A Case Study of Health Information Systems Adoption: An Adaptive Structuration Theory Approach

A Case Study of Health Information Systems Adoption: An Adaptive Structuration Theory Approach

Dana Schwieger (Southeast Missouri State University, USA), Arlyn Melcher (Southern Illinois University, USA), Ranganathan Chandreasekaran (University of Illinois at Chicago, USA) and H. Joseph Wen (Southeast Missouri State University, USA)
DOI: 10.4018/978-1-59904-690-7.ch008
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Adaptive structuration theory (AST) is rapidly becoming an important theoretical paradigm for comprehending the impact of advanced information technologies. In this chapter, a modified AST model was designed to illustrate the changing interrelationships among the variables affecting the adoption and application of a new technology into a medical organization setting. Using findings from a case study conducted over a 10-month period, the authors apply the case to the model to illustrate the complex interactions between medical billing technology and organizational processes. As the organization attempted to install and implement the new system, it found that in order to maintain daily operations, it would have to modify and adapt several aspects of the organization, technology and operations. As the system was slowly integrated into operations and the organization’s needs evolved through the adaptation process, the study, in turn, found that different iterations of the model could emphasize different structures. The case illustrated that the capacity to manage health information systems (HIS) often requires the organization to prioritize its needs and focus its energies on a critical structure while temporarily disregarding others until the primary healthcare processes are under control.

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Table of Contents
Chapter 1
Phillip Olla, Joseph Tan
The reference model presented in this chapter encourages the breakdown of m-health systems into the following five key dimensions: communication... Sample PDF
Designing a M-Health Framework for Conceptualizing Mobile Health Systems
Chapter 2
Janice A. Osbourne, Malcolm Clarke
This paper discusses the use of three published models, the technology acceptance model (TAM), Rogers diffusion of innovation theory (IDT), and the... Sample PDF
Factors Motivating the Acceptance of New Information and Communication Technologies in UK Healthcare: A Test of Three Models
Chapter 3
Vivying S.Y. Cheng, Patrick Hung
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a set of rules to be followed by health plans, doctors, hospitals and... Sample PDF
An Overview of the HIPAA-Compliant Privacy Access Control Model
Chapter 4
Christopher G. Reddick
This chapter examines the use of the Internet for gathering health information by boomers and seniors. This study attempts to determine whether... Sample PDF
The Internet and Managing Boomers and Seniors' Health
Chapter 5
Thomas Chesney, Kay Penny, Peter Oakley, Simon Davies, David Chesney, Nicola Maffulli, John Templeton
Trauma audit is intended to develop effective care for injured patients through process and outcome analysis, and dissemination of results. The... Sample PDF
Data Mining Medical Information: Should Artificial Neural Networks be Used to Analyze Trauma Audit Data
Chapter 6
Steven Walczak, Bradley B. Brimhall, Jerry B. Lefkowitz
Patients face a multitude of diseases, trauma, and related medical problems that are difficult and costly to diagnose with respect to direct costs... Sample PDF
Diagnostic Cost Reduction Using Artificial Neural Networks: The Case of Pulmonary Embolism
Chapter 7
James G. Anderson, E. Andres Balas
The objective of this study was to assess the current level of information technology used by primary care physicians in the U.S. Primary care... Sample PDF
Information Technology in Primary Care Practice in the United States
Chapter 8
Dana Schwieger, Arlyn Melcher, Ranganathan Chandreasekaran, H. Joseph Wen
Adaptive structuration theory (AST) is rapidly becoming an important theoretical paradigm for comprehending the impact of advanced information... Sample PDF
A Case Study of Health Information Systems Adoption: An Adaptive Structuration Theory Approach
Chapter 9
Huigang Liang, Yajiong Xue, Xiaocheng Wu
Computerized physician order entry (CPOE) holds potential of reducing medical errors, improving care quality, and cutting healthcare costs. Yet its... Sample PDF
Understanding Physicians' Acceptance of Computerized Physician Order Entry
Chapter 10
Carla Wiggins, John C. Beachboard, Kenneth Trimmer, Lela “Kitty” Pumphrey
This study describes and assesses the evolution of IT governance practices in a rural family practice residency program. The need to establish IT... Sample PDF
Entrepreneurial IT Governance in a Rural Family Practice Residency Program
Chapter 11
Maryann Yeo, Penny A. Jennett
The current status of policies, guidelines and standards related to the organizational context of clinical telehealth practice were investigated.... Sample PDF
Telehealth Organizational Implementation Guideline Issues: A Canadian Perspective
Chapter 12
Marion Sobol, Edmund Prater
Research on the use of information technology in healthcare has focused on hospitals and health maintenance organizations (HMOs). However little has... Sample PDF
Computer Usage by U.S. Group Medical Practices 1994 vs. 2003 and Type of Usage Comparison to IT Practices in Taiwan
Chapter 13
Ioannis Apostolakis, Periklis Valsamos, Iraklis Varlamis
The demographic and geographic dispersion of Greece necessitates the adoption of telemedicine solutions in order to reduce patient transportation... Sample PDF
Decentralization of the Greek National Telemedicine System
Chapter 14
Diane C. Davis, Minal Thakkar
The need to adopt an electronic health record (EHR) system in United States (U.S.) hospitals seems to be more and more obvious when evaluating the... Sample PDF
Perceived Level of Benefits and Risk Core Functionalities of an EHR System
Chapter 15
Karen Chang, Kyle D. Lutes, Melanie L. Braswell, Jacqueline K. Nielsen
Nurses working in hospitals with paper-based systems often face the challenge of inefficiency in providing quality nursing care. Two areas of... Sample PDF
Using Pocket PCs for Nurses' Shift Reports and Patient Care
Chapter 16
David Parry
Evidence-based medicine (EBM) requires appropriate information to be available to clinicians at the point of care. Electronic sources of information... Sample PDF
Evaluation of a Tool to Enhance Searching for Useful Medical Information on the Internet
Chapter 17
E. Vance Wilson
E-health use is increasing worldwide, but no current e-health paradigm fulfills the complete range of users’ needs for Web-enabled healthcare... Sample PDF
Applying Personal Health Informatics to Create Effective Patient-Centered E-Health
Chapter 18
Neset Hikmet, Anol Bhattacherjee
This study examines the effects of certifications such as JCAHO on healthcare information technology (HIT) usage in healthcare organizations and... Sample PDF
The Impact of Certification on Healthcare Information Technology Use
Chapter 19
Nilmini Wickramasinghe, Santosh Misra, Arnold Jenkins, Douglas R. Vogel
Superior access, quality, and value of healthcare services has become a national priority for healthcare to combat the exponentially increasing... Sample PDF
The Competitive Forces Facing E-Health
Chapter 20
George Eisler, Joseph Tan, Samuel Sheps
The challenge of conceptualizing healthcare technology management (HCTM) construct begins with an extensive literature content analysis to generate... Sample PDF
From Theory to Practice: Healthcare Technology Management (HCTM) Conceptualization, Measures, and Practices
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