Title: The impact of individual learning and organisational environmental turbulence on physician routine use of EHR

Authors: Michele L. Heath; Tracy H. Porter; Raymond M. Henry

Addresses: College of Business Management, Cleveland State University, 1860 E. 18th Street, BU 430, Cleveland, Ohio, 44114, USA ' College of Business Management, Cleveland State University, 1860 E. 18th Street, BU 433, Cleveland, Ohio, 44114, USA ' College of Business Information Systems, Office of the Provost, Cleveland State University, 2121 Euclid Avenue, AC 333, Cleveland, OH 44115-2214, USA

Abstract: Electronic health records (EHRs) have yet to fully deliver on their promised benefits, and one possible reason is the lack of established routines for their use. We explore how physician individual learning influences the development of EHR routines and how organisational environmental turbulence disrupts this relationship. Our study tests the underlying relationships using survey data from 162 physicians in USA. The results demonstrate a positive relationship between individual learning and routine use of EHR. Our study also indicates that the relationship between individual learning and routine use is weaker when environmental turbulence is high. The paper discusses the theoretical and practical implications of these findings.

Keywords: EHRs; electronic health records; physicians; routines; turbulence; hospitals.

DOI: 10.1504/IJHTM.2024.149027

International Journal of Healthcare Technology and Management, 2024 Vol.21 No.3/4, pp.281 - 295

Received: 22 Feb 2024
Accepted: 27 Feb 2025
Published online: 09 Oct 2025 *

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