Antecedents of open source software adoption in health care organizations: A qualitative survey of experts in Canada
Antecedents of open source software adoption in health care organizations: A qualitative survey of experts in Canada
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DOI：
10.1016/j.ijmedinf.2013.04.001
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发表时间：
2013-08-01
影响因子：
4.9
通讯作者：
Pare, Guy
中科院分区：
文献类型：
--
作者：
Marsan, Josianne;Pare, Guy
目的：开放源代码软件（OSS）在发达国家卫生保健组织（HCOs）中的采用和使用相对较低，但一些背景因素最近鼓励考虑OSS在信息技术（IT）应用组合中可能发挥的作用。本文旨在开发一个研究模型，用于调查hco中采用OSS决策的先决条件。方法：基于综合组织中信息技术采用文献的概念框架，我们对来自加拿大魁北克省各级卫生和社会服务部门的信息技术专家进行了18次半结构化访谈。我们还采访了省内10家IT供应商。对访谈进行了定性数据分析，以确定hco采用OSS决策的主要先决条件。结果：与三个不同的理论视角相关的八个因素影响了OSS的采用。更具体地说，它们与经典的创新扩散理论，即资源理论，以及制度理论及其衍生理论，即组织愿景理论有关。这些因素可以分为三类：开源软件作为一种创新的特点，HCO吸收开源软件的能力的特点，以及围绕开源软件的制度压力和公众话语的外部环境的特点。我们揭示了两个密切相互作用的新因素：(1)卫生保健社区对围绕OSS的公共话语的兴趣，以及(2)无论是在杂志上还是在其他媒体上发现的这种话语的清晰度、一致性和丰富性。结论：OSS仍然提出了许多问题，并为hco提出了一些挑战。同时考虑解释HCO决定采用OSS的不同因素是至关重要的。这样做可以在决定采用或不采用OSS时更好地理解hco的基本原理。2013爱思唯尔爱尔兰有限公司版权所有。
Purpose: Open source software (OSS) adoption and use in health care organizations (HCOs) is relatively low in developed countries, but several contextual factors have recently encouraged the consideration of the possible role of OSS in information technology (IT) application portfolios. This article aims at developing a research model for investigating the antecedents of OSS adoption decisions in HCOs.Methods: Based on a conceptual framework derived from a synthesis of the literature on IT adoption in organizations, we conducted 18 semi-structured interviews with IT experts from all levels of the Province of Quebec's health and social services sector in Canada. We also interviewed 10 IT suppliers in the province. A qualitative data analysis of the interviews was performed to identify major antecedents of OSS adoption decisions in HCOs.Results: Eight factors associated with three distinct theoretical perspectives influence OSS adoption. More specifically, they are associated with the classical diffusion of innovations theory, the theory of resources, as well as institutional theory and its spin-off, the organizing vision theory. The factors fall under three categories: the characteristics of OSS as an innovation, the characteristics of the HCO with respect to its ability to absorb OSS, and the characteristics of the external environment with respect to institutional pressures and public discourse surrounding OSS. We shed light on two novel factors that closely interact with each other: (1) interest of the health care community in the public discourse surrounding OSS, and (2) clarity, consistency and richness of this discourse, whether found in magazines or other media.Conclusions: OSS still raises many questions and presents several challenges for HCOs. It is crucial that the different factors that explain an HCO's decision on OSS adoption be considered simultaneously. Doing so allows a better understanding of HCOs' rationale when deciding to adopt, or not to adopt, OSS. (C) 2013 Elsevier Ireland Ltd. All rights reserved.