ABRI Seminar Offenbeek and Boonstra


12:00 - 13:00


Understanding variation in adoption and use of Electronic Health Records

Prof. Marjolein van Offenbeek (University of Groningen) and Prof. Albert Boonstra (University of Groningen)

Amsterdam Business Research Institute

Business and Organisation

Conference / Symposium / Seminar

ABRI would like to invite you to an ABRI seminar given by Professor Marjolein van Offenbeek (University of Groningen) and Professor Albert Boonstra (University of Groningen) -  “Understanding variation in adoption and use of Electronic Health Records” You will find more information in the abstract below.

Please register for this event latest on Monday, January 20 through the registration form.
Electronic Health Records (EHR) are integrated software applications used by healthcare providers to create and share health status information on patients. Implementing such organization-wide systems is a complex endeavor and the EHR literature suggests that contextual factors play a major role. We demonstrate how this context influences adoption at the departmental level in a situation where each medical department has its own specialty, clinical authority, and accountability. Consequently, the achievement of full adoption by all departments is not self-evident. Drawing on EHR implementation in a Dutch hospital, this study explores how the diversity in the medical departments’ contexts contributes to differences in their ex-ante adoption intentions and post-implementation EHR uptake. This embedded case study analyses data on eight medical departments of which the contexts differ substantially in terms of their work and social-political context. Notably, it is the identified work context patterns that particularly explain differences in departments’ espoused adoption intentions, which we show inform the subsequent post-implementation uptake. We identified three departmental adoption types: (1) subunits oriented towards the organization with an enthusiastic or compliant adoption; (2) department-oriented subunits with a selective or conditional adoption; and (3) subunits oriented towards the external environment with no or low adoption with workarounds. By acknowledging these types, and especially the underlying mechanisms, implementers could differentiate their strategies towards medical departments based on the observable work context. Based on our findings, we develop propositions that could contribute to the development of a subunit-level EHR adoption theory.


  • Marjolein vanOffenbeek is Associate Professor of Organization Studies in the Faculty of Economics and Business at the University of Groningen, The Netherlands. She is engaged in research on the implementation, adoption, and effectiveness of innovations, especially in multi-stakeholder settings in the healthcare sector. Earlier, she published on team learning, the development of new occupations and professional roles, and information systems development. Her work has been published in journals such as Organization Studies, Social Science & Medicine, European Journal of Information Systems, and International Journal of Project Management. Marjolein can be contacted at m.a.g.van.offenbeek@rug.nl and her homepage is www.rug.nl/staff/m.a.g.van.offenbeek/
  • Albert Boonstra is a Professor of Information Management in the Faculty of Economics and Business at the University of Groningen, The Netherlands. His research focuses on the implementation and use of complex information systems directed to understand effective and ineffective management practices. The research is particularly focused on acceptance, resistance, stakeholder management, conflict, and the use of power and politics. Albert’s work has appeared in journals such as Journal of Strategic Information Systems, European Journal of Information Systems, International Journal of Information Management, and Project Management Journal. Albert is senior editor of Information Systems Journal. Albert can be contacted at albert.boonstra@rug.nl and his homepage is www.rug.nl/staff/albert.boonstra/