Social capital and transaction cost on co-creating IT value towards inter-organizational EMR exchange

Hsin Hsin Chang, Chung Jye Hung, Ching Ying Huang, Kit Hong Wong, Yi Ju Tsai

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)247-260
Number of pages14
JournalInternational Journal of Medical Informatics
Publication statusPublished - 2017 Jan 1

All Science Journal Classification (ASJC) codes

  • Health Informatics


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