Appropriating electronic billing systems: Adaptive structuration theory analysis

Article type: Research Article

Authors: Schwieger, Dana^a | Melcher, Arlyn^b | Ranganathan, Chandrasekaran^c | Wen, H. Joseph^{a; *}

Affiliations: [a] Department of Accounting and MIS, Harrison College of Business, Southeast Missouri State University, Cape Girardeau, MO 63701, USA | [b] Department of Management, Southern Illinois University, Carbondale, IL 62901, USA | [c] Department of Information and Decision Sciences, University of Illinois at Chicago, Chicago, IL 60607, USA

Correspondence: [*] Corresponding author: Tel.: +1 573 651 2121; E-mail: [email protected].

Abstract: Adaptive structuration theory (AST) provides a conceptual change model that helps capture the longitudinal change process. This paper proposes a modified AST model which provides a theoretical framework that explains the appropriation process of medical electronic billing systems (MEBS). In recent years, MEBS has become a critical tool for supporting health care services. The appropriation of MEBS in a medical center involves a great deal of change, which, if not carefully considered, could result in failure. Using a case study approach, this research identifies appropriation issues when planning and evaluating MEBS usage in medical centers.

Keywords: Adaptive structuration theory, medical electronic billing systems, technology adoption, diffusion theory

DOI: 10.3233/HSM-2004-23405

Journal: Human Systems Management, vol. 23, no. 4, pp. 235-243, 2004