The role of organizational factors in the adoption of healthcare information technology in Florida hospitals |
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Authors: | Neset Hikmet Anol Bhattacherjee Nir Menachemi Varol O Kayhan Robert G Brooks |
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Institution: | (1) Center for Research in Healthcare Systems and Policies, College of Business Administration, University of South Florida, 8350 N. Tamiami Trail, SMC-C222, Sarasota, FL 34243, USA;(2) College of Business Administration, University of South Florida, Tampa, FL, USA;(3) Center on Patient Safety, College of Medicine, Florida State University, Tallahassee, FL, USA;(4) College of Medicine, Florida State University, Tallahassee, FL, USA |
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Abstract: | This study examines whether specific organizational characteristics, such as hospital size, geographic location (urban versus
rural), system membership (stand-alone versus system-affiliated), and tax status (for-profit versus non-profit), influence
adoption of healthcare information technologies (HIT) in hospitals. We hypothesize the above organizational characteristics
to be related to hospitals’ adoption of clinical, administrative, and strategic HIT, as well as all HIT in general. Using
survey data collected from 98 Florida hospitals, we demonstrate that hospital size, system membership, and tax status, but
not geographic location, are systematically related to HIT adoption, and that such factors explain about 28–41% of the adoption
variance. A mixed pattern of effects emerge for clinical, administrative, and strategic HIT. For instance, hospital size appears
to be less relevant for administrative HIT, where its effect is compensated by those of system membership and tax status.
Implications for future HIT research and practice are discussed. |
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Keywords: | Healthcare information technology Adoption Organizational factors Survey research |
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