Abstract

To improve and facilitate patient care, hospital administrators have implemented healthcare management systems (HMS). Unfortunately, many hospitals have encountered HMS implementation problems. Some user-related factors have been proposed in the literature as important to system success. This study proposes an integrative model and empirically tests the importance of these variables as determinants of HMS impact on the jobs of nurses. Data from 213 nurses using their hospital HMS has been used to test the relationships between the independent variables and the HMS impact on the nurses' jobs. The results confirm the importance of nurse participation, training, good communication with developers, and lack of conflict regarding system implementation enabling a more desirable effect of HMS on nurses' jobs. Based on the results, recommendations are made for hospital administrators to improve the likelihood of HMS implementation success.

Highlights

  • Healthcare information technology in general has been considered as an important factor to reduce costs and improve the efficiency and safety of the health care sector (Fujino & Kawamoto, 2013; McBride, Delaney & Tietze, 2012)

  • As hospitals’ dependence on information systems increases, so does the need to ensure that they perform according to specifications and/or user needs and wants

  • While Healthcare Management Systems (HMS) technologies have been widely used in hospitals for many decades, the results have been mixed

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Summary

Introduction

Healthcare information technology in general has been considered as an important factor to reduce costs and improve the efficiency and safety of the health care sector (Fujino & Kawamoto, 2013; McBride, Delaney & Tietze, 2012). Healthcare Management Systems (HMS) provide support to many clinical and administrative activities/tasks in a wide variety of hospital areas such as radiology, anesthesia, pathology, emergency medicine, billing services, appointment scheduling, refunds, etc. Within each of these areas the HMS may be used to support a wide variety of tasks. Perhaps because of HMS’s integrative nature, they tend to be relatively large, expensive systems, normally dictated from above.

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