The role of trust in outsourced IS development projects
Communications of the ACM
Security issues for implementation of e-medical records
Communications of the ACM
Strategic IT applications in health care
Communications of the ACM
HICSS '05 Proceedings of the Proceedings of the 38th Annual Hawaii International Conference on System Sciences - Volume 08
Journal of Medical Systems
An integrated model of information systems adoption in small businesses
Journal of Management Information Systems
Journal of Management Information Systems - Special section: Managing virtual workplaces and teleworking with information technology
Trust and TAM in online shopping: an integrated model
MIS Quarterly
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The adoption of new technology within healthcare has been promoted as a way to reduce costs and increase efficiencies as well as improve quality. The literature has documented a significant number of implementation failures by large groups and hospitals with access to IT skills and resources. Given the low adoption rate among physicians, the challenges facing small practices can be daunting. While financial and technical barriers have been explored at the physician level, the actual implementation challenges facing small groups have not been explored. This paper presents a qualitative three case analysis of physician groups that have employed EMRs and the pre and post adoption insights. Results show that planning was a key common variable missing; the anticipated downtime was longer than expected and the workflow disruption and maintenance costs were underestimated.