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Getting physicians to accept new information technology: insights from case studies.
Liette Lapointe1, Suzanne Rivard
1Faculty of Management, McGill University, Montreal, Que. liette.lapointe@mcgill.ca
Summary
Physician acceptance is key for computer information system (CIS) success. How implementers respond to resistance significantly impacts CIS adoption, with supportive, targeted responses leading to success.
Area of Science:
- Health Informatics
- Information Systems Management
- Organizational Behavior
Background:
- Computer Information Systems (CIS) implementation success hinges on physician adoption.
- Physician resistance is a critical factor influencing CIS implementation outcomes.
- Understanding the dynamics of physician resistance is vital for effective system deployment.
Purpose of the Study:
- To analyze the implementation of CIS in three hospitals.
- To understand the dynamics of physician resistance to CIS.
- To identify factors influencing the success or failure of CIS implementation.
Main Methods:
- Case study analysis of CIS implementation in three hospitals.
- Data collection through observations, documentation, and interviews.
- Qualitative analysis of interview transcripts with physicians, nurses, and implementers.
Main Results:
- Initial staff enthusiasm for CIS often waned during implementation.
- Physician resistance varied, leading to disruptions and system withdrawal in two cases.
- Implementer responses critically influenced resistance: supportive, targeted responses led to success, while unaddressed or misdirected responses exacerbated resistance.
Conclusions:
- The study highlights the crucial role of implementer-user interactions in CIS implementation.
- Effective management of physician resistance is essential for successful CIS adoption.
- Tailored and responsive strategies by implementers can mitigate resistance and ensure system success.