Abstract
A survey of the perceptions of 629 informatics experts representing 67 institutions with accredited schools of medicine was used to identify factors most important in implementing the Computer-Based Patient Record. A model outlined three theoretical factors: Innovation Attributes (attributes inherent in the CPR itself); Organizational Attributes; and Boundary-Spanning Attributes (related to marketing efforts). The model was explored using multiple regression techniques to delineate the relative importance of 15 variables within the three sets of factors and their effect on two measures of diffusion. The two dependent variables were internal diffusion, or spread of usage of the CPR, and infusion, or depth of usage. Data from the 144 respondents indicate that for diffusion, the organizational variables of "decision making" and "planning" had a significant impact, although the relation between "planning" and diffusion was negative. For infusion, the Innovation Attributes variable "visibility" was significant. The major implication is that successfully encouraging usage of the CPR entails attention and resources devoted to managing the organizational aspects of implementation.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ash J. Cross-site study of the implementation of information technology innovations in health sciences centers. Proc Annu Symp Comput Appl Med Care. 1995:795–799. [PMC free article] [PubMed] [Google Scholar]
- Ash J. Organizational factors that influence information technology diffusion in academic health sciences centers. J Am Med Inform Assoc. 1997 Mar-Apr;4(2):102–111. doi: 10.1136/jamia.1997.0040102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dixon D. R., Dixon B. J. Adoption of information technology enabled innovations by primary care physicians: model and questionnaire development. Proc Annu Symp Comput Appl Med Care. 1994:631–635. [PMC free article] [PubMed] [Google Scholar]
- Kimberly J. R. Hospital adoption of innovation: the role of integration into external informational environments. J Health Soc Behav. 1978 Dec;19(4):361–373. [PubMed] [Google Scholar]
- Massaro T. A. Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior. Acad Med. 1993 Jan;68(1):20–25. doi: 10.1097/00001888-199301000-00003. [DOI] [PubMed] [Google Scholar]