PMID- 25612792 OWN - NLM STAT- MEDLINE DCOM- 20150917 LR - 20151119 IS - 1872-8243 (Electronic) IS - 1386-5056 (Linking) VI - 84 IP - 3 DP - 2015 Mar TI - Organizational decision to adopt hospital information system: an empirical investigation in the case of Malaysian public hospitals. PG - 166-88 LID - S1386-5056(14)00249-4 [pii] LID - 10.1016/j.ijmedinf.2014.12.004 [doi] AB - OBJECTIVES: This study mainly integrates the mature Technology-Organization-Environment (TOE) framework and recently developed Human-Organization-Technology (HOT) fit model to identify factors that affect the hospital decision in adopting Hospital Information System (HIS). METHODS: Accordingly, a hybrid Multi-Criteria-Decision-Making (MCDM) model is used to address the dependence relationships of factors with the aid of Analytic Network Processes (ANP) and Decision Making Trial and Evaluation Laboratory (DEMATEL) approaches. The initial model of the study is designed by considering four main dimensions with 13 variables as organizational innovation adoption factors with respect to HIS. By using DEMATEL, the interdependencies strength among the dimensions and variables are tested. The ANP method is then adopted in order to determine the relative importance of the adoption factors, and is used to identify how these factors are weighted and prioritized by the public hospital professionals, who are wholly familiar with the HIS and have years of experience in decision making in hospitals' Information System (IS) department. RESULTS: The results of this study indicate that from the experts' viewpoint "Perceived Technical Competence" is the most important factor in the Human dimension. In the Technology dimension, the experts agree that the "Relative Advantage" is more important in relation to the other factors. In the Organization dimension, "Hospital Size" is considered more important rather than others. And, in the Environment dimension, according to the experts judgment, "Government Policy" is the most important factor. The results of ANP survey from experts also reveal that the experts in the HIS field believed that these factors should not be overlooked by managers of hospitals and the adoption of HIS is more related to more consideration of these factors. In addition, from the results, it is found that the experts are more concerned about Environment and Technology for the adoption HIS. CONCLUSIONS: The findings of this study make a novel contribution in the context of healthcare industry that is to improve the decision process of innovation in adoption stage and to help enhance more the diffusion of IS in the hospital setting, which by doing so, can provide plenty of profits to the patient community and the hospitals. CI - Copyright (c) 2015 Elsevier Ireland Ltd. All rights reserved. FAU - Ahmadi, Hossein AU - Ahmadi H AD - Faculty of Computing, Universiti Teknologi Malaysia, UTM Skudai, 81310 Johor, Malaysia. FAU - Nilashi, Mehrbakhsh AU - Nilashi M AD - Faculty of Computing, Universiti Teknologi Malaysia, UTM Skudai, 81310 Johor, Malaysia. Electronic address: nilashidotnet@hotmail.com. FAU - Ibrahim, Othman AU - Ibrahim O AD - Faculty of Computing, Universiti Teknologi Malaysia, UTM Skudai, 81310 Johor, Malaysia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150103 PL - Ireland TA - Int J Med Inform JT - International journal of medical informatics JID - 9711057 SB - IM MH - *Decision Making, Organizational MH - Diffusion of Innovation MH - Health Policy MH - *Hospital Information Systems MH - Hospitals, Public MH - Humans MH - Malaysia MH - *Organizational Innovation MH - Surveys and Questionnaires OTO - NOTNLM OT - Adoption OT - Hospital information system OT - Human-Technology-Organization-Environment OT - Multi-Criteria Decision Making OT - Organizational decision OT - Public hospital EDAT- 2015/01/24 06:00 MHDA- 2015/09/18 06:00 CRDT- 2015/01/24 06:00 PHST- 2014/10/01 00:00 [received] PHST- 2014/12/11 00:00 [revised] PHST- 2014/12/26 00:00 [accepted] PHST- 2015/01/24 06:00 [entrez] PHST- 2015/01/24 06:00 [pubmed] PHST- 2015/09/18 06:00 [medline] AID - S1386-5056(14)00249-4 [pii] AID - 10.1016/j.ijmedinf.2014.12.004 [doi] PST - ppublish SO - Int J Med Inform. 2015 Mar;84(3):166-88. doi: 10.1016/j.ijmedinf.2014.12.004. Epub 2015 Jan 3.