Int. J. of Electronic Finance   »   2014 Vol.8, No.1



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Title: An exploratory study of user resistance in healthcare IT


Authors: Madison N. Ngafeeson; Vishal Midha


Walker L. Cisler College of Business, Northern Michigan University, 1401 Presque Isle, Marquette, MI 49855, USA
Department of Accounting and Business Information System, Illinois State University, Campus Box 5500, Normal IL 61790, USA


Abstract: The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper uses the theory of cognitive dissonance to investigate user resistance in HIT. It builds on a Lapointe and Rivard (2005) framework to offer an explanation as to why people resist HITs. A conceptual model is developed and tested. The findings, implications, and limitations of the study are also discussed.


Keywords: HIT; health information technology; EHRs; electronic health records; electronic medical records; IT user resistance; change management; healthcare technology; theory of cognitive dissonance; e-healthcare; electronic healthcare.


DOI: 10.1504/IJEF.2014.064003


Int. J. of Electronic Finance, 2014 Vol.8, No.1, pp.74 - 94


Submission date: 19 Nov 2013
Date of acceptance: 22 May 2014
Available online: 29 Jul 2014



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