Abstract
Objective: Despite of emerging evidence that electronic health records (EHRs) can improve the clinical quality, enhances patient safety and efficiency. Most physicians in primary health care clinics in the Taiwan do not currently adopt EHR at their clinic practices. We aim to measure the relationship between usage intention and adoption behavior. Study design and methods: We used structured questionnaires distributed both EHRs adopter and non-adopter group to the primary health care physicians which participated in the DOH project to establish the information exchange environment across Taiwan. The response rate of adopter and non-adopter is 54.7% and 55.0% respectively. Measurements: EHRs adoption behavior. Results: The EHRs adopter group has higher intention than non-adopter (p = 0.003). From the result of logistic regression analyses, we found the key factors affecting physicians' adoption pattern were intention to use (OR: 2.85; 95% CI: 2.30-3.54). In addition, higher perceived usefulness (OR: 1.29; 95% CI: 1.06-1.56) and perceived ease to use (OR: 1.48; 95% CI: 1.22-1.79) increase adoption of EHR found. Conclusion: The intention to use EHR, perceived usefulness and ease to use of primary care physicians were found as key factors influencing EHRs adoption. Thus, we suggest that government should promote the potential benefits of EHR and enhance physicians' willingness to adopt the EHRs at their clinic practices.
| Original language | English |
|---|---|
| Pages (from-to) | 731-737 |
| Number of pages | 7 |
| Journal | Computer Methods and Programs in Biomedicine |
| Volume | 112 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Dec 2013 |
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Keywords
- EHR adoption
- EHR adoption behavior
- Electronic health records
- Health IT
- Meaningful use
ASJC Scopus subject areas
- Computer Science Applications
- Software
- Health Informatics
Cite this
The relationship between usage intention and adoption of electronic health records at primary care clinics. / Iqbal, Usman; Ho, Cheng Hsun; Li, Yu Chuan(Jack); Nguyen, Phung Anh; Jian, Wen Shan; Wen, Hsyien Chia.
In: Computer Methods and Programs in Biomedicine, Vol. 112, No. 3, 12.2013, p. 731-737.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The relationship between usage intention and adoption of electronic health records at primary care clinics
AU - Iqbal, Usman
AU - Ho, Cheng Hsun
AU - Li, Yu Chuan(Jack)
AU - Nguyen, Phung Anh
AU - Jian, Wen Shan
AU - Wen, Hsyien Chia
PY - 2013/12
Y1 - 2013/12
N2 - Objective: Despite of emerging evidence that electronic health records (EHRs) can improve the clinical quality, enhances patient safety and efficiency. Most physicians in primary health care clinics in the Taiwan do not currently adopt EHR at their clinic practices. We aim to measure the relationship between usage intention and adoption behavior. Study design and methods: We used structured questionnaires distributed both EHRs adopter and non-adopter group to the primary health care physicians which participated in the DOH project to establish the information exchange environment across Taiwan. The response rate of adopter and non-adopter is 54.7% and 55.0% respectively. Measurements: EHRs adoption behavior. Results: The EHRs adopter group has higher intention than non-adopter (p = 0.003). From the result of logistic regression analyses, we found the key factors affecting physicians' adoption pattern were intention to use (OR: 2.85; 95% CI: 2.30-3.54). In addition, higher perceived usefulness (OR: 1.29; 95% CI: 1.06-1.56) and perceived ease to use (OR: 1.48; 95% CI: 1.22-1.79) increase adoption of EHR found. Conclusion: The intention to use EHR, perceived usefulness and ease to use of primary care physicians were found as key factors influencing EHRs adoption. Thus, we suggest that government should promote the potential benefits of EHR and enhance physicians' willingness to adopt the EHRs at their clinic practices.
AB - Objective: Despite of emerging evidence that electronic health records (EHRs) can improve the clinical quality, enhances patient safety and efficiency. Most physicians in primary health care clinics in the Taiwan do not currently adopt EHR at their clinic practices. We aim to measure the relationship between usage intention and adoption behavior. Study design and methods: We used structured questionnaires distributed both EHRs adopter and non-adopter group to the primary health care physicians which participated in the DOH project to establish the information exchange environment across Taiwan. The response rate of adopter and non-adopter is 54.7% and 55.0% respectively. Measurements: EHRs adoption behavior. Results: The EHRs adopter group has higher intention than non-adopter (p = 0.003). From the result of logistic regression analyses, we found the key factors affecting physicians' adoption pattern were intention to use (OR: 2.85; 95% CI: 2.30-3.54). In addition, higher perceived usefulness (OR: 1.29; 95% CI: 1.06-1.56) and perceived ease to use (OR: 1.48; 95% CI: 1.22-1.79) increase adoption of EHR found. Conclusion: The intention to use EHR, perceived usefulness and ease to use of primary care physicians were found as key factors influencing EHRs adoption. Thus, we suggest that government should promote the potential benefits of EHR and enhance physicians' willingness to adopt the EHRs at their clinic practices.
KW - EHR adoption
KW - EHR adoption behavior
KW - Electronic health records
KW - Health IT
KW - Meaningful use
UR - http://www.scopus.com/inward/record.url?scp=84885419467&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885419467&partnerID=8YFLogxK
U2 - 10.1016/j.cmpb.2013.09.001
DO - 10.1016/j.cmpb.2013.09.001
M3 - Article
C2 - 24091088
AN - SCOPUS:84885419467
VL - 112
SP - 731
EP - 737
JO - Computer Methods and Programs in Biomedicine
JF - Computer Methods and Programs in Biomedicine
SN - 0169-2607
IS - 3
ER -