Getting physicians to accept new information technology: insights from case studies

Lapointe, Liette; Rivard, Suzanne
May 2006
CMAJ: Canadian Medical Association Journal;5/23/2006, Vol. 174 Issue 11, p1573
Academic Journal
Background: The success or failure of a computer information system (CIS) depends on whether physicians accept or resist its implementation. Using case studies, we analyzed the implementation of such systems in 3 hospitals to understand better the dynamics of physicians' resistance to CIS implementation. Methods: We selected cases to maximize variation while allowing comparison of CIS implementations. Data were collected from observations, documentation and interviews, the last being the main source of data. Interviewees comprised 15 physicians, 14 nurses and 14 system implementers. Transcripts were produced; 45 segments of the transcripts were coded by several judges, with an appropriate level of intercoder reliability. We conducted within-case and cross-case analyses of the data. Results: Initially, most staff were neutral or enthusiastic about the CIS implementations. During implementation, the level of resistance varied and in 2 instances became great enough to lead to major disruptions and system withdrawal. Implementers' responses to physicians' resistance behaviours played a critical role. In one case, the responses were supportive and addressed the issues related to the real object of resistance; the severity of resistance decreased, and the CIS implementation was ultimately successful. In the other 2 cases, the implementers' responses reinforced the resistance behaviours. Three types of responses had such an effect in these cases: implementers' lack of response to resistance behaviours, antagonistic responses, and supportive responses aimed at the wrong object of resistance. Interpretation: The 3 cases we analyzed showed the importance of the roles played by implementers and users in determining the outcomes of a CIS implementation.


Related Articles

  • DOCTORS PLUG IN TO LEARN WITH HIGH-TECH CONFERENCE ROOMS. Dubbs, Dana // Health Facilities Management;Sep2005, Vol. 18 Issue 9, p5 

    Looks at the multimedia conference room at the Children's Hospital in Denver, Colorado. Importance of the multimedia room for physicians of the hospitals; Computer networks of the hospital; Conveniences offered by the multimedia room to physicians in their discussion and study of difficult...

  • Changes to the electronic health records market in light of health information technology certification and meaningful use. Vest, Joshua R.; Jangho Yoon; Bossak, Brian H. // Journal of the American Medical Informatics Association;Mar2013, Vol. 20 Issue 2, p227 

    Background Health information technology (HIT) certification and meaningful use are interventions encouraging the adoption of electronic health records (EHRs) in the USA. However, these initiatives also constitute a significant intervention which will change the structure of the EHR market....

  • Formatting and presenting quality data to medical staffs and hospital boards. Logan III, J.A.; Hebbeler, Greg // Physician Executive;Oct1994, Vol. 20 Issue 10, p19 

    Discusses the authors' information presentation system in their community hospital. Data presentation to medical staffs and hospital boards; Ambulance service; Infection control; Failure rates; Equipment.

  • Adopting health IT.  // AHA News;10/1/2007, Vol. 43 Issue 20, p8 

    The article highlights the views of Noel Williams, president of HCA Information technology & Services Inc., on health information technology. Williams revealed that hospitals are starting to adopt health information technology. However, she said that cost and lack of interoperability affect the...

  • Cost biggest barrier to health IT adoption.  // Hospital Case Management;May2007, Vol. 15 Issue 5, p76 

    The article discusses the findings of a survey on the use of information technology (IT) in hospitals in the U.S. The survey, which was conducted by the American Hospital Association (AHA), found that in 2006, 68 percent of hospitals were using electronic health records. It concluded that cost...

  • HCI's 2010 Innovators.  // Healthcare Informatics;Mar2010, Vol. 27 Issue 3, p8 

    An introduction to the journal is presented in which various reports are discussed within the issue on topics including the winners of the HCI Innovator Award, the state of hospital information technology (IT) budgets, and various issues related to infrastructure.

  • Untitled. Thomson, Rebecca // Computer Weekly;5/4/2010, p34 

    The article reports on the range of technologies installed at Broomfield Hospital in Essex, England to improve patient care as it expands into a new five-storey wing. Essex Hospital director of information technology (IT) Mike Casey states that the hospital would extend its wireless network,...

  • Writing a Script for Savings. Cross, MargaretAnn // Health Data Management;Feb2007, Vol. 15 Issue 2, p110 

    The article presents a case study on the cost effectiveness of scripting software to the materials management department at Woman's Hospital in Baton Rouge, Louisiana. The software is being used in the hospital's payroll, admissions, surgical services and other departments. The tool is accessing...

  • A Higher Standard.  // H&HN: Hospitals & Health Networks;Jul2007, Vol. 81 Issue 7, p51 

    The article provides information on the 2007 Most Wired Survey and Benchmarking Study conducted by the "Hospital and Health Networks" periodical in the U.S. It states that the study examined the association between hospital information technology adoption and outcomes measure and was expanded to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics