Virality of Information System Adoption
We are in the age where the word "viral" doesn't only mean disease caused by microbes. Media has now taken over the Internet, where articles, images, videos get shared over different social media sites. While not everything we see on the Internet is credible, it is still astounding that such innovation is widely diffused now in our everyday lives. I have been a vast consumer of media during the holiday and semestral break, and have often wondered how videos on Youtube, articles on Buzzfeed and Reddit , technology and science news on The Verge and Tech Insider has the power to reach millions and sometimes influence how they perceive and adopt things.
As a first task in our course Clinical & Laboratory Information Systems, we were asked to review a literature describing the adoption or use of information system in the medical setting. I have chosen a research article by Kyoung Won Cho, PhD , Seong Min Kim, BS , Chang-Ho An, MPH , Young Moon Chae, PhD entitled, Diffusion of Electronic Medical Record Based Public Hospital System. It's a study that evaluated the adoption behavior of Doctors and Nurses across three hospitals in Korea where surveys before the integration of the newly developed Electronic Medical Record (EMR)-based Information System (IS) and after 1st and 7th month of deployment was conducted.
More information of the study on the slide below:
MI227 Cousework1 from Grace Villareal
I have learned from the article that many factors were involved in the for the adoption of Electronic Medical Record. In the study they would have to take into consideration the factors that were applicable to the Public Hospitals in Korea. Since the methodology used was heavily anchored on the Performance Reference Model (PRM), some key performance indicators would have to be modified.
The limitation of the study in which the subjects has remained annonymous, same respondents were not tracked from the first survey upto the third one.
The key to total adoption of users is when each criteria or layers are met. This is not an easy task since many factors are involved in developing a new system. As with any emerging innovation, careful study and changes must be done. If the purpose of the innovation is tangible and it answers a need in the populace, it has the higher rate of adoption.
Since most Filipinos are considered low-income patients, new Electronic Medical Records should be geared towards improving the medical service quality. But aside from that, the balance of the components/indicator under each layer must be met. It is applicable in the Philippine setting since the subjects in the study also represent the vast majority of users we have in the medical field. I have no doubt we will also encounter many challenges, but with careful consideration of each of these hurdles that we can learn the value of our undertaking. It is through the guidance of what we have learned that we arrive on the best solutions. There will be a time that ideal behavior towards information system adoption will go viral.
REFERENCES:
Cho, Kyoung Won, Seong Min Kim, Chang-Ho An, and Young Moon Chae. “Diffusion of Electronic Medical Record Based Public Hospital Information Systems.” Healthcare Informatics Research 21, no. 3 (July 2015): 175–83. doi:10.4258/hir. 2015.21.3.175.
Nils Urbach, Benjamin Müller. “The Updated DeLone and McLean Model of Information Systems Success” 1 (2011): 1– 18. doi:10.1007/978-1-4419-6108-2_1.
Rogers, Everett M. Diffusion of Innovations, 4th Edition. Simon and Schuster, 2010.