Total quality management based governance models tend to focus on incremental improvements within the boundaries of a single organization. This may limit the benefits of information technology because they are not complex enough to address business or performance problems that extend beyond the boundaries of a single organization. The research…

Implementation of information systems has lagged in many areas of clinical healthcare for a variety of reasons. Economics, data complexity and resistance are among the often quoted roadblocks. Research suggests that physicians play a major part in the adoption, use and diffusion of information technology (IT) in clinical settings. There are also…

Community psychologists have a long-standing interest in promoting systems change to improve the lives of individuals and communities. To more fully illuminate a multilevel model of those factors involved in the promotion of systems change, the current study examined individual- and organizational-level characteristics related to health care…