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Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems


  • Callen, Joanne L.
  • Braithwaite, Jeffrey
  • Westbrook, Johanna I.


Studies have identified the importance of hospitals' organisational culture in clinical information system diffusion, but few have quantified its role. This study measured organisational culture in two Australian hospitals to explore whether clinicians' perceptions of culture related to their attitudes to, and satisfaction with, a computerised provider order entry system (CPOE). Data were collected using the Organisational Culture Inventory and a user-satisfaction survey administered to a population of 249 clinicians from the two hospitals. One hospital used CPOE to order clinical laboratory and radiology tests and view results, and the other used the test viewing function only, the ordering facility being planned for later implementation. We found a relationship between culture and clinicians' attitudes, with those in the constructive culture hospital more likely to express positive attitudes towards CPOE, whereas those in the aggressive/defensive hospital were more likely to be negative. The relationship between culture and attitudes towards clinical information systems should be taken into account when planning for their adoption.

Suggested Citation

  • Callen, Joanne L. & Braithwaite, Jeffrey & Westbrook, Johanna I., 2007. "Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems," Social Science & Medicine, Elsevier, vol. 65(3), pages 635-639, August.
  • Handle: RePEc:eee:socmed:v:65:y:2007:i:3:p:635-639

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    References listed on IDEAS

    1. Braithwaite, Jeffrey & Westbrook, Mary T. & Iedema, Rick & Mallock, Nadine A. & Forsyth, Rowena & Zhang, Kai, 2005. "A tale of two hospitals: assessing cultural landscapes and compositions," Social Science & Medicine, Elsevier, vol. 60(5), pages 1149-1162, March.
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    Cited by:

    1. Nugus, Peter & Braithwaite, Jeffrey, 2010. "The dynamic interaction of quality and efficiency in the emergency department: Squaring the circle?," Social Science & Medicine, Elsevier, vol. 70(4), pages 511-517, February.
    2. Jacobs, Rowena & Mannion, Russell & Davies, Huw T.O. & Harrison, Stephen & Konteh, Fred & Walshe, Kieran, 2013. "The relationship between organizational culture and performance in acute hospitals," Social Science & Medicine, Elsevier, vol. 76(C), pages 115-125.
    3. Ancarani, Alessandro & Di Mauro, Carmela & Giammanco, Maria Daniela, 2009. "How are organisational climate models and patient satisfaction related? A competing value framework approach," Social Science & Medicine, Elsevier, vol. 69(12), pages 1813-1818, December.


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