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The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption

Healthcare is a highly institutionalized industry, subject to multiple regulatory forces, high levels of professionalism, and growing network externalities which may affect the decisions to adopt. Hence, this research integrates the Resource Dependence Theory (RDT), institutional theory along with H...

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Main Authors: Ahmadi, Hossein, Nilashi, Mehrbakhsh, Shahmoradi, Leila, Ibrahim, Othman, Sadoughi, Farahnaz, Alizadeh, Mojtaba, Alizadeh, Azar
Format: Article
Published: Elsevier Inc. 2018
Subjects:
QA75 Electronic computers. Computer science
Online Access:http://eprints.utm.my/id/eprint/84154/
https://doi.org/10.1016/j.techfore.2018.05.021
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spelling my.utm.841542019-12-16T03:20:33Z http://eprints.utm.my/id/eprint/84154/ The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption Ahmadi, Hossein Nilashi, Mehrbakhsh Shahmoradi, Leila Ibrahim, Othman Sadoughi, Farahnaz Alizadeh, Mojtaba Alizadeh, Azar QA75 Electronic computers. Computer science Healthcare is a highly institutionalized industry, subject to multiple regulatory forces, high levels of professionalism, and growing network externalities which may affect the decisions to adopt. Hence, this research integrates the Resource Dependence Theory (RDT), institutional theory along with Human Organization Technology (HOT) fit model as the organization theories to explain the adoption of Hospital Information System (HIS). To examine the effects of inter and intra-organizational potential factors on HIS adoption, within the context of Malaysian public hospitals, a survey method using web-based questionnaire is employed. The role of hospital size in this study is investigated to determine its distinct moderating influence among the relationships of the HIS adoption and significant dimensional factors. The results indicated that system affiliation (p < 0.05), mimetic pressure-competitors (p < 0.1), normative pressure (p < 0.05), and employees' IS knowledge (p < 0.05) were the most significant drivers for adopting HIS in the public hospitals of Malaysia. The results also showed that hospital size as the only moderator of this study has no significant effect on the other relationships in our developed theoretical model. In other words, the effects of the significant factors on HIS adoption are the same in three small, medium, and large Malaysian public hospitals. This research presents a conceptual foundation for future researches and fills a gap in the literature regarding the inter-organizational factors influencing the adoption of HIS. Elsevier Inc. 2018 Article PeerReviewed Ahmadi, Hossein and Nilashi, Mehrbakhsh and Shahmoradi, Leila and Ibrahim, Othman and Sadoughi, Farahnaz and Alizadeh, Mojtaba and Alizadeh, Azar (2018) The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption. Technological Forecasting and Social Change, 134 . pp. 124-149. ISSN 0040-1625 https://doi.org/10.1016/j.techfore.2018.05.021
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, Hossein
Nilashi, Mehrbakhsh
Shahmoradi, Leila
Ibrahim, Othman
Sadoughi, Farahnaz
Alizadeh, Mojtaba
Alizadeh, Azar
The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption
description Healthcare is a highly institutionalized industry, subject to multiple regulatory forces, high levels of professionalism, and growing network externalities which may affect the decisions to adopt. Hence, this research integrates the Resource Dependence Theory (RDT), institutional theory along with Human Organization Technology (HOT) fit model as the organization theories to explain the adoption of Hospital Information System (HIS). To examine the effects of inter and intra-organizational potential factors on HIS adoption, within the context of Malaysian public hospitals, a survey method using web-based questionnaire is employed. The role of hospital size in this study is investigated to determine its distinct moderating influence among the relationships of the HIS adoption and significant dimensional factors. The results indicated that system affiliation (p < 0.05), mimetic pressure-competitors (p < 0.1), normative pressure (p < 0.05), and employees' IS knowledge (p < 0.05) were the most significant drivers for adopting HIS in the public hospitals of Malaysia. The results also showed that hospital size as the only moderator of this study has no significant effect on the other relationships in our developed theoretical model. In other words, the effects of the significant factors on HIS adoption are the same in three small, medium, and large Malaysian public hospitals. This research presents a conceptual foundation for future researches and fills a gap in the literature regarding the inter-organizational factors influencing the adoption of HIS.
format Article
author Ahmadi, Hossein
Nilashi, Mehrbakhsh
Shahmoradi, Leila
Ibrahim, Othman
Sadoughi, Farahnaz
Alizadeh, Mojtaba
Alizadeh, Azar
author_facet Ahmadi, Hossein
Nilashi, Mehrbakhsh
Shahmoradi, Leila
Ibrahim, Othman
Sadoughi, Farahnaz
Alizadeh, Mojtaba
Alizadeh, Azar
author_sort Ahmadi, Hossein
title The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption
title_short The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption
title_full The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption
title_fullStr The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption
title_full_unstemmed The moderating effect of hospital size on inter and intra-organizational factors of Hospital information system adoption
title_sort moderating effect of hospital size on inter and intra-organizational factors of hospital information system adoption
publisher Elsevier Inc.
publishDate 2018
url http://eprints.utm.my/id/eprint/84154/
https://doi.org/10.1016/j.techfore.2018.05.021
_version_ 1654960048321855488
score 13.211869

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