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Hospital Information System Adoption: Expert Perspectives on an Adoption Framework for Malaysian Public Hospitals Publisher



Ahmadi H1 ; Nilashi M3 ; Shahmoradi L1 ; Ibrahim O2
Authors
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Authors Affiliations
  1. 1. Health Information Management Department, 5th Floor, School of Allied Medical Sciences, Tehran University of Medical Sciences, No #17, Farredanesh Alley, Ghods St, Enghelab Ave, Tehran, Iran
  2. 2. Faculty of Computing, Universiti Teknologi Malaysia, 81310 Skudai, Johor, Malaysia
  3. 3. Department of Computer Engineering, Lahijan Branch, Islamic Azad University, Lahijan, Iran

Source: Computers in Human Behavior Published:2017


Abstract

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. © 2016 Elsevier Ltd