User Resistance to Health Information Technology

2019 ◽  
pp. 276-287
Author(s):  
Madison N. Ngafeeson
Keyword(s):  
Information Technology ◽  
Healthcare Costs ◽  
Full Range ◽  
Simple Explanation ◽  
It Adoption ◽  
Health It ◽  
User Resistance ◽  
It Implementation ◽  
Great Step

The use of information technology (IT) in healthcare to improve outcomes is now a global phenomenon. If effectively implemented and efficiently leveraged, these technologies will greatly lower healthcare costs, improve safety, and elevate the quality of health. Nevertheless, health IT implementation and adoption continues to meet challenges. Reports show that physicians, nurses, and other healthcare professionals continue to resist health IT. Researchers have proposed models to explain this notion, and till date, there still is a lack of an overarching paradigm to view the concept. Resistance is a complex phenomenon that defies simple explanation and analysis. It requires well-accepted theories or paradigms encompassing the full range of variables associated with it. Understanding and mitigating user resistance is a great step toward improving sector-wide adoption. In this chapter, the authors survey extant theories of resistance and provide a paradigmatic lens for leveraging this knowledge to practical solutions in health IT adoption.

scholarly journals Planning for Hospital IT Implementation: A New Look at the Business Case

2008 ◽  
Vol 1 ◽  
pp. BII.S1035
Author(s):  
Nir Menachemi ◽  
Ebrahim Randeree ◽  
Darrell E. Burke ◽  
Eric W. Ford
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Clinical Performance ◽  
Clinical Information ◽  
Business Case ◽  
Clinical Information Systems ◽  
It Adoption ◽  
Health It ◽  
Maintenance Costs ◽  
It Implementation

Compared to organizations in other industries, hospitals are slow to adopt information technology (IT). Those planning for system implementation must understand the barriers to IT adoption which, in healthcare, include the relatively high acquisition and maintenance costs of sophisticated administrative and clinical information systems. Understanding the overall business case is particularly important for hospital IT planners. This paper describes the literature that examines benefits from using health IT. In addition, we focus on a series of studies conducted in Florida that provide generalizable evidence regarding the overall business case associated with hospital adoption for information systems. These studies focus broadly on the improved financial, operational, and clinical performance associated with IT.

Development and Psychometric Qualities of the SEIPS Survey to Evaluate CPOE/EHR Implementation in ICUs

2013 ◽  
pp. 161-179
Author(s):  
Peter Hoonakker ◽  
Randi S. Cartmill ◽  
Pascale Carayon ◽  
James M. Walker
Keyword(s):  
Systems Engineering ◽  
User Satisfaction ◽  
Critical Factor ◽  
Health It ◽  
Validity And Reliability ◽  
End User ◽  
Computerized Provider Order Entry ◽  
User Resistance ◽  
It Implementation ◽  
Show Evidence

Health Information Technology (IT) implementation can fail or meet high levels of user resistance for a variety of reasons, including lack of attention to users’ needs and the significant workflow changes induced and required by the technology. End-user satisfaction is a critical factor in health IT implementation. In this paper, the authors describe the process of developing and testing a questionnaire to evaluate health IT implementation, in particular Computerized Provider Order Entry (CPOE) and Electronic Health Record (EHR) technologies. Results show evidence for the validity and reliability of the questionnaire. The Systems Engineering Initiative for Patient Safety (SEIPS) questionnaire is easy to administer and allows researchers to evaluate different aspects of health IT implementation. Results of this research can be used for benchmarking results of future studies evaluating health IT implementation.

Developing and Measuring the Business Case for Health Information Technology

2017 ◽  
pp. 262-290 ◽  
Author(s):  
Duncan Wade Unwin ◽  
Louis Sanzogni ◽  
Kuldeep Sandhu
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Information Systems ◽  
Care Delivery ◽  
Health Care Systems ◽  
Business Case ◽  
It Adoption ◽  
Health It ◽  
Adoption Of Technology ◽  
Care Systems

This chapter examines the adoption of information technology and information systems to support the clinical process. It explores popular models of information systems adoption and success, and relates these to the health it context. The end result of successful adoption of technology should be the improvement in performance of health care delivery, yet measurement of performance is complex. The various approaches to performance measurement are discussed. As one of the challenges in predicting the outcomes of adoption is the lack of consistent taxonomy, a solution to which is proposed. The chapter then looks at evaluation of it projects and considers what special factors may affect health it adoption and benefits in developing health care systems.

scholarly journals Effects of health information technology on patient outcomes: a systematic review

2015 ◽  
Vol 23 (5) ◽  
pp. 1016-1036 ◽  
Author(s):  
Samantha K Brenner ◽  
Rainu Kaushal ◽  
Zachary Grinspan ◽  
Christine Joyce ◽  
Inho Kim ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Clinical Decision ◽  
Cochrane Library ◽  
Health It ◽  
Term Care ◽  
Safety Outcomes

Abstract Objective To systematically review studies assessing the effects of health information technology (health IT) on patient safety outcomes. Materials and Methods The authors employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement methods. MEDLINE, Cumulative Index to Nursing Allied Health (CINAHL), EMBASE, and Cochrane Library databases, from 2001 to June 2012, were searched. Descriptive and comparative studies were included that involved use of health IT in a clinical setting and measured effects on patient safety outcomes. Results Data on setting, subjects, information technology implemented, and type of patient safety outcomes were all abstracted. The quality of the studies was evaluated by 2 independent reviewers (scored from 0 to 10). A total of 69 studies met inclusion criteria. Quality scores ranged from 1 to 9. There were 25 (36%) studies that found benefit of health IT on direct patient safety outcomes for the primary outcome measured, 43 (62%) studies that either had non-significant or mixed findings, and 1 (1%) study for which health IT had a detrimental effect. Neither the quality of the studies nor the rate of randomized control trials performed changed over time. Most studies that demonstrated a positive benefit of health IT on direct patient safety outcomes were inpatient, single-center, and either cohort or observational trials studying clinical decision support or computerized provider order entry. Discussion and Conclusion Many areas of health IT application remain understudied and the majority of studies have non-significant or mixed findings. Our study suggests that larger, higher quality studies need to be conducted, particularly in the long-term care and ambulatory care settings.

scholarly journals Development and Psychometric Qualities of the SEIPS Survey to Evaluate CPOE/EHR Implementation in ICUs

2011 ◽  
Vol 6 (1) ◽  
pp. 51-69 ◽  
Author(s):  
Peter Hoonakker ◽  
Randi S. Cartmill ◽  
Pascale Carayon ◽  
James M. Walker
Keyword(s):  
Systems Engineering ◽  
User Satisfaction ◽  
Critical Factor ◽  
Health It ◽  
Validity And Reliability ◽  
End User ◽  
Computerized Provider Order Entry ◽  
User Resistance ◽  
It Implementation ◽  
Show Evidence

Health Information Technology (IT) implementation can fail or meet high levels of user resistance for a variety of reasons, including lack of attention to users’ needs and the significant workflow changes induced and required by the technology. End-user satisfaction is a critical factor in health IT implementation. In this paper, the authors describe the process of developing and testing a questionnaire to evaluate health IT implementation, in particular Computerized Provider Order Entry (CPOE) and Electronic Health Record (EHR) technologies. Results show evidence for the validity and reliability of the questionnaire. The Systems Engineering Initiative for Patient Safety (SEIPS) questionnaire is easy to administer and allows researchers to evaluate different aspects of health IT implementation. Results of this research can be used for benchmarking results of future studies evaluating health IT implementation.

A SYSTEMATIC LITERATURE REVIEW ON SAFE HEALTH INFORMATION TECHNOLOGY USE BEHAVIOUR

2016 ◽  
Vol 78 (4-3) ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
Wardah Zainal Abidin
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Literature Review ◽  
Health Information Technology ◽  
Health Information ◽  
Systematic Literature Review ◽  
Technology Use ◽  
It Adoption ◽  
Health It ◽  
Use Behavior

The implementation of health information technology (IT) is one of the strategy to improve patient safety due to medical errors. Nevertheless, inappropriate use of health IT may have serious consequences to the quality of care and patient safety. Most of the previous studies have been focused on the sociotechnical factors contributed to health IT related errors. Little focus has been given on the use behavior that influence the safety of health IT adoption. In order to address this gap, this study investigates the use behavior that influence the safety of health IT adoption. Systematic literature review was conducted to identify articles pertinent to safety of health IT. Science Direct, Medline, EMBASE, and CINAHL database were searched for reviews relevance articles. A total of 23 full articles were reviewed to extract use behavior that influence the safety of health IT adoption. Workarounds, adhere to procedure, vigilant action, and copy and paste behavior were discerned as the significance use behavior that influence health IT safety adoption. This study may be of significance in providing useful information on how to safely practice health IT adoption.  

scholarly journals Analysis of User Resistance Towards Adopting E-Office: A Case from A Governmental Organization

2021 ◽  
Vol 3 ◽  
pp. 1-7
Author(s):  
Pandu Dwi Luhur Pambudi
Keyword(s):  
Information Technology ◽  
Technology Adoption ◽  
Business Process ◽  
Business Processes ◽  
Innovation Adoption ◽  
It Adoption ◽  
Governmental Organization ◽  
User Resistance ◽  
Governmental Organizations ◽  
It Innovation

The advancement in information technology is accelerating, affecting many industries. Government entities are one of the industries that have been affected. They adopt information technology (IT) to replace disorganized traditional business processes. This study observes that the IT innovation adoption in an organization will lead to some resistance. We bring a case of IT adoption to replace one part of a manual business process (letter management system) into a digitalized system called E-office in one of Indonesia’s governmental organizations. The adoption of IT causes some resistance within the organization, which motivates us to identify resistances before and during the adoption. We interview a team who oversees handling E-office implementation and discovered two types of resistances in technology adoption: delaying resistances and opposition resistances. Meanwhile, there are two types of behavioral resistances: reluctant compliance resistance and misguided application resistance. This research further provides details on the approaches used by the organization to mitigate resistances before and during the adoption of the E-office project's implementation.

scholarly journals The Nature and Role of Perceived Threats in User Resistance to Healthcare Information Technology

2021 ◽  
Vol 16 (3) ◽  
pp. 21-45
Author(s):  
Madison N. Ngafeeson ◽  
Joseph A. Manga
Keyword(s):  
Information Technology ◽  
Quality Of Healthcare ◽  
The United States ◽  
United States Government ◽  
Healthcare Information ◽  
User Resistance ◽  
Reactance Theory ◽  
Psychological Reactance Theory

The efforts of the United States government in the past 15 years have included harnessing the power of health information technology (HIT) to improve legibility, lessen medical errors, keep costs low, and elevate the quality of healthcare. However, user resistance is still a barrier to overcome in order to achieve desired outcomes. Understanding the nature of resistance is key to successfully increasing the adoption of HIT systems. Previous research has showed that perceived threats are a significant antecedent of user resistance; however, its nature and role have remained vastly unexplored. This study uses the psychological reactance theory to explain both the nature and role of perceived threats in HIT-user resistance. The study shows that perceived helplessness over process and perceived dissatisfaction over outcomes are two unique instances of perceived threats. Additionally, the results reveal that resistance to healthcare information systems can manifest as reactance, distrust, scrutiny, or inertia. The theoretical and practical implications of the findings are discussed.

Factors Affecting Health Information Technology Expenditure in California Hospitals

2018 ◽  
pp. 1437-1449
Author(s):  
Jinhyung Lee
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Planning ◽  
Teaching Hospitals ◽  
It Adoption ◽  
Health It ◽  
It Investment ◽  
Factors Affecting ◽  
For Profit

This paper investigates the factors affecting health information technology (IT) investment. Different from previous studies, health IT was measured as the dollar amount of hardware, software and labor related health IT. This study employed Hospital and Patient level data of the Office of Statewide Health Planning and Development (OSHPD) from 2000 to 2006. The generalized linear model (GLM) was employed with log link and normal distribution and controlled for clustering error. This study found that not-for-profit and government hospital, teaching hospitals, competition, health IT expenditure of neighborhood hospitals were positively associated with health IT expenditure. However, rural hospitals were negatively associated with health IT expenditure. Moreover, this study found a significant increase in health IT investment over seven years resulted from increased clinical IT adoption.

scholarly journals Exploring Information Technology and Total Quality Management Implementation by Food and Drink Manufacturing Enterprises

2019 ◽  
Vol 10 (3) ◽  
pp. 1-13
Author(s):  
Sofia Zioupou ◽  
Basil Manos ◽  
Zacharoula Andreopoulou ◽  
Eirini Tzimitra-Kalogianni
Keyword(s):  
Information Technology ◽  
Quality Management ◽  
Total Quality Management ◽  
Business Strategy ◽  
Value Added ◽  
Company Performance ◽  
It Adoption ◽  
Total Quality ◽  
It Implementation ◽  
Food And Drink

The purpose of this study was to examine the implementation of Total Quality Management (TQM) as a business strategy in the Greek food and drink industry, along with the examination of the Information Technology (IT) adoption in the field. A research project was carried out in the sector companies based in Greece, using the questionnaire method. Findings showed a strong relation between IT implementation and impact of IT on TQM. Company size also seemed to affect TQM implementation, and the majority of IT implementation constructs, while company performance was not significant in terms of net profit margin and value added per employee.

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