Abstract. The impact of organizational culture on the successful implementation of infonnation systems (IS) has been studied by some researchers. However, a close examination of the literature shows that researchers examined different attributes of organizational culture, and for the same culture attributes, researchers donot agree with the actual impact of these attributes on IS implementation. This paper seeks to identify a comprehensive set of relevant organizational attributes that have the potential to impact IS implementation in the healthcare setting. Seven organizational values are investigated through case studies, and most of the attributcs are found to affect IT implementation success.
Keywords: Enterprise InjiJrmation Systems (EfS), IS success, Organizational culture
INTRODUCTIONThe use of information technology (In offers hospitals tremendous opportunities to attain operational and strategic benefits and positive fmancial performance [l]. The development and use of Hospital Information System (HIS) in the USA can be traced back to the 1960s, but in China it is a recent initiative [2]. The Golden Health project launched by Ministry of Health of P. R. China in 1995 marked the beginning of HIS development and adoption by hospitals.Despite the push from the Chinese government, HIS diffusion in Chinese hospitals is limited. A survey showed that in China, 31 % of hospitals implemented HIS, only 7% of which are the integrated HIS involving most functional departments across the entire hospitals [3]. The slow diffusion of HIS is attributed partly to its complexity. It is an enterprise information system (EIS) and is called hospital ERP. Organizational characteristics of Chinese hospitals also account for the slow diffusion. Chinese hospitals are normally subsidized and controlled by the government. They are less cost cautious and emphasize operational stability in their management. Organization decision making is centralized but communication is informal. These create barriers to the diffusion of HIS. Less cost cautious hospitals have limited incentives to deploy Please lise the jo/lml'ingforma! \\'l1cl1 ciring this dIOpter.