title: Social capital and transaction cost on co-creating IT value towards inter-organizational EMR exchange.
abstract: This study adopts social capital theory and transaction cost theory to explore the feasibility of an inter-organizational cross-hospital electronic medical records (EMR) exchange system, and the factors that affect its adoption. The concept of value co-creation is also used to assess such a system, and its influence on the performance of participating medical institutes. This research collected 330 valid paper-based questionnaires from the medical staff of various institutes. The results showed that social interaction ties and shared vision positively affected medical institutes' willingness to adopt the EMR exchange system, while asset specificity and uncertainty increased the related transaction costs. With a greater willingness to invest in relation-specific assets and to meet the related transaction costs, this behavior lead to an increase in medical IT value, as well as better results for the related medical institutes, medical staff, and patients. Therefore, this study suggests that such institutes encourage their medical staff to participate in seminars or reunions in order to develop their professional and social networks, and set up clear schedules and desire for expected effects when introducing the cross-hospital EMR exchange system.
authors.affiliation: Department of Business Administration, National Cheng Kung University, Tainan, Taiwan, ROC. Electronic address: easyhhc@mail.ncku.edu.tw.
authors.forename: Hsin Hsin
authors.initials: HH
authors.lastname: Chang
authors.affiliation: Department of Surgery, Medical College and Hospital, National Cheng Kung University, Tainan, Taiwan, ROC.
authors.forename: Chung-Jye
authors.initials: CJ
authors.lastname: Hung
authors.affiliation: Department of Business Administration, National Cheng Kung University, Tainan, Taiwan, ROC.
authors.forename: Ching Ying
authors.initials: CY
authors.lastname: Huang
authors.affiliation: Department of Business Administration, National Cheng Kung University, Tainan, Taiwan, ROC.
authors.forename: Kit Hong
authors.initials: KH
authors.lastname: Wong
authors.affiliation: Department of Business Administration, National Cheng Kung University, Tainan, Taiwan, ROC.
authors.forename: Yi Ju
authors.initials: YJ
authors.lastname: Tsai
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis / Q000379:methods*; D057286:Electronic Health Records / Q000191:economics* / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D066270:Social Capital; D011795:Surveys and Questionnaires
keywords: Co-creation; Inter-organizational EMR exchange systems; Social capital theory; Transaction cost theory