Title: Professionals' use of ICT in hospitals: the interplay between institutional and rational factors

Authors: Luca Gastaldi; Giovanni Radaelli; Emanuele Lettieri; Davide Luzzini; Mariano Corso

Addresses: Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Via Lambruschini 4b (Building 26b), 20156 Milan, Italy ' Warwick Business School, University of Warwick, Scarman Road, CV4 7AL Convetry, UK ' Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Via Lambruschini 4b (Building 26b), 20156 Milan, Italy ' Department of Marketing, Operations and Supply, EADA Business School, Carrer d'Aragó, 204, 08011 Barcelona, Spain ' Department of Management, Economics and Industrial Engineering, Politecnico di Milano, Via Lambruschini 4b (Building 26b), 20156 Milan, Italy

Abstract: This study gathers novel evidence on the interplay between the organisational and the individual mechanisms that affect the continued use of Electronic Medical Record (EMR) in hospitals. Our model integrates mechanisms inspired by both Institutional Theory (i.e., organisational expectations, change culture and alignment of meaning systems) and Technology Acceptance Models (i.e., perceived usefulness and ease of use). Tested on hospital professionals, our results point out the predominant role played by rational, individual-level mechanisms and the interplay with organisational expectations, as the only institutional factor that affects the continued use through both direct and mediate relationships.

Keywords: healthcare; hospital; electronic medical record; information and communication technology; ICT; technology use; technology acceptance.

DOI: 10.1504/IJTM.2019.099768

International Journal of Technology Management, 2019 Vol.80 No.1/2, pp.85 - 106

Published online: 21 May 2019 *

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