Just What the Doctor Ordered': A Revised UTAUT for EMR System Adoption and Use by Doctors (original) (raw)
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This study applies the Unified Theory of Acceptance and Use of Technology (UTAUT) to the phenomenon of physician adoption of electronic medical records (EMR) technology. UTAUT integrates eight theories of individual acceptance into one comprehensive model designed to assist in understanding what factors either enable or hinder technology adoption and use. As such, it provides a useful lens through which to view what is currently taking place in the healthcare industry regarding EMR adoption. This is mutually beneficial to both the healthcare and MIS communities, as UTAUT offers valuable practical insight to the healthcare industry in explaining why EMR technology has not been more widely adopted as well as what prescriptions may facilitate future adoption, while offering the MIS community the opportunity to strengthen existing theory through an illustration of its application.
Health Research Policy and Systems, 2022
Background: Wide adoption of electronic medical records (EMR) systems in the United States can lead to betterquality medical care at lower cost. Despite the laws and financial subsidies by the United States government for service providers and suppliers, interoperability still lags. An understanding of the drivers of EMR adoption for physicians and the role of policy-making can translate into increased adoption and enhanced information sharing between medical care providers. Methods: Physicians across the United States were surveyed to gather primary data on their psychological, social and technical perceptions towards EMR systems. This quantitative study builds on the theory of planned behaviour, the technology acceptance model and the diffusion of innovation theory to propose, test and validate an innovation adoption model for the healthcare industry. A total of 382 responses were collected, and data were analysed via linear regression to uncover the effects of 12 variables on the intention to adopt EMR systems. Results: Regression model testing uncovered that government policy-making or mandates and other social factors have little or negligible effect on physicians' intention to adopt an innovation. Rather, physicians are directly driven by their attitudes and ability to control, and indirectly motivated by their knowledge of the innovation, the financial ability to acquire the system, the holistic benefits to their industry and the relative advancement of the system compared to others. Conclusions: Identifying physicians' needs regarding EMR systems and providing programmes that meet them can increase the potential for reaching the goal of nationwide interoperable medical records. Government, healthcare associations and EMR system vendors can benefit from our findings by working towards increasing physicians' knowledge of the proposed innovation, socializing how medical care providers and the overall industry can benefit from EMR system adoption, and solving for the financial burden of system implementation and sustainment.
Technology Acceptance in Healthcare Service: A Case of Electronic Medical Records (ERM)
International Journal of Academic Research in Business and Social Sciences, 2017
This study extends applicability of the Technology Acceptance Model (TAM) to test user acceptance of EMR in the hospital. This study aims to assess the EMR characteristics which could affect the healthcare profession's belief in accepting the usage of EMR in UiTM Medical Specialist Centre, Malaysia (UiTMMSC), Malaysia. Besides measuring the effectiveness of the system towards the organization's excellence, this study expected to guide the UiTMMSC management in structuring the initiatives to promote the EMR usage among the healthcare professions. The significant of this study is to ensure future research by expanding the similar topic of research with the exploration on specific EMR characteristics or healthcare profession's belief by focusing of particular programs for detail assessment.
Electronic health record acceptance by physicians: Testing an integrated theoretical model
Journal of Biomedical Informatics, 2014
Objective: Several countries are in the process of implementing an Electronic Health Record (EHR), but limited physicians' acceptance of this technology presents a serious threat to its successful implementation. The aim of this study was to identify the main determinants of physician acceptance of EHR in a sample of general practitioners and specialists of the Province of Quebec (Canada). Methods: We sent an electronic questionnaire to physician members of the Quebec Medical Association. We tested four theoretical models (Technology acceptance model (TAM), Extended TAM, Psychosocial Model, and Integrated Model) using path analysis and multiple linear regression analysis in order to identify the main determinants of physicians' intention to use the EHR. We evaluated the modifying effect of sociodemographic characteristics using multi-group analysis of structural weights invariance. Results: A total of 157 questionnaires were returned. The four models performed well and explained between 44% and 55% of the variance in physicians' intention to use the EHR. The Integrated model performed the best and showed that perceived ease of use, professional norm, social norm, and demonstrability of the results are the strongest predictors of physicians' intention to use the EHR. Age, gender, previous experience and specialty modified the association between those determinants and intention. Conclusions: The proposed integrated theoretical model is useful in identifying which factors could motivate physicians from different backgrounds to use the EHR. Physicians who perceive the EHR to be easy to use, coherent with their professional norms, supported by their peers and patients, and able to demonstrate tangible results are more likely to accept this technology. Age, gender, specialty and experience should also be taken into account when developing EHR implementation strategies targeting physicians.
2020
BACKGROUND Electronic health records (EHRs) represent an important aspect of digital healthcare and in order to promote their use further, we need to better understand the drivers of their acceptance among healthcare professionals. Technology acceptance theories can be utilized to better understand users’ intentions towards using EHRs. This study used a modified version of the Unified theory of acceptance and use of technology (UTAUT) to examine the factors that are associated with intentions to use an EHR application among General practitioners (GPs) in the then Republic of Macedonia, a country that has been underrepresented in the extant literature. An online questionnaire was sent to 1174 GPs, of whom 458 completed the questionnaires (response rate = 40.2%). The questionnaire assessed performance expectancy, effort expectancy, facilitating conditions, and social influence in relation to the GPs’ intentions to use future EHR system. Job relevance, descriptive norm, satisfaction wi...
2016
Introduction: Physicians' adoption seems to be a significant issue when comprehensive implementation of Electronic Medical Records (EMR) is considered. This study was conducted to determine the organizational contextual factors affecting physicians' adoption of EMR. Methods: This was a descriptive-analytical study in which a sample of 330 physicians working in hospitals affiliated to Tehran University of Medical Sciences was selected. Physicians' attitudes toward EMRs' adoption have been assessed by a conceptual path model of Technology Acceptance model (TAM) and organizational context variables. Collected data were analyzed by SPSS16 using regression analysis. The final model was tested by structural equation modeling (SEM) and represented by SPSS-AMOS, structural equation modeling software. Results: The results suggest that modified proposed conceptual path model explains about 56% of the variance of EMRs' adoption. The findings also evidenced that perceived usefulness (PU), perceived ease of use (PEOU), management support; physicians' involvement, physicians' autonomy, and the doctor-patient relationship have direct and significant effect on physicians' attitudes toward EMRs' adoption. However, training showed to have no significant effect on PU and PEOU. Conclusion: The present study acknowledged that considerable part of physicians' attitude toward EMRs' adoption is controlled by organizational contextual factors. These factors should be subsequently the major concern of health organizations and health policy makers.
The primary health care IT-system (HIT) physicians in hospitals are exposed to is the electronic medical record (EMR)-the "information backbone" of all patient related activity and data. Despite the commonly acknowledged beneficial improvements through HIT, the level of EMR adoption in Germany is relatively low. Less than 20% of all hospitals have implemented a fully functional EMR. Apparently, the users have certain antipathies against the EMR. In order to identify the salient factors of these aversions and to provide a plausible explanation for the scarce penetration of EMR systems, a case study research in German hospitals has been conducted. The research subjects were physicians as the most influential EMR users. Social Cognitive Theory (SCT) was applied to analyze their perceptions towards using the EMR. Findings indicate that performance-related outcome expectations and anxieties are the most relevant factors. However, as the majority of the subject group generally has high confidence in EMR systems, expected benefits seem to outweigh perceived risks of EMR usage.
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: The Indonesian Ministry of Health requires hospitals to record and report all activities in the Hospital Management Information System (SIMRS). However, the disruptive use of software, hardware, and Brainware has reduced its effective management and usability, which has become a separate workload. Electronic Medical Record (EMR) is one of the important implementations of SIMRS because it relates to the ability to identify information, results, history taking, examinations, and records of all patients. Furthermore, it has become a current global trend for most hospitals and has also been used as a substitute for paper medical records. AIM: This study aims to collect and identify the user characteristic, technology used, and other variables influencing the acceptance and use of information and technology systems based on the unified theory of acceptance and use of technology (UTAUT) model. METHOD: Secondary data were obtained from scientifically published journals online i...
Computer Standards & Interfaces
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.
Adoption of Electronic Health Records (EHRs): A Review of Technology Acceptance Studies
in healthcare information technology. EHRs can facilitate the process of patient management and care, and significantly reduce operational costs in healthcare settings. Healthcare professionals play a critical role in the success of EHRs but many of them are reluctant to adopt EHRs in their daily practice. The present paper reviews research derived from the Technology Acceptance Model ), a behavioural model of acceptance and utilization of technological innovations in professional settings, including healthcare services. Following a systematic search and review of the literature, the empirical studies published between 1990 and 2012 are presented, and a synthesis of their main findings and implications for EHRs acceptance by healthcare professionals are discussed.