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

Venugopal Gopalakrishna-Remani (), Robert Paul Jones and Kerri M. Camp
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Venugopal Gopalakrishna-Remani: The University of Texas at Tyler
Robert Paul Jones: The University of Texas at Tyler
Kerri M. Camp: The University of Texas at Tyler

Information Systems Frontiers, 2019, vol. 21, issue 6, No 9, 1325-1344

Abstract: 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.

Keywords: Top management beliefs; Absorptive capacity; Top management participation; Institutional pressures; Level of EMR adoption (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (6)

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DOI: 10.1007/s10796-018-9836-9

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