This paper identifies 19 factors that affect physicians' behavioural changes due to the adoption of new clinical information systems and ten interventions that hospital managers can introduce to facilitate change management. Despite information systems have been acknowledged as major enablers of performance improvement in healthcare delivery, numerous failures to adopt and implement are documented in the literature. The authors carried out a systematic literature review to identify factors and interventions that can facilitate or inhibit physicians' behavioural changes. Selected factors have been synthesised assuming the theory of planned behaviour (TPB) as main theoretical framework. Relationships between factors and interventions have been reviewed and discussed.
['Emanuele Lettieri', 'Giovanni Radaelli', 'Cristina Masella']
Information systems and change management in healthcare: the (un)solved quest for changing physicians' behaviour