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Electronic health records adoption: Do institutional pressures and organizational culture matter?

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  • Jianxun, Chu
  • Arkorful, Vincent Ekow
  • Shuliang, Zhao

Abstract

Electronic health records have recently received increasing attention from researchers and practitioners. Nonetheless, research exploring the antecedents of adoption is limited. In this study, drawing on the institutional theory and theory of planned behavior, we propose a model to empirically investigate the salience of institutional pressures (i.e., coercive, normative and mimetic) to attitude towards electronic health records and adoption intention, and how such effects are moderated by organizational culture. The study used data drawn from a field survey conducted with 322 health practitioners to empirically test the proposed research model. The results revealed the significant effects of institutional pressures on attitude towards electronic health records. Moreover, attitude was also indicated to have a significant positive relationship with practitioner's intention to adopt electronic health records. In addition, it was revealed that, organizational culture significantly moderates the relationship between practitioners' attitude towards electronic health records and adoption intention. The implications of the study findings are discoursed on, and suggestions for future research and policy are succinctly spelt out.

Suggested Citation

  • Jianxun, Chu & Arkorful, Vincent Ekow & Shuliang, Zhao, 2021. "Electronic health records adoption: Do institutional pressures and organizational culture matter?," Technology in Society, Elsevier, vol. 65(C).
    • Handle: RePEc:eee:teinso:v:65:y:2021:i:c:s0160791x21000063
    DOI: 10.1016/j.techsoc.2021.101531
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    Cited by:

    1. Arkorful, Vincent Ekow, 2022. "Unravelling electricity theft whistleblowing antecedents using the theory of planned behavior and norm activation model," Energy Policy, Elsevier, vol. 160(C).
    2. Bennich, Amelie, 2024. "The digital imperative: Institutional pressures to digitalise," Technology in Society, Elsevier, vol. 76(C).
    3. Sharma, Mahak & Antony, Rose & Sehrawat, Rajat & Cruz, Angel Contreras & Daim, Tugrul U., 2022. "Exploring post-adoption behaviors of e-service users: Evidence from the hospitality sector /online travel services," Technology in Society, Elsevier, vol. 68(C).
    4. Vincent Ekow Arkorful & Benjamin Kweku Lugu, 2023. "Understanding Rate Evasion Behavior in Local Governance: Application of an Extended Version of the Theory of Planned Behaviour," Public Organization Review, Springer, vol. 23(3), pages 1035-1054, September.
    5. Zhao, Shuliang & Teng, Linjiao & Arkorful, Vincent Ekow & Hu, Hui, 2023. "Impacts of digital government on regional eco-innovation: Moderating role of dual environmental regulations," Technological Forecasting and Social Change, Elsevier, vol. 196(C).
    6. Esmaeilzadeh, Pouyan, 2022. "Identification of barriers affecting the use of health information exchange (HIE) in clinicians' practices: An empirical study in the United States," Technology in Society, Elsevier, vol. 70(C).
    7. Vincent Ekow Arkorful & Nurudeen Abdul-Rahaman & Hidaya Sungjun Ibrahim & Vincent Ansah Arkorful, 2022. "Fostering Trust, Transparency, Satisfaction and Participation Amidst COVID-19 corruption: Does the Civil Society Matter? – Evidence from Ghana," Public Organization Review, Springer, vol. 22(4), pages 1191-1215, December.
    8. Furstenau, Leonardo Bertolin & Zani, Carolina & Terra, Stela Xavier & Sott, Michele Kremer & Choo, Kim-Kwang Raymond & Saurin, Tarcisio Abreu, 2022. "Resilience capabilities of healthcare supply chain and supportive digital technologies," Technology in Society, Elsevier, vol. 71(C).
    9. Ng, Peggy M.L. & Lit, Kam Kong & Cheung, Cherry T.Y., 2022. "Remote work as a new normal? The technology-organization-environment (TOE) context," Technology in Society, Elsevier, vol. 70(C).
    10. Khalil, Fares Georges, 2024. "Socio-technical platforms for care transformation: An integrative synthesis and conceptualization," Technology in Society, Elsevier, vol. 77(C).

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