Levels of EMR Adoption in U.S. Hospitals: An Empirical Examination of Absorptive Capacity, Institutional Pressures, Top Management Beliefs, and Participation

Venugopal Gopalakrishna-Remani, Robert Paul Jones, Kerri M. Camp

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Technology adoption literature generally focuses on behavioral and structural changes necessary for successful adoption. Little explored in that literature is the factors impacting the level of adoption which will be achieved within the organization. This healthcare industry research demonstrates that higher levels of technology adoption in organizations require the influences of both internal absorptive capabilities and external institutional pressures impacting the organization. We surveyed U.S. healthcare employees to assess top management beliefs, top management participation, absorptive capacity, institutional pressures, and level of electronic medical records (EMR) adoption in clinics and hospitals. Our results indicate no direct influence of mimetic and coercive pressures on the level of EMR adoption. Normative and mimetic pressures indirectly influence EMR adoption level through top management participation. Absorptive capacity enhances top management beliefs and participation associated with EMR adoption process, resulting in higher levels of EMR adoption in U.S. hospitals.

Original languageEnglish
Pages (from-to)1325-1344
Number of pages20
JournalInformation Systems Frontiers
Volume21
Issue number6
DOIs
StatePublished - Dec 1 2019

Keywords

  • Absorptive capacity
  • Institutional pressures
  • Level of EMR adoption
  • Top management beliefs
  • Top management participation

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