Perceptions of an Organizing Vision for Electronic Medical Records by Independent Physician Practices
Actual adoption and usage rates of healthcare Information Technology (HIT) in general and electronic medical records (EMR) in particular are well below expectations, even though both show potential to help solve some of the more pressing problems plaguing the U.S. healthcare system. This research explores the role that a community-wide organizing vision (OV) (Ramiller & Swanson, 2003) plays in shaping independent physician practices’ perceptions of EMR technology, and hence, their interest in adopting and using the technology. This chapter reports on an OV for EMRs by analyzing data collected using a mail survey of independent physician practices and uses factor analysis to examine structural properties and content of the OV among the practices sampled. Contributions to theory include exploring the applicability of Ramiller and Swanson’s (Ramiller & Swanson, 2003; Swanson & Ramiller, 2004, 1997) OV on HIT innovations in healthcare research. Contributions to practice include empowering HIT decision makers with a model for addressing the introduction of a technology innovation (EMR) into an independent physician practice.