Published in Open Access: 'IT-enabled clinical decision support: an empirical study on antecedents and mechanisms'
About the paper
Modern hospitals increasingly make use of innovations and information technology (IT) to improve workflow and patient's clinical journey. Typical innovative solutions include patient records and clinical decision support systems to enhance the process of decision making by doctors and other healthcare practitioners. However, currently, it remains unclear how hospitals could facilitate and enable such a decision support capability in clinical practice.
The author grounds his work on the resource-based view of the firm and puts forth the notion of IT-enabled capabilities which emphasizes critical IT investment and capability development areas that hospitals could exploit in their quest to improve clinical decision support. Van de Wetering develops a research model that explains how 'health information exchange' and enhanced 'information capability' collectively drive a hospital's 'clinical decision support capability.'
Van de Wetering uses Partial Least Squares path modeling on large-scale cross-sectional data from 720 European hospitals. Outcomes suggest that health information exchange positively impacts information capability. In turn, information capability complementary partially mediates the relationship between information exchange and clinical decision support. Hence, this research contributes to the literature on clinical decision support and provides valuable insights into how to support such innovative technologies and capabilities in clinical practice.
