The role of the professional association: A grounded theory study of Electronic Medical Records usage in Ontario, Canada

Many professionals utilize computer systems to assist them with the exercise of their skilled knowledge. These systems are designed with many core features, but their adoption is heterogeneous, with some users adopting more features than others. In this qualitative study, the empirical context is the use of Electronic Medical Records (EMRs) by primary care physicians in Ontario, Canada. We have collected data from interviews, and by using the methodology of grounded theory, we theorize that guidance from the professional association to which the members belong is able to positively influence its members to adopt more core features. Although professionals operate with a high degree of autonomy, their professional association governs their actions. By setting standards and offering education, the association is able to guide its members to make more enhanced use of core features. The theoretical contribution is the conceptualization of a higher order construct, Professional Association Guidance.