TY - JOUR
T1 - eHealth adoption factors in medical hospitals
T2 - A focus on the Netherlands
AU - Faber, Sander
AU - van Geenhuizen, Marina
AU - de Reuver, Mark
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Diffusion of innovations (DOI)
KW - eHealth
KW - Hospitals
KW - Organisational adoption
KW - Structural equation modelling
KW - Technological-organisational-environmental (TOE) framework
UR - http://www.scopus.com/inward/record.url?scp=85010341341&partnerID=8YFLogxK
U2 - 10.1016/j.ijmedinf.2017.01.009
DO - 10.1016/j.ijmedinf.2017.01.009
M3 - Article
AN - SCOPUS:85010341341
SN - 1386-5056
VL - 100
SP - 77
EP - 89
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
ER -