Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems

Joanne L. Callen*, Jeffrey Braithwaite, Johanna I. Westbrook

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

52 Citations (Scopus)

Abstract

Studies have identified the importance of hospitals' organisational culture in clinical information system diffusion, but few have quantified its role. This study measured organisational culture in two Australian hospitals to explore whether clinicians' perceptions of culture related to their attitudes to, and satisfaction with, a computerised provider order entry system (CPOE). Data were collected using the Organisational Culture Inventory and a user-satisfaction survey administered to a population of 249 clinicians from the two hospitals. One hospital used CPOE to order clinical laboratory and radiology tests and view results, and the other used the test viewing function only, the ordering facility being planned for later implementation. We found a relationship between culture and clinicians' attitudes, with those in the constructive culture hospital more likely to express positive attitudes towards CPOE, whereas those in the aggressive/defensive hospital were more likely to be negative. The relationship between culture and attitudes towards clinical information systems should be taken into account when planning for their adoption. Crown

Original languageEnglish
Pages (from-to)635-639
Number of pages5
JournalSocial Science and Medicine
Volume65
Issue number3
DOIs
Publication statusPublished - Aug 2007
Externally publishedYes

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