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Published in: Information Systems Frontiers 6/2019

09-03-2018

Levels of EMR Adoption in U.S. Hospitals: An Empirical Examination of Absorptive Capacity, Institutional Pressures, Top Management Beliefs, and Participation

Authors: Venugopal Gopalakrishna-Remani, Robert Paul Jones, Kerri M. Camp

Published in: Information Systems Frontiers | Issue 6/2019

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Abstract

Technology adoption literature generally focuses on behavioral and structural changes necessary for successful adoption. Little explored in that literature is the factors impacting the level of adoption which will be achieved within the organization. This healthcare industry research demonstrates that higher levels of technology adoption in organizations require the influences of both internal absorptive capabilities and external institutional pressures impacting the organization. We surveyed U.S. healthcare employees to assess top management beliefs, top management participation, absorptive capacity, institutional pressures, and level of electronic medical records (EMR) adoption in clinics and hospitals. Our results indicate no direct influence of mimetic and coercive pressures on the level of EMR adoption. Normative and mimetic pressures indirectly influence EMR adoption level through top management participation. Absorptive capacity enhances top management beliefs and participation associated with EMR adoption process, resulting in higher levels of EMR adoption in U.S. hospitals.

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Appendix
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Metadata
Title
Levels of EMR Adoption in U.S. Hospitals: An Empirical Examination of Absorptive Capacity, Institutional Pressures, Top Management Beliefs, and Participation
Authors
Venugopal Gopalakrishna-Remani
Robert Paul Jones
Kerri M. Camp
Publication date
09-03-2018
Publisher
Springer US
Published in
Information Systems Frontiers / Issue 6/2019
Print ISSN: 1387-3326
Electronic ISSN: 1572-9419
DOI
https://doi.org/10.1007/s10796-018-9836-9

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