Factors influencing health information system adoption in American hospitals

Bill B. Wang*, Thomas T.H. Wan, Darrell E. Burke, Gloria J. Bazzoli, Blossom Y.J. Lin

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

104 Scopus citations

Abstract

Objectives: To study the number of health information systems (HISs), applicable to administrative, clinical, and executive decision support functionalities, adopted by acute care hospitals and to examine how hospital market, organizational, and financial factors influence HIS adoption. Methods: A cross-sectional analysis was performed with 1441 hospitals selected from metropolitan statistical areas in the United States. Multiple data sources were merged. Six hypotheses were empirically tested by multiple regression analysis. Results: HIS adoption was influenced by the hospital market, organizational, and financial factors. Larger, system-affiliated, and for-profit hospitals with more preferred provider organization contracts are more likely to adopt managerial information systems than their counterparts. Operating revenue is positively associated with HIS adoption. Conclusion: The study concludes that hospital organizational and financial factors influence on hospitals' strategic adoption of clinical, administrative, and managerial information systems.

Original languageEnglish
Pages (from-to)44-51
Number of pages8
JournalHealth Care Management Review
Volume30
Issue number1
DOIs
StatePublished - 2005
Externally publishedYes

Keywords

  • Acute care hospitals
  • Executive decision support system
  • Hospital management
  • IT strategy
  • Informatic integration
  • Information systems

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