The Electronic Journal of Information Systems Evaluation provides critical perspectives on topics relevant to Information Systems Evaluation, with an emphasis on the organisational and management implications
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Journal Issue
Volume 15 Issue 2 / Jul 2012  pp149‑229

Editor: Shaun Pather

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An Analysis of Three SERVQUAL Variations in Measuring Information System Service Quality  pp149‑162

James J. Jiang, Gary Klein, Neeraj Parolia, Yuzhu Li

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A Socio‑technical Approach to Designing and Evaluating Industry Oriented Applications  pp163‑175

Shah Jahan Miah, John G. Gammack, Don V Kerr

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A theoretical framework for exploring the influence of national culture on Web 2.0 adoption in corporate contexts  pp176‑186

Andrew Barron, Dirk Schneckenberg

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Implementing Electronic Health Information Systems in Local Community Settings: examining Individual and Organisational change experiences in the Philippines  pp187‑198

Shainur Premji, Ann Casebeer, Richard E Scott

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Confirmatory factor analysis of service quality dimensions within mobile telephony industry in Ghana  pp199‑217

Simon Gyasi Nimako, Foresight Kofi Azumah, Francis Donkor, Veronica Adu-Brobbey

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Barriers to the Adoption and Use of an Electronic Medication Record  pp218‑229

Maren Sander Granlien, Morten Hertzum

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Abstract

Clinicians adoption of the information systems deployed at hospitals is crucial to achieving the intended effects of the systems, yet many systems face substantial adoption barriers. In this study we analyse the adoption and use of an electronic medicati on record (EMR) 2‑4 years after its deployment. We investigate mid‑and‑lower‑level managers perception of (a) the extent to which clinicians have adopted the EMR and the work procedures associated with its use and (b) possible barriers toward adopt ing the EMR and work procedures, including the managers perception of the usefulness and ease of use of the EMR. The investigation consists of a questionnaire survey sent to the EMR managers in one Danish healthcare region, followed up with interviews at two hospital wards. The EMR is generally perceived as useful, yet respondents state that adoption of the EMR and related procedures is far from obtained. Eleven categories of barrier are identified with uncertainty about what the barriers concretely are as the prime barrier. This prime barrier is particularly noteworthy because the respondents are formally responsible for the adoption of the EMR. It is apparent that time alone has not led to consistent adoption of the EMR. We discuss implications of this finding for the organizational implementation of systems such as the EMR. 

 

Keywords: adoption, technology acceptance, adoption barriers, organizational implementation, electronic medication record, healthcare IT.

 

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