Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review

Abstract

Organizational issues surrounding technology implementations in healthcare settings are crucially important, but have as yet not received adequate research attention. This may in part be due to the subjective nature of factors, but also due to a lack of coordinated efforts toward more theoretically-informed work. Our findings may be used as the basis for the development of best practice guidelines in this area.

Implementing and Sustaining Team-Based Telecare for Bipolar Disorder: Lessons Learned from a Model-Guided, Mixed Methods Analysis

“…Another review noted the importance of champions who initiate the service, promote the method, and build relationships between providers. 14 From a specifically organizational implementation perspective, others 13 have identified technical, social, and organizational dimensions of implementation. Technical characteristics must add value to existing work.…”

“…4,5,[10][11][12] Challenges in moving CVT interventions from highly controlled demonstrations and controlled trials into general practice have been recognized since the early days of CVT. 1,2,[13][14][15][16][17] Factors contributing to this ''disjunction of research and practice '' 18 include technical, social, organizational, and policy factors, 2,13,15 as well as lack of empirical evidence on outcomes. 18,19 Such factors also affect the adoption and sustainment of pharmacological healthcare innovations generally.…”

Investigating the Organizational and the Environmental Issues that Influence the Adoption of Healthcare Information Systems in Public Hospitals of Iraq

“…The adoption process of new technology involves different but interrelated dimensions that need to be considered collectively to comprehend and explain the phenomenon of technology adoption in healthcare context (Cresswell & Sheikh, 2013;Jeyaraj, Rottman, & Lacity, 2006;Yusof, Kuljis, Papazafeiropoulou, & Stergioulas, 2008); therefore, to improve the performance of the UTAUT model within healthcare context, other potentially important constructs were integrated to the UTAUT model in order to cover the other aspects of the adoption process. Boonstra and Broekhuis (2010) stated that organizational factors are considered one of the barriers affecting the adoption of HIS within hospitals, as such factors are directly related to managing the medical practice and the healthcare staff's environment; on the other hand, the organizational role can significantly support the adoption of HIS by promoting the benefits of those technologies, actively involving and providing the required resources for smooth implementation process (Bossen et al, 2013;Escobar-Rodríguez & Romero-Alonso, 2013).…”

“…The implementation of those innovations into modern hospitals has become inevitable as many countries are trying to digitize their healthcare institutions (Chang, Hwang, Yen, & Lian, 2006). Simultaneously, these HIS systems introduce new work experiences to healthcare staff that did not exist previously, which can create challenges that need to be tackled properly in order to assure the adoption of such systems by healthcare staff and consequently to achieve its success (Cresswell & Sheikh, 2013;McGinn et al,result, this low adoption of HIS systems implies the loss of those substantial budgets that probably cannot be reallocated again for the same purpose. Another reason for HIS low adoption is the complexity of those technologies (Avgar, Litwin, & Pronovost, 2012;Cresswell & Sheikh, 2013;Lluch, 2011;Thakur, Hsu, & Fontenot, 2012;Venkatesh, Sykes, & Zhang, 2011), which might discourage the healthcare staff to use it as it will require them to attend training programs and adds time burdens to the staff's already loaded schedule (Boonstra & Broekhuis, 2010;McGinn et al, 2011).…”

“…The mere availability of HIS systems within the hospital will not guaranty that the staff will use it and commit to it (Avgar et al, 2012). That's why the staff's attitude must not be underestimated as a contributor to the adoption of HIS and should be accounted for, as this adoption of technology is a precondition for its success as asserted by many researchers (Cresswell & Sheikh, 2013;McGinn et al, 2011;Ward, Stevens, Brentnall, & Briddon, 2008). Also, the examination of the factors that drive technology adoption within hospitals is still relatively lagging compared to other industries (Escobar-Rodríguez & Romero-Alonso, 2013;Schnall & Bakken, 2011).…”