醫師使用隨身碟電子病歷意願之研究

Translated title of the contribution: A Study on Physicians' Acceptance of USB-flash-drive Electronic Health Record

溫信財, 陳 琬茹(Wan-Ju Chen), 簡文山, 楊 沛墩, 李友專, 陳 筱茹(Hsiao-Ju Chen)

Research output: Contribution to journalArticle

Abstract

Background: Electronic health record (EHR) has become a main-stream information technology (IT) development worldwide for the purpose of enhancing healthcare quality. Due to the fact that health records are mainly created and used by physicians, it appears that the advantages of EHR could not be fully taken without their support and participation. The main purposes of this study were to understand the various EHR systems current used by physicians, the latter's cognition and willingness of using portable EHR, and to explore the relevant influential factors of physicians' acceptance to portable EHR.
Methods: This study adopted a quantitative cross-sectional approach, and our subjects were physicians from nine medical centers, which participated in Taiwan DOH's ”Building of an Information Exchange Environment for Cross-Hospital Digital Medical Record” project. A Technology Acceptance Model (TAM) was the basic scheme of our research design. A set of structured questionnaire and 5-points Likert Scale were used as our research tool. After a reliability and content validity test, certain numbers of copies of the questionnaire were sent to each of the nine medical centers. After all, 426 copies of the questionnaire were returned and found valid, and the effective response rate was 25.6%.
Results: The factors affecting physicians' acceptance to portable EHR were: technical cognition (including perceived usefulness, perceived easiness of use, and familiarity with portable EHR process) (p<0.001), computer self-efficacy (p=0.038), and some external environmental factors (including adding remarks, electronic signature, time stamp, authorization limits, and access control) (p=0.013). The explanation power of model R^2 was 49.1% (adjusted R^2=0.491).
Conclusions: Perceived usefulness, perceived easiness of use, and familiarity with EHR process were found to be the three major factors influencing physicians to accept the portable EHR. Since most of those physicians having bothered to answer the questionnaire were not satisfied with the overall traditional paper medical record environment and also not willing to familiarize themselves with portable EHR process, it appears to be a good timing for the hospital to promote and develop HER system. If the government could offer some incentives like funds or subsidization to encourage hospitals to provide services and educational trainings, it would be very helpful to the research and promotion of HER.
Original languageTraditional Chinese
Pages (from-to)42-58
Number of pages17
Journal病歷資訊管理
Volume10
Issue number1
DOIs
Publication statusPublished - 2010

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Electronic Health Records
Physicians
Cognition
Medical Records
Drive
Quality of Health Care
Financial Management
Self Efficacy
Taiwan
Research
Reproducibility of Results
Motivation
Research Design
Technology
Surveys and Questionnaires

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醫師使用隨身碟電子病歷意願之研究. / 溫信財; 陳琬茹(Wan-Ju Chen); 簡文山; 楊沛墩; 李友專; 陳筱茹(Hsiao-Ju Chen).

In: 病歷資訊管理, Vol. 10, No. 1, 2010, p. 42-58.

Research output: Contribution to journalArticle

溫信財 ; 陳琬茹(Wan-Ju Chen) ; 簡文山 ; 楊沛墩 ; 李友專 ; 陳筱茹(Hsiao-Ju Chen). / 醫師使用隨身碟電子病歷意願之研究. In: 病歷資訊管理. 2010 ; Vol. 10, No. 1. pp. 42-58.
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abstract = "Background: Electronic health record (EHR) has become a main-stream information technology (IT) development worldwide for the purpose of enhancing healthcare quality. Due to the fact that health records are mainly created and used by physicians, it appears that the advantages of EHR could not be fully taken without their support and participation. The main purposes of this study were to understand the various EHR systems current used by physicians, the latter's cognition and willingness of using portable EHR, and to explore the relevant influential factors of physicians' acceptance to portable EHR. Methods: This study adopted a quantitative cross-sectional approach, and our subjects were physicians from nine medical centers, which participated in Taiwan DOH's ”Building of an Information Exchange Environment for Cross-Hospital Digital Medical Record” project. A Technology Acceptance Model (TAM) was the basic scheme of our research design. A set of structured questionnaire and 5-points Likert Scale were used as our research tool. After a reliability and content validity test, certain numbers of copies of the questionnaire were sent to each of the nine medical centers. After all, 426 copies of the questionnaire were returned and found valid, and the effective response rate was 25.6{\%}. Results: The factors affecting physicians' acceptance to portable EHR were: technical cognition (including perceived usefulness, perceived easiness of use, and familiarity with portable EHR process) (p<0.001), computer self-efficacy (p=0.038), and some external environmental factors (including adding remarks, electronic signature, time stamp, authorization limits, and access control) (p=0.013). The explanation power of model R^2 was 49.1{\%} (adjusted R^2=0.491). Conclusions: Perceived usefulness, perceived easiness of use, and familiarity with EHR process were found to be the three major factors influencing physicians to accept the portable EHR. Since most of those physicians having bothered to answer the questionnaire were not satisfied with the overall traditional paper medical record environment and also not willing to familiarize themselves with portable EHR process, it appears to be a good timing for the hospital to promote and develop HER system. If the government could offer some incentives like funds or subsidization to encourage hospitals to provide services and educational trainings, it would be very helpful to the research and promotion of HER.",
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author = "溫信財 and 陳, {琬茹(Wan-Ju Chen)} and 簡文山 and 沛墩 楊 and 李友專 and 陳, {筱茹(Hsiao-Ju Chen)}",
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AU - 溫信財, null

AU - 陳, 琬茹(Wan-Ju Chen)

AU - 簡文山, null

AU - 楊, 沛墩

AU - 李友專, null

AU - 陳, 筱茹(Hsiao-Ju Chen)

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N2 - Background: Electronic health record (EHR) has become a main-stream information technology (IT) development worldwide for the purpose of enhancing healthcare quality. Due to the fact that health records are mainly created and used by physicians, it appears that the advantages of EHR could not be fully taken without their support and participation. The main purposes of this study were to understand the various EHR systems current used by physicians, the latter's cognition and willingness of using portable EHR, and to explore the relevant influential factors of physicians' acceptance to portable EHR. Methods: This study adopted a quantitative cross-sectional approach, and our subjects were physicians from nine medical centers, which participated in Taiwan DOH's ”Building of an Information Exchange Environment for Cross-Hospital Digital Medical Record” project. A Technology Acceptance Model (TAM) was the basic scheme of our research design. A set of structured questionnaire and 5-points Likert Scale were used as our research tool. After a reliability and content validity test, certain numbers of copies of the questionnaire were sent to each of the nine medical centers. After all, 426 copies of the questionnaire were returned and found valid, and the effective response rate was 25.6%. Results: The factors affecting physicians' acceptance to portable EHR were: technical cognition (including perceived usefulness, perceived easiness of use, and familiarity with portable EHR process) (p<0.001), computer self-efficacy (p=0.038), and some external environmental factors (including adding remarks, electronic signature, time stamp, authorization limits, and access control) (p=0.013). The explanation power of model R^2 was 49.1% (adjusted R^2=0.491). Conclusions: Perceived usefulness, perceived easiness of use, and familiarity with EHR process were found to be the three major factors influencing physicians to accept the portable EHR. Since most of those physicians having bothered to answer the questionnaire were not satisfied with the overall traditional paper medical record environment and also not willing to familiarize themselves with portable EHR process, it appears to be a good timing for the hospital to promote and develop HER system. If the government could offer some incentives like funds or subsidization to encourage hospitals to provide services and educational trainings, it would be very helpful to the research and promotion of HER.

AB - Background: Electronic health record (EHR) has become a main-stream information technology (IT) development worldwide for the purpose of enhancing healthcare quality. Due to the fact that health records are mainly created and used by physicians, it appears that the advantages of EHR could not be fully taken without their support and participation. The main purposes of this study were to understand the various EHR systems current used by physicians, the latter's cognition and willingness of using portable EHR, and to explore the relevant influential factors of physicians' acceptance to portable EHR. Methods: This study adopted a quantitative cross-sectional approach, and our subjects were physicians from nine medical centers, which participated in Taiwan DOH's ”Building of an Information Exchange Environment for Cross-Hospital Digital Medical Record” project. A Technology Acceptance Model (TAM) was the basic scheme of our research design. A set of structured questionnaire and 5-points Likert Scale were used as our research tool. After a reliability and content validity test, certain numbers of copies of the questionnaire were sent to each of the nine medical centers. After all, 426 copies of the questionnaire were returned and found valid, and the effective response rate was 25.6%. Results: The factors affecting physicians' acceptance to portable EHR were: technical cognition (including perceived usefulness, perceived easiness of use, and familiarity with portable EHR process) (p<0.001), computer self-efficacy (p=0.038), and some external environmental factors (including adding remarks, electronic signature, time stamp, authorization limits, and access control) (p=0.013). The explanation power of model R^2 was 49.1% (adjusted R^2=0.491). Conclusions: Perceived usefulness, perceived easiness of use, and familiarity with EHR process were found to be the three major factors influencing physicians to accept the portable EHR. Since most of those physicians having bothered to answer the questionnaire were not satisfied with the overall traditional paper medical record environment and also not willing to familiarize themselves with portable EHR process, it appears to be a good timing for the hospital to promote and develop HER system. If the government could offer some incentives like funds or subsidization to encourage hospitals to provide services and educational trainings, it would be very helpful to the research and promotion of HER.

KW - 可攜式電子病歷

KW - 科技接受模式

KW - 醫師

KW - Portable Electronic Health Record

KW - Technology Acceptance Model TAM

KW - Physicians

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DO - 10.29741/JMHIM.201012.0004

M3 - 文章

VL - 10

SP - 42

EP - 58

JO - 病歷資訊管理

JF - 病歷資訊管理

SN - 1682-7988

IS - 1

ER -