Abstract

Health information systems (HISs) are enhancing healthcare efficiency, but their adoption is slow due to various complex factors. Analysing concerns about HIS adoption from a first-person perspective yields a more nuanced, layered understanding of the underlying reasons. The research utilises the stages of concern (SoC) framework from the Concern-Based Adoption Model (CBAM) to explore individual perceptions and concerns about HIS adoption. The study employs a qualitative abductive research approach, using interviews with 25 healthcare practitioners to analyse the complexities of HIS adoption. The analysis reveals a spectrum of concerns aligned with stages of awareness, information, personal, operational-strategic-stakeholder management, consequences, collaboration, and refocusing. The major impediments to HIS implementation include individuals' doubts about their personal capability, potential disruptions to existing workflows, and the absence of post-implementation evaluations. The findings highlight the need to consider diverse perspectives to ensure successful technology integration in healthcare.