Rapid advancements in information and communication technologies (ICT) combined with improvements in socioeconomic standards of living have led to an increase in consumers’ demands for personal services in a variety of industries including healthcare. Despite the tremendous potential of Health Information Technology (HIT), the healthcare industry lags behind in the use of HIT to effectively deliver innovative services. In this study, we combine the capabilities perspective and an adapted Capability-Quality-Performance (CQP) model to investigate the roles service innovation and quality play in the relationship between a healthcare provider’s IT-enabled capabilities and provider performance. We propose that IT-enabled capabilities by themselves do not lead to improved healthcare provider performance. It is how those capabilities are manipulated and utilized that determines the competitive advantage the healthcare provider can gain over its competitors. The theory-based model was empirically tested using a survey of 202 U.S. healthcare organizations. Results of exploratory hypotheses testing showed that service innovation and quality play significant roles in mediating the relationship between IT-enabled capabilities and healthcare provider performance.

中文翻译：

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美国医疗保健提供者的能力和绩效：服务创新和质量的中介作用

信息和通信技术（ICT）的飞速发展，以及社会经济生活水平的提高，导致消费者对包括医疗保健在内的各种行业中个人服务的需求增加。尽管健康信息技术（HIT）具有巨大的潜力，但医疗保健行业在使用HIT有效地提供创新服务方面仍然落后。在这项研究中，我们结合了能力观点和经过调整的能力-质量-绩效（CQP）模型，以研究服务创新和质量在医疗保健提供商的IT支持的能力与提供商绩效之间的关系中所扮演的角色。我们建议，基于IT的功能本身不会提高医疗服务提供商的绩效。正是这些能力的操纵和利用方式决定了医疗保健提供者可以获得超过其竞争对手的竞争优势。基于理论的模型通过对202家美国医疗机构的调查进行了经验检验。探索性假设测试的结果表明，服务创新和质量在调解IT支持的功能与医疗服务提供商的绩效之间的关系方面起着重要作用。