Electronic health records have recently received increasing attention from researchers and practitioners. Nonetheless, research exploring the antecedents of adoption is limited. In this study, drawing on the institutional theory and theory of planned behavior, we propose a model to empirically investigate the salience of institutional pressures (i.e., coercive, normative and mimetic) to attitude towards electronic health records and adoption intention, and how such effects are moderated by organizational culture. The study used data drawn from a field survey conducted with 322 health practitioners to empirically test the proposed research model. The results revealed the significant effects of institutional pressures on attitude towards electronic health records. Moreover, attitude was also indicated to have a significant positive relationship with practitioner's intention to adopt electronic health records. In addition, it was revealed that, organizational culture significantly moderates the relationship between practitioners' attitude towards electronic health records and adoption intention. The implications of the study findings are discoursed on, and suggestions for future research and policy are succinctly spelt out.

电子健康记录近来受到研究人员和从业人员越来越多的关注。但是，探索采用先行条件的研究是有限的。在这项研究中，我们基于制度理论和计划行为理论，提出了一个模型，以实证研究机构压力（即强制性，规范性和模仿性）对电子健康记录和收养意图的态度的显着性，以及这种影响如何由组织文化主持。这项研究使用了与322名卫生从业人员进行的实地调查得出的数据，以实证检验了所提议的研究模型。结果表明，机构压力对电子病历的态度产生了重大影响。而且，态度也表明与医生采用电子健康记录的意图有显着的正相关。此外，据揭示，组织文化极大地缓解了从业者对电子病历的态度与收养意愿之间的关系。讨论了研究结果的含义，并简要阐述了对未来研究和政策的建议。