Title

Factors influencing health information system adoption in American hospitals

Authors

Authors

B. B. Wang; T. T. H. Wan; D. E. Burke; G. J. Bazzoli;B. Y. J. Lin

Comments

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Abbreviated Journal Title

Health Care Manage. Rev.

Keywords

acute care hospitals; executive decisions support system; hospital; management; informatic integration; information systems; IT strategy; TQM ADOPTION; TECHNOLOGY; CARE; DECISION; CONSEQUENCES; DETERMINANTS; PERSPECTIVE; INTEGRATION; MANAGEMENT; MARKET; Health Policy & Services

Abstract

Objectives: To study the number of health information systems (HISs), applicable to administrative, clinical, and executive decision support functionalities, adopted by acute care hospitals and to examine how hospital market, organizational, and financial factors influence HIS adoption. Methods: A cross-sectional analysis was performed with 1441 hospitals selected from metropolitan statistical areas in the United States. Multiple data sources were merged. Six hypotheses were empirically tested by multiple regression analysis. Results: HIS adoption was influenced by the hospital market, organizational, and financial factors. Larger, system-affiliated, and for-profit hospitals with more preferred provider organization contracts are more likely to adopt managerial information systems than their counterparts. Operating revenue is positively associated with HIS adoption. Conclusion: The study concludes that hospital organizational and financial factors influence on hospitals' strategic adoption of clinical, administrative, and managerial information systems.

Journal Title

Health Care Management Review

Volume

30

Issue/Number

1

Publication Date

1-1-2005

Document Type

Article

Language

English

First Page

44

Last Page

51

WOS Identifier

WOS:000227127700007

ISSN

0361-6274

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