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Abstract
The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology adoption, these concepts help us appreciate and put special emphasis on particular aspects of the adoption process: the mutual and co-constitutive relationship between the users and the technology and the continued co-existence of both positive and negative attitudes among the users. The findings suggest an alternative way of thinking about an adoption process that is considered relevant to managers who strive to ensure successful adoption of HIS.
Acknowledgements
We are very grateful to Guest Editor Vance Wilson, the anonymous reviewers and our colleagues post.doc. Miria Grisot and Assistant Professor Uri Gal for their helpful comments on earlier drafts of this article. We would also like to thank the surgeons from the case study.
Additional information
Notes on contributors
Tina Blegind Jensen
Tina Blegind Jensen, Ph.D., is Assistant Professor at the Department of Business studies, Aarhus School of Business, Aarhus University, Denmark. Her research interests relate to IS adoptions in healthcare with emphasis on sensemaking among users.
Margunn Aanestad
Margunn Aanestad, Ph.D., is Associate Professor at the Department of Informatics, University of Oslo. She worked within healthcare and telecommunications before her doctoral study of telemedicine, followed by studies of clinical and administrative health information systems. Her research interests relate to design and evolution of large-scale information infrastructures.