The Implementation of the Human, Organization, and Technology–Fit (HOT–Fit) Framework to Evaluate the Electronic Medical Record (EMR) System in a Hospital

Abstract

Abstract The implementation of health information system in a hospital has been widely discussed in the previous research. In terms of evaluation, fewer literature aim at studying three important aspects of technology adoption, namely human, organization, and technology. Following this, this research contributes to fill the gap by implementing the Human, Organization, and Technology-Fit (HOT-Fit) framework in order to evaluate the health information system– that is Electronic Medical Record (EMR) system in a hospital. To implement the framework, a set of questionnaire was developed according to the model descriptions in the framework. Then, the questionnare was distributed to the users of EMR system in a type-C hospital and being analyzed by employing the Generalized Structured Component Analysis (GSCA) method and a web-based tool called GeSCA. The relationships between the three aspects of human, organization and technology are discussed and recommendations are given according to this result. This research proves that (1) only environment dimension in the organization aspect has positive and significant influence to the net benefits; (2) information quality and service quality dimensions in the technology aspect both have positive and significant influence to user satisfaction dimension in the human aspect; and (3) the two dimensions in the organization aspect- that are structure and environment, give positive and significant influence toward each other. It is also interesting to see that all of the dimensions in technology aspect have very little influence to the structure factor in the organization aspect. The research results support that the influence of human and organization aspect is the key success of technology adoption in a hospital.