Cargando…

Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy

BACKGROUND: The effective adoption and use of digital and computerized systems and records in hospitals are crucial for increasing the overall quality, safety and outcomes of any national health community. Prior research found that hospitals’ dominant cultural orientation affects the adoption of new...

Descripción completa

Detalles Bibliográficos
Autores principales: Lepore, Luigi, Metallo, Concetta, Schiavone, Francesco, Landriani, Loris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048904/
https://www.ncbi.nlm.nih.gov/pubmed/30012127
http://dx.doi.org/10.1186/s12913-018-3349-6
_version_ 1783340187827306496
author Lepore, Luigi
Metallo, Concetta
Schiavone, Francesco
Landriani, Loris
author_facet Lepore, Luigi
Metallo, Concetta
Schiavone, Francesco
Landriani, Loris
author_sort Lepore, Luigi
collection PubMed
description BACKGROUND: The effective adoption and use of digital and computerized systems and records in hospitals are crucial for increasing the overall quality, safety and outcomes of any national health community. Prior research found that hospitals’ dominant cultural orientation affects the adoption of new technology. However, the organizational culture of hospitals can greatly vary between public and private hospitals. Thus, the ownership type of the hospital is likely to affect, to some extent, the aforementioned relationship between culture and information system success. The present article focuses in detail on this issue and attempts to answer the following research question: which cultural orientations are promoting information system success in public and private hospitals? METHODS: The authors develop and test two hypotheses about this relationship via two regression approaches (single-level and multi-level). The authors collected data from 172 respondents—clinicians and non-clinicians—working in two (one public and one private) hospitals in Campania, one of the largest regions in Italy. RESULTS: The findings of this study show clear differences between private and public hospitals. First, a dominant cultural orientation that emphasizes flexibility values (clan and adhocracy cultures) positively influences information systems success in terms of individual impact. Second, the influence of a clan orientation on individual impact is stronger in the public hospital. Third, the influence of an adhocracy orientation is stronger in the private hospital. Overall, the type of ownership—either public or private—of these healthcare organizations affects the link between cultural orientations and IS success. CONCLUSION: Managers of private hospitals should offer to their employees the opportunity to adopt and implement new information systems processes driven by openness towards the external environment in order to benchmark and learn from what was done previously in other organizations. Managers of public hospitals should set up human resource management practices, knowledge creation mechanisms, and internal communication capable of generating a friendly learning environment for their employees when adopting new technology.
format Online
Article
Text
id pubmed-6048904
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-60489042018-07-19 Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy Lepore, Luigi Metallo, Concetta Schiavone, Francesco Landriani, Loris BMC Health Serv Res Research Article BACKGROUND: The effective adoption and use of digital and computerized systems and records in hospitals are crucial for increasing the overall quality, safety and outcomes of any national health community. Prior research found that hospitals’ dominant cultural orientation affects the adoption of new technology. However, the organizational culture of hospitals can greatly vary between public and private hospitals. Thus, the ownership type of the hospital is likely to affect, to some extent, the aforementioned relationship between culture and information system success. The present article focuses in detail on this issue and attempts to answer the following research question: which cultural orientations are promoting information system success in public and private hospitals? METHODS: The authors develop and test two hypotheses about this relationship via two regression approaches (single-level and multi-level). The authors collected data from 172 respondents—clinicians and non-clinicians—working in two (one public and one private) hospitals in Campania, one of the largest regions in Italy. RESULTS: The findings of this study show clear differences between private and public hospitals. First, a dominant cultural orientation that emphasizes flexibility values (clan and adhocracy cultures) positively influences information systems success in terms of individual impact. Second, the influence of a clan orientation on individual impact is stronger in the public hospital. Third, the influence of an adhocracy orientation is stronger in the private hospital. Overall, the type of ownership—either public or private—of these healthcare organizations affects the link between cultural orientations and IS success. CONCLUSION: Managers of private hospitals should offer to their employees the opportunity to adopt and implement new information systems processes driven by openness towards the external environment in order to benchmark and learn from what was done previously in other organizations. Managers of public hospitals should set up human resource management practices, knowledge creation mechanisms, and internal communication capable of generating a friendly learning environment for their employees when adopting new technology. BioMed Central 2018-07-16 /pmc/articles/PMC6048904/ /pubmed/30012127 http://dx.doi.org/10.1186/s12913-018-3349-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lepore, Luigi
Metallo, Concetta
Schiavone, Francesco
Landriani, Loris
Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy
title Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy
title_full Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy
title_fullStr Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy
title_full_unstemmed Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy
title_short Cultural orientations and information systems success in public and private hostitals: preliminary evidences from Italy
title_sort cultural orientations and information systems success in public and private hostitals: preliminary evidences from italy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048904/
https://www.ncbi.nlm.nih.gov/pubmed/30012127
http://dx.doi.org/10.1186/s12913-018-3349-6
work_keys_str_mv AT leporeluigi culturalorientationsandinformationsystemssuccessinpublicandprivatehostitalspreliminaryevidencesfromitaly
AT metalloconcetta culturalorientationsandinformationsystemssuccessinpublicandprivatehostitalspreliminaryevidencesfromitaly
AT schiavonefrancesco culturalorientationsandinformationsystemssuccessinpublicandprivatehostitalspreliminaryevidencesfromitaly
AT landrianiloris culturalorientationsandinformationsystemssuccessinpublicandprivatehostitalspreliminaryevidencesfromitaly