Disruptive-Technology Avoidance in Healthcare: A Revealed Causal Mapping (RCM) Approach

Int. J. Heal. Inf. Syst. Informatics Pub Date : 2019-04-01 DOI:10.4018/IJHISI.2019040103

Bahae Samhan, K. D. Joshi

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引用次数: 1

Abstract

Disruptive innovation has transformed business activities as well as individuals throughout a variety of industries. In healthcare, the implementation of electronic health records (EHR) innovation has changed the way healthcare organizations handle patient records. Despite the potential benefits EHR can bring to healthcare organizations, there is evidence to show that healthcare providers are avoiding EHR innovations. Little research in information system mainstream research has addressed this phenomenon. To understand EHR avoidance, a mid-range theory is evoked from this textual analysis of responses gathered from healthcare providers at a large international hospital. The data was analyzed by applying a revealed causal mapping technique (RCM). Results of the study revealed not only the key constructs surrounding EHR avoidance, but also the underlying concepts that are shaping each of these constructs. This study demonstrated that the use of the RCM methodology yielded concepts and constructs of EHR avoidance that are not suggested by generalized theory, and revealed main interactions and linkages between these constructs.

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医疗保健中的破坏性技术避免:揭示的因果映射(RCM)方法

颠覆性创新已经改变了各行各业的商业活动和个人。在医疗保健领域，电子健康记录(EHR)创新的实施改变了医疗保健组织处理患者记录的方式。尽管EHR可以给医疗保健组织带来潜在的好处，但有证据表明，医疗保健提供者正在避免EHR创新。在信息系统主流研究中，对这一现象的研究很少。为了理解电子病历回避，本文从一家大型国际医院的医疗服务提供者收集的回应中提出了一个中等范围的理论。应用揭示因果映射技术(RCM)对数据进行分析。研究结果不仅揭示了围绕电子病历避免的关键结构，而且揭示了塑造这些结构的潜在概念。本研究表明，RCM方法的使用产生了一般理论没有提出的EHR回避的概念和结构，并揭示了这些结构之间的主要相互作用和联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Int. J. Heal. Inf. Syst. Informatics

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