Acceptance model of electronic medical record

This paper discusses acceptance issues of Electronic Medical Record System (EMR), particularly in Malaysia. A detailed overview of EMR and its benefits are firstly discussed. A number of acceptance models are scrutinized. Then factors affecting EMR acceptance are put forward. Finally, before proposing an EMR acceptance model, an instrument formed by adapting and then finding its factors loading is presented

An Investigation of the Factors influencing the Adoption of E-Health Services: A Case for Selected Hospitals in Lagos state, Nigeria

Research has identified a need for the improvement of the health situation in Nigeria. EHealth services are expected to make healthcare service delivery quicker and easier, covering a wider range of people. This research investigates the adoption level of e-Health in Nigerian health institutions, with focus on the use of the Electronic Medical Record (EMR). The SPSS (version 16.0) software was used to measure the variables with respect to the theories proposed and their individual items. For the purpose of this research, the theories adopted include the Technology Acceptance Model (TAM), Theory of Planned Behavior (TPB) and the Innovation Diffusion Theory. Using the elements of these theories, the research model developed postulated that Perceived Ease of Use (PEU), Perceived Social Influence (PSI) and Relative Advantage (RA) of the technology are what would determine the perceived usefulness (PU) which would in turn determine the intention to use (INT) the technology. Keywords: Adoption, E-Health, Nigeria, TAM

Wireless technology and clinical influences in healthcare setting: an Indian case study

This chapter argues that current techniques used in the domain of Information Systems is not adequate for establishing determinants of wireless technology in a clinical setting. Using data collected from India, this chapter conducted a first order regrssion modeling (factor analysis) and then a second order regression modeling (SEM) to establish the determinants of clinical influences as a result of using wireless technology in healthcare settings. As information systems professionals, the authors conducted a qualitative data collection to understand the domain prior to employing a quantitative technique, thus providing rigour as well as personal relevance. The outcomes of this study has clearly established that there are a number of influences such as the organisational factors in determining the technology acceptance and provides evidence that trivial factors such as perceived ease of use and perceived usefulness are no longer acceptable as the factors of technology acceptance

AN EMPIRICAL STUDY ON THE PHYSICIANS’ BEHAVIORAL INTENTION WITH ELECTRONIC MEDICAL RECORD SYSTEMS IN TAIWAN

Currently in healthcare organizations paper-based patient record management faces many challenges. Most countries are promoting the full implementation of electronic medical records in every hospital. Medical environments change frequently and dramatically, which makes full acceptance of electronic medical records (EMR) by physicians an important issue. This empirical study combines the theory on reasoned action (TRA) and information technology acceptance model (TAM) resulted in a modified TAM to find what critical factors influence the acceptance behavior of EMR by physicians. To test these hypotheses, this study administered a cross-sectional mailed questionnaire survey during the period of three months in 2012. The survey was deployed to1000 physicians randomly from the estimated total 2000 physicians of 50 regional acute hospitals (more than 300 beds) in Taiwan currently. From these, 252effective responses were received, resulting in a net response rate of 25%. These research findings indicate that four variables significantly positively impact the intention to adopt EMR. Among these, attitude has the most significant positive impact on adoption intentions. Moreover, it shows that the professional autonomy might play an important role to moderate the attitude with significant statistics. These results maintain enough explanatory power (R2 =78.4%) to help explain the attitudes and intentions of physicians in adopting electronic medical record information systems. Our analysis revealed the importance of the perception usefulness which moderated by professional autonomy and pragmatism by physicians for their adoption electronic medical record systems in clinical practice

Interpretative perspectives on the acceptance of an optional information system

Understanding the factors that contribute to the acceptance and use of information systems is a central concern in the field of information systems. Especially in cases where users are relatively free to use an information system (a so called optional information system) it is important for implementers to understand which factors determine acceptance in order to develop an effective design and implementation plan. In order to identify factors that determine acceptance, this report describes and analyses the implementation of a therapy expert system for general practitioners (GPs) in the Netherlands. The Netherlands Ministry of Health decided to implement this system with the objective to promote cost effectiveness, consistency and quality of therapies and drug prescriptions of general practitioners. This paper uses an interpretive perspective to analyze the limited acceptance of the system. While the promotion campaign focused on the system, GPs based their decision on wider contextual factors. The case demonstrates pitfalls, which come up during the implementation of such a system, and shows which factors may play a role in the decision of possible users to accept or reject such an optional information system. Different issues arise from this case. One is that users seem to differ from non-users and that perceptions about the system itself but also about non-system features affect the decision to accept. The paper uses the evidence of the case by suggesting to extend the technology acceptance model (TAM) with relevant contextual factors. It concludes by outlining its implications for implementers of optional information systems in general.

An overview of patient acceptance of Health Information Technology in developing countries: a review and conceptual model

The potential to improve the quality, efficiency, outcomes, patient safety and reduce cost of healthcare by Health Information Technology (HIT) has been established by researchers. But unfortunately HIT systems are not properly utilized or are not widely available. This problem is even more glaring in developing countries. This article presents a review of some available HIT systems in order to assess the level of their presence and the technology used in developing them. Works related to acceptance of HIT systems were also reviewed so as to study the gaps in this area and propose a solution in order to fill the gaps identified. The problems discovered from this review include lack of availability of these systems especially in developing countries, low rate of HIT systems acceptance and insufficient works on patient acceptance of HIT systems. Studying the factors that affect the acceptance of HIT systems by patients and considering the factors while developing the systems will play a significant role in getting over the aforementioned limitations. As Technology Acceptance Model (TAM) is one of the most popular models for studying users\u27 perception and acceptance of Information System (IS)/Information Technology (IT), we proposed a conceptual model of HIT acceptance in developing countries based on TAM

An overview of patient acceptance of Health Information Technology in developing countries: a review and conceptual model

The potential to improve the quality, efficiency, outcomes, patient safety and reduce cost of healthcare by Health Information Technology (HIT) has been established by researchers. But unfortunately HIT systems are not properly utilized or are not widely available. This problem is even more glaring in developing countries. This article presents a review of some available HIT systems in order to assess the level of their presence and the technology used in developing them. Works related to acceptance of HIT systems were also reviewed so as to study the gaps in this area and propose a solution in order to fill the gaps identified. The problems discovered from this review include lack of availability of these systems especially in developing countries, low rate of HIT systems acceptance and insufficient works on patient acceptance of HIT systems. Studying the factors that affect the acceptance of HIT systems by patients and considering the factors while developing the systems will play a significant role in getting over the aforementioned limitations. As Technology Acceptance Model (TAM) is one of the most popular models for studying users' perception and acceptance of Information System (IS)/Information Technology (IT), we proposed a conceptual model of HIT acceptance in developing countries based on TAM

Understanding Physicians' Adoption Of Electronic Medical Records: Healthcare Technology Self-Efficacy, Service Level And Risk Perspectives

Most developed countries across the globe are deploying electronic medical record (EMR) as one of the most important initiatives in their healthcare policy. EMR can not only reduce the problems associated with managing paper medical records but also improve the accuracy of medical decisions made by physicians and increase the safety of patients. Considering that physicians are the primary users of EMR, their willingness to use EMR is a critical success factor for EMR implementation in a hospital. This study aims to extend an individual-level information technology adoption model by incorporating three additional variables to investigate whether the individual characteristics of a physician affect EMR adoption. A field survey is conducted with a total of 217 physicians from 15 different academic medical centers and metropolitan hospitals for six weeks. Then, the Structural Equation Modeling (SEM) analysis results indicate that perceived service level is an important antecedent of perceived usefulness. Healthcare technology self-efficacy, perceived risk, and perceived service level are also important antecedents of perceived ease of use. This study is concluded with implications for academics, hospital managers, governments, and medical information service providers