Title: Information systems and change management in healthcare: the (un)solved quest for changing physicians' behaviour

Authors: Emanuele Lettieri, Giovanni Radaelli, Cristina Masella

Addresses: Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy. ' Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy. ' Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy

Abstract: This paper identifies 19 factors that affect physicians| behavioural changes due to the adoption of new clinical information systems and ten interventions that hospital managers can introduce to facilitate change management. Despite information systems have been acknowledged as major enablers of performance improvement in healthcare delivery, numerous failures to adopt and implement are documented in the literature. The authors carried out a systematic literature review to identify factors and interventions that can facilitate or inhibit physicians| behavioural changes. Selected factors have been synthesised assuming the theory of planned behaviour (TPB) as main theoretical framework. Relationships between factors and interventions have been reviewed and discussed.

Keywords: clinical information systems; change management; clinical DSS; decision support systems; CDSSs; theory of planned behaviour; TPB; physician acceptance; healthcare technology; behavioural changes; healthcare delivery.

DOI: 10.1504/IJISCM.2010.033077

International Journal of Information Systems and Change Management, 2010 Vol.4 No.3, pp.226 - 245

Published online: 07 May 2010 *

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