Organizational decision to adopt hospital information system: An empirical investigation in the case of Malaysian public hospitals
Organizational decision to adopt hospital information system: An empirical investigation in the case of Malaysian public hospitals
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DOI：
10.1016/j.ijmedinf.2014.12.004
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发表时间：
2015-03-01
影响因子：
4.9
通讯作者：
IbrahimFaculty, Othman
中科院分区：
文献类型：
--
作者：
Ahmadi, Hossein;Nilashi, Mehrbakhsh;IbrahimFaculty, Othman
目的：本研究主要结合成熟的技术-组织-环境（TOE）框架和新近发展的人-组织-技术（HOT）匹配模型，来识别影响医院采用医院信息系统（HIS）决策的因素。因此，委员会认为，采用混合多准则决策模型，借助网络分析法（ANP）处理各因素之间的依赖关系和决策试验和评估实验室（DEMATEL）方法。初步的研究模型的设计，考虑了四个主要维度，13个变量作为组织创新采用因素方面的信息系统。利用DEMATEL软件对各维度和变量之间的相关强度进行了检验。然后采用ANP方法来确定采用因素的相对重要性，并用于确定公立医院专业人员如何对这些因素进行加权和优先排序，这些专业人员完全熟悉HIS并具有多年的医院信息系统（IS）部门决策经验。本研究结果显示，从专家的观点来看，“知觉技术能力”是人类维度中最重要的因素。在技术维度上，专家们一致认为，相对于其他因素，“相对优势”更为重要。在组织维度中，“医院规模”被认为比其他维度更重要。而在环境维度中，根据专家的判断，“政府政策”是最重要的因素。专家ANP调查结果也显示，HIS领域的专家认为这些因素不应被医院管理者忽视，HIS的采用与更多地考虑这些因素有关。此外，从结果来看，专家们对HIS的采用更关注环境和技术。结论：本研究的结果在医疗行业的背景下做出了新的贡献，即改善了采用阶段创新的决策过程，并有助于提高IS在医院环境中的扩散，通过这样做，可以为患者社区和医院带来大量利润。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Objectives: This study mainly integrates the mature Technology-Organization-Environment (TOE) framework and recently developed Human-Organization-Technology (HOT) fit model to identify factors that affect the hospital decision in adopting Hospital Information System (HIS).Methods: Accordingly, a hybrid Multi-Criteria-Decision-Making (MCDM) model is used to address the dependence relationships of factors with the aid of Analytic Network Processes (ANP) and Decision Making Trial and Evaluation Laboratory (DEMATEL) approaches. The initial model of the study is designed by considering four main dimensions with 13 variables as organizational innovation adoption factors with respect to HIS. By using DEMATEL, the inter-dependencies strength among the dimensions and variables are tested. The ANP method is then adopted in order to determine the relative importance of the adoption factors, and is used to identify how these factors are weighted and prioritized by the public hospital professionals, who are wholly familiar with the HIS and have years of experience in decision making in hospitals' Information System (IS) department.Results: The results of this study indicate that from the experts' viewpoint "Perceived Technical Competence" is the most important factor in the Human dimension. In the Technology dimension, the experts agree that the "Relative Advantage" is more important in relation to the other factors. In the Organization dimension, "Hospital Size" is considered more important rather than others. And, in the Environment dimension, according to the experts judgment, "Government Policy" is the most important factor. The results of ANP survey from experts also reveal that the experts in the HIS field believed that these factors should not be overlooked by managers of hospitals and the adoption of HIS is more related to more consideration of these factors. In addition, from the results, it is found that the experts are more concerned about Environment and Technology for the adoption HIS.Conclusions: The findings of this study make a novel contribution in the context of healthcare industry that is to improve the decision process of innovation in adoption stage and to help enhance more the diffusion of IS in the hospital setting, which by doing so, can provide plenty of profits to the patient community and the hospitals. (C) 2015 Elsevier Ireland Ltd. All rights reserved.