{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:24Z","timestamp":1777851984157,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2007,6,1]],"date-time":"2007-06-01T00:00:00Z","timestamp":1180656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:p>This study aims to understand IT investment decisions from the perspective of senior health system executives. A two-stage study was used to investigate this highly influential, very specialized and small population of interest. The first stage involved qualitative interviews with top health executives and analysed their opinions and beliefs using an innovation diffusion theory framework. The second stage involved quantitative surveys of senior health executives to gain an understanding of their opinions regarding the organizational and technological drivers (the independent variables) and the level of IT adoption (the dependent variable). It was found that the majority of drivers identified as being significant to organizational and technological innovation are degraded in respect to IT and health. It was concluded that health executives hold a range of views that potentially inhibit the increased adoption of IT in health. In particular, beliefs about the technology itself have been identified as the most influential deterrents.<\/jats:p>","DOI":"10.1177\/1460458207076462","type":"journal-article","created":{"date-parts":[[2007,5,17]],"date-time":"2007-05-17T17:38:35Z","timestamp":1179423515000},"page":"75-87","source":"Crossref","is-referenced-by-count":18,"title":["Executive management and IT innovation in health: identifying the barriers to adoption"],"prefix":"10.1177","volume":"13","author":[{"given":"Ian","family":"England","sequence":"first","affiliation":[{"name":"UnitingCare Health GPO Box 2240 Brisbane, Q4001, Australia"}]},{"given":"Don","family":"Stewart","sequence":"additional","affiliation":[{"name":"School of Public Health Griffith University Meadowbrook, Q4131, Australia"}]}],"member":"179","published-online":{"date-parts":[[2007,6,1]]},"reference":[{"key":"atypb1","volume-title":"Managerial Innovation in the Metropolitan Hospital","author":"McFarland D E.","year":"1979"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1287\/mnsc.42.4.541"},{"key":"atypb3","first-page":"11","author":"Davenport T.H.","year":"1990","journal-title":"Sloan Management Review"},{"key":"atypb4","volume-title":"E-Health: An Exploratory Study of Health IT in Australia and New Zealand","author":"Chic.","year":"2000"},{"issue":"2","key":"atypb5","volume":"26","author":"England I W R","year":"2003","journal-title":"Australian Health Review"},{"key":"atypb6","volume-title":"The evolution of health-care records in the era of the Internet","author":"Shortliffe E H.","year":"1998"},{"issue":"1","key":"atypb7","volume":"6","author":"Poon E.G.","year":"2006","journal-title":"BMC Medical Informatics and Decision Making"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1071\/AH000176"},{"key":"atypb9","volume-title":"Diffusion of Innovations","author":"Rogers E M.","year":"1995","edition":"4"},{"key":"atypb10","volume-title":"The status of health IT expenditure: a qualitative study of senior executive in regard to IT investment","author":"England I W R","year":"2001"},{"key":"atypb11","first-page":"74","author":"Rind D.M.","year":"1993","journal-title":"Proceedings of Annual Symposium on Computer Applications in Medical Care"},{"key":"atypb12","unstructured":"Halamka J D.\n                , \n                    Safran C. CareWeb, a web-based medical record for an integrated healthcare delivery\n                system. In \n                    Cesnik B\n                , \n                    McCray A T\n                , \n                    Scherrer J R\n                 eds. Medinfo '98: 9th World Congress on Medical Informatics 36\u20149. \n                    Amsterdam: IOS Press\n                , 1998."},{"key":"atypb13","volume-title":"Proceedings of IFIP Working Groups 8 2 and 8 6 Joint Working Conference on Information Systems: Current Issues and Future Changes","author":"Kirveennummi M."},{"key":"atypb14","volume-title":"Medinfo '98: 9th World Congress on Medical Informatics","author":"Sands D Z."},{"key":"atypb15","author":"Sobol M.G.","year":"1999","journal-title":"Information Management"},{"key":"atypb16","volume-title":"Proceedings AMIA Symposium","author":"Ash J.S."},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/S1386-5056(02)00107-7"},{"key":"atypb18","doi-asserted-by":"crossref","unstructured":"Ash J.S.\n                , \n                    Gorman P.N.\n                , \n                    Lavelle M.\n                , \n                    Payne T.H.\n                , \n                    Massaro T.A.\n                , \n                    Frantz G.L.\n                 et al. A cross-site qualitative study of physician order entry. Journal\n                    of the American Medical Informatics Association 2003; 10 (2); 188\u2014200.","DOI":"10.1197\/jamia.M770"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czg026"},{"key":"atypb20","doi-asserted-by":"crossref","unstructured":"Gosling A.S.\n                , \n                    Westbrook J.I.\n                , \n                    Braithwaite J. Clinical team functioning and IT innovation: a study of the diffusion of a\n                    point-of care online evidence system. Journal of the American Medical Informatics Association 2003; 10 (3); 244\u201451.","DOI":"10.1197\/jamia.M1285"},{"key":"atypb21","volume-title":"Adopting New Medical Technology","author":"Committee on Technological Innovation in Medicine.","year":"1994"},{"key":"atypb22","doi-asserted-by":"crossref","DOI":"10.1525\/9780520408920","volume-title":"Managing the Medical Arms Race: Innovation and Public Policy in the Medical Device Industry","author":"Foote S.B.","year":"1992"},{"key":"atypb23","unstructured":"Gleeson S. Blue Cross and Blue Shield Association initiatives in technology\n                assessment . In \n                    Gelijns A C\n                , \n                    Dawkins H V\n                 eds Adopting New Medical Technology 96\u2014100. \n                    Washington: National Academy Press\n                , 1994."},{"key":"atypb24","unstructured":"Lairson P D. Kaiser Permanente's New Technology Committee: coverage decisionmaking in a\n                    group model health maintenance organization In \n                    Gelijns A C\n                , \n                    Dawkins H V\n                 eds Adopting New Medical Technology 101\u20148. \n                    Washington: National Academy Press\n                , 1994."},{"key":"atypb25","volume-title":"Basics of Qualitative Research: Grounded Theory Procedures and Techniques","author":"Strauss A.","year":"1990"},{"key":"atypb26","volume-title":"Qualitative Interviewing: The Art of Hearing Data","author":"Rubin H.","year":"1995"},{"key":"atypb27","volume-title":"InterViews: An Introduction to Qualitative Research Interviewing","author":"Kvale S.","year":"1996"},{"key":"atypb28","volume-title":"The Discovery of Grounded Theory","author":"Glaser B.","year":"1967"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511557842"},{"key":"atypb30","volume-title":"Qualitative Research Methods for the Social Sciences","author":"Berg B.L.","year":"1989"},{"key":"atypb31","volume-title":"The Squandered Computer","author":"Strassmann P.A.","year":"1997"},{"key":"atypb32","first-page":"115","author":"Nolan R.L.","year":"1979","journal-title":"Harvard Business Review"},{"key":"atypb33","doi-asserted-by":"publisher","DOI":"10.1109\/52.219617"},{"key":"atypb34","volume-title":"Diffusion of Innovations","author":"Rogers E M.","year":"1962"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1147\/sj.321.0162"},{"key":"atypb36","volume-title":"The Balanced Scorecard","author":"Kaplan R.S.","year":"1996"},{"key":"atypb37","volume-title":"Information Strategy and Economics","author":"Parker M.M.","year":"1989"},{"key":"atypb38","volume-title":"Information Economics: Linking Business Performance to Information Technology","author":"Parker M.M.","year":"1988"},{"issue":"11","key":"atypb39","first-page":"1428","volume":"130","year":"1984","journal-title":"Canadian Medical Association Journal"},{"issue":"12","key":"atypb40","first-page":"1542","volume":"130","year":"1984","journal-title":"Canadian Medical Association Journal"},{"key":"atypb41","volume-title":"Investing in Information Technology: A Decision Making Guide for Business and Technology Managers","author":"Bysinger W.","year":"2000"},{"key":"atypb42","volume-title":"Investing in Information Technology: Managing the Decision-Making Process","author":"Hogbin G.","year":"1994"},{"key":"atypb43","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1287"},{"key":"atypb44","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.4740100203"},{"key":"atypb45","volume-title":"Professional Subcultures and Hospital Reform","author":"Degeling P.","year":"1998"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458207076462","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458207076462","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:28:35Z","timestamp":1777501715000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458207076462"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,6]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,6]]}},"alternative-id":["10.1177\/1460458207076462"],"URL":"https:\/\/doi.org\/10.1177\/1460458207076462","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,6]]}}}