Association between Harrison Cultural Typology and Acceptance of Hospital Information System

Abstract

Introduction: The concept of organizational culture usually is considered as a moderating factor in using information technology (IT). The present study aimed to review the association between Harrison cultural typology and the acceptance of hospital information system (HIS) by its users in non-university hospitals of Iran University of Medical Sciences (Tehran, Iran). Methods: This research was applicable and done using descriptive and correlational analysis methods. After the related literature was reviewed, the conceptual model was proposed and confirmed by the experts. A questionnaire with 93 questions was developed based on the variables, and its validity and reliability were tested and confirmed by experts and calculating Cronbach’s alpha. Then the data were delivered and completed between July and September 2010 among 400 users of HIS in the required hospitals that have been selected using stratified sampling method. To test the model and examine its fitness to the collected data, structural equation modeling (SEM) method was used by applying LISREL Software. Results: The dominant culture in the hospitals was role-oriented culture. The results of normed chi-square index (χ2/df = 1.4) showed that the model has fitness with the collected data. The indices included goodness of fit indices (GFI) = 0.99, comparative fit index (CFI) = 0.99, adjusted goodness of fit index (AGFI) = 0.96, and root mean square error approximation (RMSEA) = 0.033. According to the research model, the association between task-oriented culture and user satisfaction statistically was significant and confirmed. Conclusion: According to the fitness of the calculated indices of the research model, it can be concluded that using the model may help to improve organizational culture and HIS user acceptance in hospitals. Keywords: Hospital Information Systems; Organizational Culture; Harrison Typology; Technology