IT infrastructure capability and health information exchange: The moderating role of electronic medical records' reach

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingAcademicpeer-review

Abstract

This research investigates the hypothesized relationship between a hospital’s IT infrastructure capability and the degree to which hospital can exchange health information. Enhanced information exchange within and between hospitals is currently considered to be critical for modern hospital operations in the big data era. In this research, we build on the resource-based view of the firm to position the deployment and usage of IT capabilities as a unique, valuable, appropriable and difficult-to-imitate resource of value for hospitals. Following the resource-based view of the firm, this study argues IT is a strategic source of value for hospitals. Guided by our research model we test two related hypotheses using Partial least squares (PLS)-based Structural Equation Modeling (SEM) on a large-scale cross-sectional dataset of 1155 European hospitals. Results show that IT infrastructure capability is a crucial antecedent of health information exchange. Finally, we found that the degree to which hospitals deploy hospital-wide systems that electronically maintain and share health data and information, i.e., Electronic Medical Records, influences the strength of this particular relationship. These particular findings suggest that although IT investments in hospitals continue to grow, IT plans and strategies to enable health information exchange will require ongoing attention. Hence, our research provides valuable insights into how IT can be targetted and exploited to support capabilities in clinical practice. Specifically, we demonstrate the conditions under which hospitals can leverage their IT resources to enhance levels of patient and health information exchange within the hospital and beyond its boundaries.
Original languageEnglish
Title of host publicationBusiness Information Systems Workshops
Subtitle of host publicationBIS 2018 International Workshops, Berlin, Germany, July 18–20, 2018, Revised Papers
EditorsWitold Abramowicz, Adrian Paschke
PublisherSpringer International Publishing AG
Pages397-407
ISBN (Electronic)9783030048495
ISBN (Print)9783030048488
DOIs
Publication statusPublished - 2019
Event21st International Conference, Business Information Systems: BIS 2018 - Berlin, Germany
Duration: 18 Jul 201820 Jul 2018
http://bis.ue.poznan.pl/bis2018/

Publication series

NameLecture Notes in Business Information Processing
PublisherSpringer International Publishing
Volume339
ISSN (Print)1865-1348

Conference

Conference21st International Conference, Business Information Systems
CountryGermany
CityBerlin
Period18/07/1820/07/18
Internet address

Fingerprint

IT infrastructure
Health information
Information exchange
Electronic medical record
Resources
Resource-based view of the firm
Leverage
IT investment
IT capability
Structural equation modeling
Health
Partial least squares

Cite this

Van de Wetering, R. (2019). IT infrastructure capability and health information exchange: The moderating role of electronic medical records' reach. In W. Abramowicz, & A. Paschke (Eds.), Business Information Systems Workshops: BIS 2018 International Workshops, Berlin, Germany, July 18–20, 2018, Revised Papers (pp. 397-407). (Lecture Notes in Business Information Processing; Vol. 339). Springer International Publishing AG. https://doi.org/10.1007/978-3-030-04849-5_35
Van de Wetering, Rogier. / IT infrastructure capability and health information exchange : The moderating role of electronic medical records' reach. Business Information Systems Workshops: BIS 2018 International Workshops, Berlin, Germany, July 18–20, 2018, Revised Papers. editor / Witold Abramowicz ; Adrian Paschke. Springer International Publishing AG, 2019. pp. 397-407 (Lecture Notes in Business Information Processing).
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abstract = "This research investigates the hypothesized relationship between a hospital’s IT infrastructure capability and the degree to which hospital can exchange health information. Enhanced information exchange within and between hospitals is currently considered to be critical for modern hospital operations in the big data era. In this research, we build on the resource-based view of the firm to position the deployment and usage of IT capabilities as a unique, valuable, appropriable and difficult-to-imitate resource of value for hospitals. Following the resource-based view of the firm, this study argues IT is a strategic source of value for hospitals. Guided by our research model we test two related hypotheses using Partial least squares (PLS)-based Structural Equation Modeling (SEM) on a large-scale cross-sectional dataset of 1155 European hospitals. Results show that IT infrastructure capability is a crucial antecedent of health information exchange. Finally, we found that the degree to which hospitals deploy hospital-wide systems that electronically maintain and share health data and information, i.e., Electronic Medical Records, influences the strength of this particular relationship. These particular findings suggest that although IT investments in hospitals continue to grow, IT plans and strategies to enable health information exchange will require ongoing attention. Hence, our research provides valuable insights into how IT can be targetted and exploited to support capabilities in clinical practice. Specifically, we demonstrate the conditions under which hospitals can leverage their IT resources to enhance levels of patient and health information exchange within the hospital and beyond its boundaries.",
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Van de Wetering, R 2019, IT infrastructure capability and health information exchange: The moderating role of electronic medical records' reach. in W Abramowicz & A Paschke (eds), Business Information Systems Workshops: BIS 2018 International Workshops, Berlin, Germany, July 18–20, 2018, Revised Papers. Lecture Notes in Business Information Processing, vol. 339, Springer International Publishing AG, pp. 397-407, 21st International Conference, Business Information Systems, Berlin, Germany, 18/07/18. https://doi.org/10.1007/978-3-030-04849-5_35

IT infrastructure capability and health information exchange : The moderating role of electronic medical records' reach. / Van de Wetering, Rogier.

Business Information Systems Workshops: BIS 2018 International Workshops, Berlin, Germany, July 18–20, 2018, Revised Papers. ed. / Witold Abramowicz; Adrian Paschke. Springer International Publishing AG, 2019. p. 397-407 (Lecture Notes in Business Information Processing; Vol. 339).

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingAcademicpeer-review

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AB - This research investigates the hypothesized relationship between a hospital’s IT infrastructure capability and the degree to which hospital can exchange health information. Enhanced information exchange within and between hospitals is currently considered to be critical for modern hospital operations in the big data era. In this research, we build on the resource-based view of the firm to position the deployment and usage of IT capabilities as a unique, valuable, appropriable and difficult-to-imitate resource of value for hospitals. Following the resource-based view of the firm, this study argues IT is a strategic source of value for hospitals. Guided by our research model we test two related hypotheses using Partial least squares (PLS)-based Structural Equation Modeling (SEM) on a large-scale cross-sectional dataset of 1155 European hospitals. Results show that IT infrastructure capability is a crucial antecedent of health information exchange. Finally, we found that the degree to which hospitals deploy hospital-wide systems that electronically maintain and share health data and information, i.e., Electronic Medical Records, influences the strength of this particular relationship. These particular findings suggest that although IT investments in hospitals continue to grow, IT plans and strategies to enable health information exchange will require ongoing attention. Hence, our research provides valuable insights into how IT can be targetted and exploited to support capabilities in clinical practice. Specifically, we demonstrate the conditions under which hospitals can leverage their IT resources to enhance levels of patient and health information exchange within the hospital and beyond its boundaries.

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A2 - Abramowicz, Witold

A2 - Paschke, Adrian

PB - Springer International Publishing AG

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Van de Wetering R. IT infrastructure capability and health information exchange: The moderating role of electronic medical records' reach. In Abramowicz W, Paschke A, editors, Business Information Systems Workshops: BIS 2018 International Workshops, Berlin, Germany, July 18–20, 2018, Revised Papers. Springer International Publishing AG. 2019. p. 397-407. (Lecture Notes in Business Information Processing). https://doi.org/10.1007/978-3-030-04849-5_35