TY - JOUR
T1 - Levels of EMR Adoption in U.S. Hospitals
T2 - An Empirical Examination of Absorptive Capacity, Institutional Pressures, Top Management Beliefs, and Participation
AU - Gopalakrishna-Remani, Venugopal
AU - Jones, Robert Paul
AU - Camp, Kerri M.
N1 - Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - 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.
AB - 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.
KW - Absorptive capacity
KW - Institutional pressures
KW - Level of EMR adoption
KW - Top management beliefs
KW - Top management participation
UR - http://www.scopus.com/inward/record.url?scp=85043371571&partnerID=8YFLogxK
U2 - 10.1007/s10796-018-9836-9
DO - 10.1007/s10796-018-9836-9
M3 - Article
AN - SCOPUS:85043371571
SN - 1387-3326
VL - 21
SP - 1325
EP - 1344
JO - Information Systems Frontiers
JF - Information Systems Frontiers
IS - 6
ER -