TY - JOUR
T1 - Hospital information system institutionalization processes in indonesian public, government-owned and privately owned hospitals
AU - Handayani, P. W.
AU - Hidayanto, A. N.
AU - Ayuningtyas, Dumilah
AU - Budi, Indra
N1 - Publisher Copyright:
© 2016 Elsevier Ireland Ltd
PY - 2016/11/1
Y1 - 2016/11/1
N2 - The Hospital Information System (HIS) could help hospitals as a public entity to provide optimal health services. One of the main challenges of HIS implementation is an institutional change. Using institutional theory as the analytical lens, this study aims to explain the institutionalization of HIS as an instance of e-health initiatives in Indonesia. Furthermore, this paper aims for hospital management and researchers to improve the understanding of the social forces that influence hospital personnel's HIS acceptance within an organizational context. We use case studies from four public, government-owned hospitals and four privately owned (public and specialty) hospitals to explain the HIS institutionalization process by exploring the three concepts of institutional theory: institutional isomorphism, institutional logic, and institutional entrepreneurship. This study reveals that differences exist between public, government-owned and private hospitals with regard to the institutionalization process: public, government-owned hospitals’ management is more motivated to implement HIS to comply with the regulations, while private hospitals’ management views HIS as an urgent requirement that must be achieved. The study findings also reveal that various institutional isomorphism mechanisms and forms of institutional logic emerge during the process. Finally, three factors—self-efficacy, social influence, and management support—have a significant influence on the individual acceptance of HIS.
AB - The Hospital Information System (HIS) could help hospitals as a public entity to provide optimal health services. One of the main challenges of HIS implementation is an institutional change. Using institutional theory as the analytical lens, this study aims to explain the institutionalization of HIS as an instance of e-health initiatives in Indonesia. Furthermore, this paper aims for hospital management and researchers to improve the understanding of the social forces that influence hospital personnel's HIS acceptance within an organizational context. We use case studies from four public, government-owned hospitals and four privately owned (public and specialty) hospitals to explain the HIS institutionalization process by exploring the three concepts of institutional theory: institutional isomorphism, institutional logic, and institutional entrepreneurship. This study reveals that differences exist between public, government-owned and private hospitals with regard to the institutionalization process: public, government-owned hospitals’ management is more motivated to implement HIS to comply with the regulations, while private hospitals’ management views HIS as an urgent requirement that must be achieved. The study findings also reveal that various institutional isomorphism mechanisms and forms of institutional logic emerge during the process. Finally, three factors—self-efficacy, social influence, and management support—have a significant influence on the individual acceptance of HIS.
KW - Acceptance factor
KW - Hospital
KW - Hospital information system
KW - Indonesia
KW - Institutional entrepreneurship
KW - Institutional isomorphism
KW - Institutional logic
KW - Institutional theory
UR - http://www.scopus.com/inward/record.url?scp=84985032776&partnerID=8YFLogxK
U2 - 10.1016/j.ijmedinf.2016.08.005
DO - 10.1016/j.ijmedinf.2016.08.005
M3 - Article
C2 - 27697229
AN - SCOPUS:84985032776
SN - 1386-5056
VL - 95
SP - 17
EP - 34
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
ER -