The application and adaptation of a diffusion of innovation framework for information systems research in NHS general me
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Research article
The application and adaptation of a diffusion of innovation framework for information systems research in NHS general medical practice David W Wainwright1, Teresa S Waring2 1
School of Computing, Engineering and Information Sciences, Northumbria University, Newcastle upon Tyne, UK; Sunderland Business School, University of Sunderland, St Peters Campus, Sunderland, UK
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Correspondence: DW Wainwright, School of Computing, Engineering and Information Sciences, University of Northumbria at Newcastle upon Tyne, Pandon Building, Camden St, Newcastle upon Tyne NE2 1XE, UK. Tel: þ 44 191 2437634; Fax þ 44 191 2273662; Email: [email protected]
Abstract This paper proposes an adapted diffusion of innovation (DOI) framework that may be considered relevant and useful to researchers undertaking studies of information systems innovations in healthcare organizations. A particular focus concerns problems and issues associated with professional cultures and powerful organizational control structures. A review of four empirical DOI studies are undertaken to identify candidate frameworks for the retrospective analysis of a pilot study conducted across General Medical Practices based within a Primary Care Trust in the north east of England. A research approach, based on phenomenology, semi-structured interviews and template analysis is adopted in order to conduct and provide a rich analysis of the data. The findings are discussed using the modified DOI framework. Discussion and conclusions relate to the extended use of the DOI framework, its further development and how it may be used to understand how ICT innovation is politically constrained, perceived and motivated within healthcare environments Journal of Information Technology (2007) 22, 44–58. doi:10.1057/palgrave.jit.2000093 Published online 2 January 2006 Keywords: diffusion of innovation; ICT; healthcare organizations; general medical practice; template analysis; information systems research
Introduction iffusion of innovation (DOI) theory, inspired by the work of Everett Rogers (1983), has become a subject of widespread interest and importance. It has a long history of development, and has been used to research complex trends and patterns of innovation adoption, implementation and assimilation. The early research focused on agriculture and health, especially in developing economies. More recent research involves new technological innovations, especially their adoption and diffusion across industry sectors, organizations and individuals. DOI research, as applied to information technology (IT) and information systems (IS), has been the subject of an increasing level of interest since the 1980s, but has become a more formal area of study since the 1990s,
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particularly with the formation of special interest groups, such as DIGIT and IFIP TC8 WG 8.6 on Diffusion and Transfer of IT. Despite the relatively long history and growing number of studies a
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