An Examination of the Relationships among IT Capability Intentions, IT Infrastructure Integration and Quality of Care: A Study in U.S. Hospitals

Abstract

This study employs a multiple respondent research technique to assess the efficacy of a framework intended to improve the quality of health care provided to patients. We use survey data from 78 matched respondents to answer the question to what extent does IT capability intentions affect a hospital's ability to detect and reduce clinical errors. We investigate empirically the impact of IT capability intentions and IT infrastructure integration on elements of IT-enabled quality of care. Our findings position IT capability intentions as an antecedent to IT infrastructure integration and suggest IT infrastructure integration is the key component in overcoming a highly fragmented delivery system. The degree of IT infrastructure integration has significant effects on quality of care, in terms of both patient-centric responsiveness and error detection and reduction.