Organizational factors affecting successful adoption of innovative eHealth services: A case study employing the FITT framework
Abstract
Objective The paper presents an application of the "Fit between Individuals, Task and Technology" (FITT) framework to analyze the socio-organizational-technical factors that influence IT adoption in the healthcare domain.Method The FITT framework was employed as the theoretical instrument for a retrospective analysis of a 15-year effort in implementing IT systems and eHealth services in the context of a Regional Health Information Network in Crete. Quantitative and qualitative research methods, interviews and participant observations were employed to gather data from a case study that involved the entire region of Crete.Results The detailed analysis of the case study based on the FITT framework, showed common features, but also differences of IT adoption within the various health organizations. The emerging picture is a complex nexus of factors contributing to IT adoption, and multi-level interventional strategies to promote IT use.Conclusion The work presented in this paper shows the applicability of the FITT framework in explaining the complexity of aspects observed in the implementation of healthcare information systems. The reported experiences reveal that fit management can be viewed as a system with a feedback loop that is never really stable, but ever changing based on external factors or deliberate interventions. Management of fit, therefore, becomes a constant and complex task for the whole life cycle of IT systems.
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Perceived usefulness was influenced by perceived ease of use, eHealth and business process alignment, end user involvement, management commitment and support to change, health care provider-patient relationship, and IT experience and knowledge.
“whereas their perceived usefulness was influenced by the perceived ease of use, eHealth and business process alignment, end user involvement, management commitment and support to change, health care provider-patient relationship, and IT experience and knowledge [25,28,33,56,77,83,86-88].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [28]
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Health Care Provider Adoption of eHealth: Systematic Literature Review
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- Authors
- TSIKNAKIS, M., & KOUROUBALI, A.
- Affiliations
- Foundation for Research and Technology Hellas (GR)
- Corresponding author
- TSIKNAKIS, M
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 78
- Issue
- 1
- Pages
- 39-52
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W1965756895
- Cited by
- 167
- References
- 59
- Citations by year
- 2025: 5 · 2024: 4 · 2023: 15 · 2022: 7 · 2021: 11 · 2020: 9 · 2019: 10 · 2018: 14 · 2017: 7 · 2016: 18 · 2015: 12 · 2014: 6 · 2013: 13 · 2012: 17
- FWCI
- 13.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Keywords
- digital health adoption, health information technology adoption, organizational factors, regional health information networks, health information systems, IT implementation, multilevel interventions, Crete
- MeSH terms
- Computer Simulation, Cooperative Behavior, Emergency Medical Services, Hospital Information Systems, Humans, Medical Informatics, Medical Records, Primary Health Care
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