A Research Model for Measuring IT Efficiency in German Hospitals

  • Heiko GewaldEmail author
  • Heinz-Theo Wagner


More than 10% of the German gross domestic product is spent on health related services every year summing up to 263bn € in 2008 (Destatis 2010). A large proportion of these funds is invested into information technology (IT). Although solid empirical data on the allocation of these funds is scarce, the available studies offer interesting insights into the importance of IT in German health care: IT accounts for an estimated 2.9-3.7% of hospitals overall budget (VHitG 2010) and for an estimated ~14% of hospital investments (Blum and Schilz 2005).


Information Technology Business Process Information System Technology Acceptance Model German Hospital 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Bandura, A. "Self-Efficacy: Toward a Unifying Theory of Behavioral Change," Psychological Review (84:2), 1977, pp. 191–215.CrossRefGoogle Scholar
  2. Bandura, A. "Reflections on Self-Efficacy," In Advances in Behavioral Research and Therapy S. Rachman (Ed.), Pergamon Press, Oxford, 1978, pp. 237–269.Google Scholar
  3. Bandura, A. "Self-Efficacy Mechanism in Human Agency," American Psychologist, (37:2), 1982, pp. 122–147.CrossRefGoogle Scholar
  4. Bandura, A. "Recycling Misconceptions of Perceived Self-efficacy," Cognitive Therapy and Research (8:3), 1984, pp. 231–255.CrossRefGoogle Scholar
  5. Bandura, A. Social Foundations of Thought and Action Prentice Hall, Englewood Cliffs, 1986.Google Scholar
  6. Barua, A., Kriebel, C.H., and Mukhopadhyay, T. "Information Technologies and Business Value: An Analytical and Empirical Investigation," Information Systems Research (6:1), 1995, pp. 3–23.CrossRefGoogle Scholar
  7. Bauer, R. "Consumer Behavior as Risk Taking," In Risk Taking and Information Handling in Consumer Behavior, D.F. Cox (ed.), Harvard University Press, Cambridge, USA, 1967, pp. 21–33.Google Scholar
  8. Bharadwaj, A.S., Bharadwaj, S.G., and Konsynski, B.R. "Information Technology Effects on Firm Performance as Measured by Tobin’s q," Management Science (45:6), 1999, pp. 1008–1024.CrossRefGoogle Scholar
  9. Blum, K., and Schilz, P. "Krankenhaus Barometer 2005," Deutsches Krankenhaus Institut, 2005.Google Scholar
  10. Brynjolfsson, E., Hitt, L.M., and Yang, S. "Intangible Assets: Computers and Organizational Capital," Brookings Papers on Economic Activity (1), 2002, pp. 137–181.CrossRefGoogle Scholar
  11. Brynjolfsson, E., and Kemerer, C.F. "Network Externalities in Microcomputer Software: An Economic of the Spreadsheet Market," Management Science (42), 1996, pp. 1627–1647.CrossRefGoogle Scholar
  12. Burton-Jones, A., and Gallivan, M.J. "Toward a Deeper Understanding of System Usage in Organizations: A Multilevel Perspective," MIS Quarterly (31:4), 2007, pp. 657–679.Google Scholar
  13. Burton-Jones, A., and Straub, D.W. "Reconceptualizing System Usage: An Approach and Empirical Test," Information Systems Research (17:3), 2006, p 228–246.CrossRefGoogle Scholar
  14. Cenfetelli, R.T. "Inhibitors and Enablers as Dual Factor Concepts in Technology Usage," Journal of the Association for Information Systems (5:11–12), 2004, pp. 472–492.Google Scholar
  15. Compeau, D.R., and Higgins, C.A. "Computer Self-Efficacy: Development of a Measure and Initial Test," MIS Quarterly (19:2), 1995, pp. 189–211.CrossRefGoogle Scholar
  16. Cunningham, L., Gerlach, J., and Harper, M. "Perceived risk and e-banking services: An analysis from the perspective of the consumer," Journal of Financial Services Marketing (10:2), 2005, pp. 165–178.CrossRefGoogle Scholar
  17. DeLone, W.H., and McLean, E.R. "Information Systems Success: The Quest for the Dependent Variable," Information Systems Research (3:1), 1992, pp. 60–95.CrossRefGoogle Scholar
  18. DeLone, W.H., and McLean, E.R. "The DeLone and McLean Model of Information System Success: A Ten-Year Update," Journal of Management Information Systems (19:4), 2003, pp. 9–30.Google Scholar
  19. Destatis "2008: 263 Milliarden Euro fuer Gesundheit ausgegeben," Press Release Nr.126, 2010.Google Scholar
  20. Devaraj, S., and Kohli, R. "Information Technology Payoff in the Health-Care Industry: A Longitudinal Study," Journal of Management Information Systems (16:4), 2000, pp. 41–67.Google Scholar
  21. Devaraj, S., and Kohli, R. "Performance Impacts of Information Technology: Is Actual Usage the Missing Link?," Management Science (49:3), 2003, pp. 273–289.CrossRefGoogle Scholar
  22. Dewan, S., and Min, C.-k. "The Substitution of Information Technology for Other Factors of Production: A Firm Level Analysis," Management Science (43:12), 1997, pp. 1660–1675.CrossRefGoogle Scholar
  23. Doll, W.J., and Torkzadeh, G. "Developing a multidimensional measure of system-use in an organizational context," Information & Management (33:4), 1998, pp. 171–185.CrossRefGoogle Scholar
  24. Faehling, J., Koebler, F., Leimeister, J.-M., and Krcmar, H. "Wahrgenommener Wert von IT in Krankenhaeusern – eine empirische Studie," In Business Services: Konzepte, Technologien, Anwendungen, H.-R. Hansen, D. Karagiannis and H.-G. Fill (eds.), Oesterreichische Computer Gesellschaft, Wien, 2009, pp. 709–719.Google Scholar
  25. Koebler, F., Faehling, J., Leimeister, J.-M., and Krcmar, H. "IT Governance and Types of IT Decision Makers in German Hospitals: An Empirical Study Among IT Decision Makers," Business & Information Systems Engineering (6), 2010, pp. 359–370.CrossRefGoogle Scholar
  26. Lee, C.S. "Modeling the business value of information technology," Information & Management (39:3), 2001, pp. 191–210.CrossRefGoogle Scholar
  27. Leimeister, J.-M., Klapdor, S., Hoermann, C., and Krcmar, H. IT-Management in deutschen Krankenhaeusern: Eine empirische Untersuchung unter IT-Entscheidungstraegern, Books on Demand, Norderstedt, 2008.Google Scholar
  28. Lewis, W., Agarwal, R., and Sambamurthy, V. "Information Technology Use: An Empirical Study of Knowledge Workers," MIS Quarterly (27:4), 2003, pp. 657–678.Google Scholar
  29. Limayem, M., and Hirt, S.G. "Force of Habit and Information Systems Usage: Theory and Initial Validation," Journal of the Association for Information Systems (t), 2003, pp. 65–97.Google Scholar
  30. Massetti, B., and Zmud, R.W. "Measuring the Extent of EDI Usage in Complex Organizations: Strategies and Illustrative Examples," MIS Quarterly (20:3), 1996, pp. 331–345.CrossRefGoogle Scholar
  31. Melville, N., Kraemer, K.L., and Gurbaxani, V. "Information Technology and Organizational Performance: An Integrative Model of IT Business Value," MIS Quarterly (28:2), 2004, pp. 283–322.Google Scholar
  32. Mukhopadhyay, T., Rajiv, S., and Srinivasan, K. "Information Technology Impact on Process Output and Quality," Management Science (43:12), 1997, pp. 1645–1659.CrossRefGoogle Scholar
  33. Tallon, P.P., Kraemer, K.L., and Gurbaxani, V. "Executives’ Perceptions of the Business Value of Information Technology: A Process-Oriented Approach," Journal of Management Information Systems (16:4), 2000, pp. 145–173.Google Scholar
  34. Taylor, S., and Todd, P. "Assessing IT Usage: The Role of Experience," MIS Quarterly (19:4), 1995, pp. 561–570.CrossRefGoogle Scholar
  35. Venkatesh, V., Morris, M.G., Davis, G.B., and Davis, F.D. "User Acceptance of Information Technology: Toward a Unified View," MIS Quarterly (27:3), 2003, pp. 425–478.Google Scholar
  36. VHit, G. "Branchenbarometer 2010: Markterhebung zur Bewertung und Verteilung von IT in deutschen Gesundheitseinrichtungen.", 2010.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Neu-Ulm University of Applied SciencesNeu-UlmGermany
  2. 2.German Graduate School of Management and LawHeilbronnGermany

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