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Factors Influencing Health Information System Adoption in American Hospitals

Wang, Bill B.; Wan, Thomas T. H.; Burke, Darrell E.; Bazzoli, Gloria J.; Lin, Blossom Y. J.


Objectives: To study the number of health information systems (HISs), applicable to administrative, clinical, and executive decision support functionalities, adopted by acute care hospitals and to examine how hospital market, organizational, and financial factors influence HIS adoption.

Methods: A cross-sectional analysis was performed with 1441 hospitals selected from metropolitan statistical areas in the United States. Multiple data sources were merged. Six hypotheses were empirically tested by multiple regression analysis.

Results: HIS adoption was influenced by the hospital market, organizational, and financial factors. Larger, system-affiliated, and for-profit hospitals with more preferred provider organization contracts are more likely to adopt managerial information systems than their counterparts. Operating revenue is positively associated with HIS adoption.

Conclusion: The study concludes that hospital organizational and financial factors influence on hospitals' strategic adoption of clinical, administrative, and managerial information systems.

Bill B. Wang, PhD, Department of Medical Research and Public Health, National Defense Medical Center, Taipei, Taiwan. E-mail:

Thomas T. H. Wan, PhD, MHS, is Professor and Director, Public Affairs Doctoral Program, College of Health and Public Affairs, University of Central Florida, Orlando. E-mail:

Darrell E. Burke, PhD, School of Information Studies, Florida State University, Tallahassee. E-mail:

Gloria J. Bazzoli, PhD, Department of Health Administration, Virginia Commonwealth University, Richmond. E-mail:

Blossom Y. J. Lin, PhD, Department of Health Service Administration, Taichung, Taiwan. E-mail:

© 2005 Lippincott Williams & Wilkins, Inc.