eHealth adoption factors in medical hospitals: A focus on the Netherlands.

Abstract:

BACKGROUND:Despite strong policy interest in eHealth, actual adoption in many European hospitals is low. PURPOSE:This study develops and tests in a preliminary way an organisational eHealth adoption model rooted in several adoption frameworks to improve understanding of this phenomenon. METHODS:The model is explored through a survey among hospitals in the Netherlands using a Structural Equation Modelling (SEM) approach. Specific attention is paid to measurement of organisational readiness and to adoption as a process including different stages. RESULTS:Our results suggest a sharp decrease in the adoption process by hospitals after the stage of interest/commitment. Adoption tends to be significantly affected by size of the hospital, organisational readiness including technical aspects, and top management support. CONCLUSIONS:eHealth adoption tends to be not a linear process nor a linear function of contextual antecedents. Organisational readiness is an important antecedent for eHealth adoption. The paper concludes with organisational strategies and policies to foster eHealth adoption in hospitals and suggestions for future study.

journal_name

Int J Med Inform

authors

Faber S,van Geenhuizen M,de Reuver M

doi

10.1016/j.ijmedinf.2017.01.009

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

77-89

eissn

1386-5056

issn

1872-8243

pii

S1386-5056(17)30009-6

journal_volume

100

pub_type

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