator of this study (occupational level), any significant moderating effects on the Technology-Organization-Environment-Human dimensional factors and the adoption of HIS by Malaysian public hospitals was not found. Hence, these results indicated that the developed integrated framework provides an effective prediction of the HIS adoption by Malaysian public hospitals. Elsevier Ltd 2017 Article PeerReviewed Ahmadi, H. and Nilashi, M. and Shahmoradi, L. and Ibrahim, O. (2017) Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals. Computers in Human Behavior, 67 . pp. 161-189. ISSN 0747-5632 https://www.scopus.com/inward/record.uri?eid=2-s2.0-84999293342&doi=10.1016%2fj.chb.2016.10.023&partnerID=40&md5=9b0a1446a6b7df4a1b32752d0316f83f
institution Universiti Teknologi Malaysia
building UTM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Teknologi Malaysia
content_source UTM Institutional Repository
url_provider http://eprints.utm.my/
topic QA75 Electronic computers. Computer science
spellingShingle QA75 Electronic computers. Computer science
Ahmadi, H.
Nilashi, M.
Shahmoradi, L.
Ibrahim, O.
Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals
description Hospital Information System (HIS) is important in the healthcare industry as it supports a wide range of highly specialized health-care tasks and services. In Malaysia, HIS diffusion is still in its early stage and there is slow rate of adoption among large, medium, and small public hospitals. To investigate the factors influencing the adoption of HIS in the hospitals’ work processes, this study proposed the initial theoretical framework based on the combined Technology Organization Environment (TOE), institutional theory, and Human Organization Technology (HOT) fit model. A nationwide survey was conducted on small, medium, and large public hospitals involving both HIS adopters and non-adopters in Malaysia to verify the validity of the initial integrated framework. We find that relative advantage, compatibility, security concern, hospital size, mimetic pressure-competitors, vendor support, perceived technical competence of IS staff, and employees’ IS knowledge as the influential factors on HIS adoption. In addition to the only moderator of this study (occupational level), any significant moderating effects on the Technology-Organization-Environment-Human dimensional factors and the adoption of HIS by Malaysian public hospitals was not found. Hence, these results indicated that the developed integrated framework provides an effective prediction of the HIS adoption by Malaysian public hospitals.
format Article
author Ahmadi, H.
Nilashi, M.
Shahmoradi, L.
Ibrahim, O.
author_facet Ahmadi, H.
Nilashi, M.
Shahmoradi, L.
Ibrahim, O.
author_sort Ahmadi, H.
title Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals
title_short Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals
title_full Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals
title_fullStr Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals
title_full_unstemmed Hospital Information System adoption: Expert perspectives on an adoption framework for Malaysian public hospitals
title_sort hospital information system adoption: expert perspectives on an adoption framework for malaysian public hospitals
publisher Elsevier Ltd
publishDate 2017
url http://eprints.utm.my/id/eprint/75958/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84999293342&doi=10.1016%2fj.chb.2016.10.023&partnerID=40&md5=9b0a1446a6b7df4a1b32752d0316f83f
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score 13.211869