The relationship between usage intention and adoption of electronic health records at primary care clinics

Usman Iqbal, Cheng Hsun Ho, Yu Chuan(Jack) Li, Phung Anh Nguyen, Wen Shan Jian, Hsyien Chia Wen

研究成果: 雜誌貢獻文章

19 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)731-737
頁數7
期刊Computer Methods and Programs in Biomedicine
112
發行號3
DOIs
出版狀態已發佈 - 十二月 2013

指紋

Electronic Health Records
Primary Health Care
Health
Primary Care Physicians
Physicians
Taiwan
Health care
Patient Safety
Logistics
Logistic Models
Regression Analysis

ASJC Scopus subject areas

  • Computer Science Applications
  • Software
  • Health Informatics

引用此文

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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.",
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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.

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