A taxonomy of antecedents to user adoption of health information systems: A synthesis of thirty years of research

Abstract

In the past three decades, several studies have extracted antecedents to the user adoption of health information systems (HIS). This study proposes a reflective pause on the HIS adoption literature to broaden our understanding of factors contributing to the user adoption of electronic medical record (EMR). This paper provides a comprehensive taxonomy of the factors influencing the user adoption of EMR and classifies these factors into meaningful categories. We searched the selected keywords on several academic databases and found an initial set of 9,684 studies. We excluded papers on the basis of their title, abstract, and full text (89 remaining papers). The effectiveness of adoption theories has been explored based on the empirical results identified in the EMR research. Furthermore, according to the conceptualization of the factors in the literature, a list of 78 factors affecting EMR adoption was identified. These factors were classified to eight categories: individual factors, psychological factors, behavioural factors, environmental factors, organizational factors, financial factors, legal factors, and technical factors. The results have implications for researchers and practitioners, including policymakers, marketers, information technology (IT) professionals, health information management (HIM) practitioners, health practice managers, and EMR system developers.

Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective

“…This, again, could mean that the dental end-users' concerns were neglected and regular patches did not seek to address the dental module's shortcomings. It also seems to indicate, similarly to what has been found in Berg (2009), [94] and [95], that technology alone is insufficient for the successful implementation and use of EHR, which requires a holistic consideration of individual, psychological, behavioural and organisational factors.…”

Investigating the effectiveness of technologies applied to assist seniors: A systematic literature review

“…Many studies have used the same approach [33,61,35,68]. Following the guidelines proposed by Kitchenham [51], we conducted the study in three stages, namely, planning, conducting, and reporting the review.…”

Further considerations in EMR adoption

“…The recently published review article by Najaftorkaman, Ghapanchi, Talaei-Khoei, and Ray (2015) is a significant advance on our understanding of the historic influences on the electronic medical record (EMR). Their research represents a thorough review of what has gone before and highlights several areas of fruitful ongoing work.…”

“…Thus my recommendation for the extension of the excellent work by Najaftorkaman et al (2015) is that EMR adoption research also learn from current work in other areas, such as with people who have diminished cognitive abilities and yet need to enjoy the benefits that the rest of society enjoys through the advances in EMR.…”