ABSTRACT

The purpose of this paper was to examine organisational change in a hospital setting. Specifically, the paper examines how patients responded to the introduction of personal health records (PHR). This research was an empirical investigation based on surveys completed by 136 patients in the United States. The paper draws on Lewin’s Force Field Analysis Model to explain patient responses to new PHR technology. The results indicate that affective and cognitive resistance factors exist, but the presence of change information can mitigate the resistance. While both resistance factors were relevant, the study found that reducing cognitive resistance had a stronger influence than reducing affective resistance. This research will contribute to the health care literature by offering insight into the factors associated with resistance and the continued use of PHR systems. The research also contributes to the individual IT literature by examining attitudes and beliefs that lead to continued use of IT systems.

摘要

本文的目的是研究医院环境中的组织变革。具体来说，本文研究了患者对引入个人健康记录 (PHR) 的反应。这项研究是一项基于美国 136 名患者完成的调查的实证调查。本文利用 Lewin 的力场分析模型来解释患者对新 PHR 技术的反应。结果表明存在情感和认知阻力因素，但变化信息的存在可以减轻阻力。虽然这两个阻力因素都是相关的，但研究发现减少认知阻力比减少情感阻力具有更大的影响。这项研究将通过深入了解与耐药性相关的因素和 PHR 系统的持续使用，为医疗保健文献做出贡献。该研究还通过检查导致继续使用 IT 系统的态度和信念，为个人 IT 文献做出贡献。