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“Doctors Do Too Little Technology”: A Longitudinal Field Study of an Electronic Healthcare System Implementation

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  • Viswanath Venkatesh

    (Information Systems, Walton College of Business, University of Arkansas, Fayetteville, Arkansas 72701)

  • Xiaojun Zhang

    (Department of Information Systems, Business Statistics and Operations Management, School of Business and Management, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong)

  • Tracy A. Sykes

    (Information Systems, Walton College of Business, University of Arkansas, Fayetteville, Arkansas 72701)

Abstract

With the strong ongoing push toward investment in and deployment of electronic healthcare (e-healthcare) systems, understanding the factors that drive the use of such systems and the consequences of using such systems is of scientific and practical significance. Elaborate training in new e-healthcare systems is not a luxury that is typically available to healthcare professionals---i.e., doctors, paraprofessionals (e.g., nurses) and administrative personnel---because of the 24 × 7 nature and criticality of operations of healthcare organizations, especially hospitals, thus making peer interactions and support a key driver of or barrier to such e-healthcare system use. Against this backdrop, using social networks as a theoretical lens, this paper presents a nomological network related to e-healthcare system use. A longitudinal study of an e-healthcare system implementation, with data gathered from doctors, paraprofessionals, administrative personnel, patients, and usage logs lent support to the hypotheses that: (1) ingroup and outgroup ties to doctors negatively affect use in all user groups; (2) ingroup and outgroup ties to paraprofessionals and administrative personnel positively affect use in both those groups, but have no effect on doctors' use; and (3) use contributes positively to patient satisfaction mediated by healthcare quality variables---i.e., technical quality, communication, interpersonal interactions, and time spent. This work contributes to the theory and practice related to the success of e-healthcare system use in particular, and information systems in general.

Suggested Citation

  • Viswanath Venkatesh & Xiaojun Zhang & Tracy A. Sykes, 2011. "“Doctors Do Too Little Technology”: A Longitudinal Field Study of an Electronic Healthcare System Implementation," Information Systems Research, INFORMS, vol. 22(3), pages 523-546, September.
    • Handle: RePEc:inm:orisre:v:22:y:2011:i:3:p:523-546
    DOI: 10.1287/isre.1110.0383
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    21. Anna De Benedictis & Emanuele Lettieri & Luca Gastaldi & Cristina Masella & Alessia Urgu & Daniela Tartaglini, 2020. "Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-12, June.
    22. Petrakaki, Dimitra & Klecun, Ela & Cornford, Tony, 2016. "Changes in healthcare professional work afforded by technology: the introduction of a national electronic patient record in an English hospital," LSE Research Online Documents on Economics 59475, London School of Economics and Political Science, LSE Library.
    23. Stefanie Steinhauser, 2019. "Network-Based Business Models, the Institutional Environment, and the Diffusion of Digital Innovations: Case Studies of Telemedicine Networks in Germany," Schmalenbach Business Review, Springer;Schmalenbach-Gesellschaft, vol. 71(3), pages 343-383, August.
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