Int J Med Inform - Physicians' acceptance of electronic medical records exchange: an extension of the decomposed TPB model with institutional trust and perceived risk.

Tópicos

{ use(2086) technolog(871) perceiv(783) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ record(1888) medic(1808) patient(1693) }
{ assess(1506) score(1403) qualiti(1306) }
{ ehr(2073) health(1662) electron(1139) }
{ error(1145) method(1030) estim(1020) }
{ studi(2440) review(1878) systemat(933) }
{ risk(3053) factor(974) diseas(938) }
{ medic(1828) order(1363) alert(1069) }
{ high(1669) rate(1365) level(1280) }
{ sequenc(1873) structur(1644) protein(1328) }
{ patient(2315) diseas(1263) diabet(1191) }
{ chang(1828) time(1643) increas(1301) }
{ data(1714) softwar(1251) tool(1186) }
{ visual(1396) interact(850) tool(830) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ data(2317) use(1299) case(1017) }
{ use(1733) differ(960) four(931) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ control(1307) perform(991) simul(935) }
{ search(2224) databas(1162) retriev(909) }
{ blood(1257) pressur(1144) flow(957) }
{ health(3367) inform(1360) care(1135) }
{ research(1218) medic(880) student(794) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ decis(3086) make(1611) patient(1517) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

RPOSE: Electronic medical records (EMRs) exchange improves clinical quality and reduces medical costs. However, few studies address the antecedent factors of physicians' intentions to use EMR exchange. Based on institutional trust and perceived risk integrated with the decomposed theory of planned behavior (TPB) model, we propose a theoretical model to explain the intention of physicians to use an EMR exchange system.METHODS: We conducted a field survey in Taiwan to collect data from physicians who had experience using the EMR exchange systems. A valid sample of 191 responses was collected for data analysis. To test the proposed research model, we employed structural equation modeling using the partial least squares method.RESULTS: The study findings show that the following five factors have a significant influence on the physicians' intentions to use EMR exchange systems: (a) attitude; (b) subjective norm; (c) perceived behavior control; (d) institutional trust; and (e) perceived risk. These five factors are predictable by perceived usefulness, perceived ease of use, and compatibility, interpersonal and governmental influence, facilitating conditions and self-efficacy, situational normality and structural assurance, and institutional trust, respectively. The results also indicate that institutional trust and perceived risk integrated with the decomposed TPB model improve the prediction of physician's intentions to use EMR exchange.CONCLUSION: The results of this study indicate that our research model effectively predicts the intention of physicians to use EMR exchange, and provides valuable implications for academics and practitioners.

Resumo Limpo

rpose electron medic record emr exchang improv clinic qualiti reduc medic cost howev studi address anteced factor physician intent use emr exchang base institut trust perceiv risk integr decompos theori plan behavior tpb model propos theoret model explain intent physician use emr exchang systemmethod conduct field survey taiwan collect data physician experi use emr exchang system valid sampl respons collect data analysi test propos research model employ structur equat model use partial least squar methodresult studi find show follow five factor signific influenc physician intent use emr exchang system attitud b subject norm c perceiv behavior control d institut trust e perceiv risk five factor predict perceiv use perceiv eas use compat interperson government influenc facilit condit selfefficaci situat normal structur assur institut trust respect result also indic institut trust perceiv risk integr decompos tpb model improv predict physician intent use emr exchangeconclus result studi indic research model effect predict intent physician use emr exchang provid valuabl implic academ practition

Resumos Similares

J. Med. Internet Res. - Patient perceptions of a personal health record: a test of the diffusion of innovation model. ( 0,891507597999952 )
J Biomed Inform - The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. ( 0,886476054514062 )
Int J Med Inform - Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: a decomposed TPB model. ( 0,881714252759243 )
AMIA Annu Symp Proc - An empirical study of opinion leader effects on mobile information technology adoption in healthcare. ( 0,880139840633289 )
BMC Med Inform Decis Mak - User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. ( 0,871527938909711 )
J Am Med Inform Assoc - Factors affecting home care patients' acceptance of a web-based interactive self-management technology. ( 0,869292745499195 )
J Am Med Inform Assoc - Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital. ( 0,868599240200504 )
Methods Inf Med - Information technology acceptance in health information management. ( 0,867299943243898 )
Int J Med Inform - Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT. ( 0,859947589976593 )
Int J Med Inform - Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. ( 0,857594494629138 )
Telemed J E Health - An empirical study of physicians' acceptance of hospital information systems in Taiwan. ( 0,84940924310221 )
AMIA Annu Symp Proc - Study of the factors that promoted the implementation of electronic medical record on iPads at two emergency departments. ( 0,849013098190375 )
J. Med. Internet Res. - Website quality, expectation, confirmation, and end user satisfaction: the knowledge-intensive website of the Korean National Cancer Information Center. ( 0,847447138057744 )
J Med Syst - Barriers to physicians' adoption of healthcare information technology: an empirical study on multiple hospitals. ( 0,847298952155009 )
Perspect Health Inf Manag - The effects of innovation factors on smartphone adoption among nurses in community hospitals. ( 0,84497907480623 )
J Med Syst - Assessing the relationship between technology readiness and continuance intention in an E-appointment system: relationship quality as a mediator. ( 0,837294441198097 )
J Telemed Telecare - Evaluation of teledermatology adoption by health-care professionals using a modified Technology Acceptance Model. ( 0,835579882051758 )
J. Med. Internet Res. - A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. ( 0,829392958411604 )
AMIA Annu Symp Proc - Clinical information system post-adoption evaluation at the georges pompidou university hospital. ( 0,817113753965424 )
Int J Med Inform - Predictive factors of telemedicine service acceptance and behavioral intention of physicians. ( 0,815369213220642 )
BMC Med Inform Decis Mak - Healthcare professional acceptance of telemonitoring for chronic care patients in primary care. ( 0,815256303539443 )
J Med Syst - Engagement in E-learning opportunities: an empirical study on patient education using expectation confirmation theory. ( 0,813283572348637 )
J. Med. Internet Res. - Speech perception benefits of internet versus conventional telephony for hearing-impaired individuals. ( 0,805868268739896 )
Comput. Biol. Med. - Innovative health care delivery system--a questionnaire survey to evaluate the influence of behavioral factors on individuals' acceptance of telecare. ( 0,798911513364868 )
BMC Med Inform Decis Mak - Stages of use: consideration, initiation, utilization, and outcomes of an internet-mediated intervention. ( 0,796128487063062 )
Int J Med Inform - The Australian general public's perceptions of having a personally controlled electronic health record (PCEHR). ( 0,78882976525997 )
Telemed J E Health - Physicians' perceptions and use of a health information exchange: a pilot program in South Korea. ( 0,787845028782589 )
Health Informatics J - Provider impressions of the use of a mobile crowdsourcing app in medical practice. ( 0,783119897221341 )
Int J Med Inform - Comparison of the middle-aged and older users' adoption of mobile health services in China. ( 0,780548883557828 )
Med Decis Making - Decision to adopt medical technology: case study of breast cancer radiotherapy techniques. ( 0,779406770380092 )
J. Med. Internet Res. - If we offer it, will they accept? Factors affecting patient use intentions of personal health records and secure messaging. ( 0,778870782171408 )
BMC Med Inform Decis Mak - Comparative evaluation of different medication safety measures for the emergency department: physicians' usage and acceptance of training, poster, checklist and computerized decision support. ( 0,778662093691535 )
J. Med. Internet Res. - Development of a health information technology acceptance model using consumers' health behavior intention. ( 0,776052291552077 )
Telemed J E Health - Predicting medical staff intention to use an online reporting system with modified unified theory of acceptance and use of technology. ( 0,775828590967207 )
J. Med. Internet Res. - Hospital-based nurses' perceptions of the adoption of Web 2.0 tools for knowledge sharing, learning, social interaction and the production of collective intelligence. ( 0,774937838377998 )
Int J Med Inform - The impact of electronic medical record systems on outpatient workflows: a longitudinal evaluation of its workflow effects. ( 0,774564363200885 )
Int J Med Inform - Determinants of physicians' technology acceptance for e-health in ambulatory care. ( 0,76629025855259 )
Med Decis Making - Getting ahead of illness: using metaphors to influence medical decision making. ( 0,764148453209611 )
Med Decis Making - Physicians' tacit and stated policies for determining patient benefit and referral to cardiac rehabilitation. ( 0,763989912115489 )
J. Med. Internet Res. - Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. ( 0,761291700796803 )
Methods Inf Med - Evaluation of the USE IT-questionnaire for the evaluation of the adoption of electronic patient records by healthcare professionals. ( 0,760299536333866 )
Int J Med Inform - The determinants of home healthcare robots adoption: an empirical investigation. ( 0,759980840040334 )
Int J Med Inform - An exploratory study of ageing women's perception on access to health informatics via a mobile phone-based intervention. ( 0,755531724605734 )
J Med Syst - High-level managers' considerations for RFID adoption in hospitals: an empirical study in Taiwan. ( 0,75250313415223 )
BMC Med Inform Decis Mak - An investigation of the effect of nurses' technology readiness on the acceptance of mobile electronic medical record systems. ( 0,744888695596382 )
J. Med. Internet Res. - Factors affecting mobile diabetes monitoring adoption among physicians: questionnaire study and path model. ( 0,742140731138959 )
BMC Med Inform Decis Mak - Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background. ( 0,739597999072568 )
J Biomed Inform - Modeling the acceptance of clinical information systems among hospital medical staff: an extended TAM model. ( 0,739437076838054 )
J Med Syst - Understanding the mediating effects of relationship quality on technology acceptance: an empirical study of e-appointment system. ( 0,736607447731235 )
BMC Med Inform Decis Mak - Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. ( 0,735358586423216 )
Perspect Health Inf Manag - Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States. ( 0,735030404986073 )
Telemed J E Health - Using a modified technology acceptance model to evaluate healthcare professionals' adoption of a new telemonitoring system. ( 0,732368749466806 )
J Biomed Inform - Electronic health record acceptance by physicians: testing an integrated theoretical model. ( 0,720428464961485 )
Telemed J E Health - Impact of information technology reliance and innovativeness on rural healthcare services: study of dindigul district in Tamilnadu, India. ( 0,709627564384727 )
J Med Syst - Health information technology adoption in U.S. acute care hospitals. ( 0,707504928325704 )
J. Med. Internet Res. - Bringing loyalty to e-Health: theory validation using three internet-delivered interventions. ( 0,705616427154574 )
J Biomed Inform - Ranked Levels of Influence model: selecting influence techniques to minimize IT resistance. ( 0,702362985828346 )
BMC Med Inform Decis Mak - Differentiating innovation priorities among stakeholder in hospital care. ( 0,701279357717641 )
J Med Syst - Critical factors influencing hospitals' adoption of HL7 version 2 standards: an empirical investigation. ( 0,700975939493362 )
Int J Med Inform - Patients' perceptions of a health information exchange: a pilot program in South Korea. ( 0,700539569273166 )
J Am Med Inform Assoc - The impact of computer self-efficacy, computer anxiety, and perceived usability and acceptability on the efficacy of a decision support tool for colorectal cancer screening. ( 0,700481710515016 )
Telemed J E Health - The impact of user's perceived ability on online health information acceptance. ( 0,69607443318581 )
Telemed J E Health - Older adults' perceptions of home telehealth services. ( 0,694720873540091 )
J. Med. Internet Res. - Factors associated with intention to use internet-based testing for sexually transmitted infections among men who have sex with men. ( 0,692116685202728 )
Telemed J E Health - Analysis of health consumers' behavior using self-tracker for activity, sleep, and diet. ( 0,690400725306751 )
J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part II): assessment of participants' perceptions on efficacy. ( 0,687704865520586 )
J Med Syst - The role of privacy protection in healthcare information systems adoption. ( 0,687400515824895 )
J Am Med Inform Assoc - Professional and geographical network effects on healthcare information exchange growth: does proximity really matter? ( 0,685762219360835 )
J Med Syst - The adoption of mobile health management services: an empirical study. ( 0,68287338614226 )
J Am Med Inform Assoc - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? ( 0,682220080857727 )
Inform Health Soc Care - AmI in good care? Developing design principles for ambient intelligent domotics for elderly. ( 0,680719850100829 )
Int J Med Inform - Impacts of second-generation electronic prescriptions on the medication management process in primary care: a systematic review. ( 0,674802035739293 )
J Am Med Inform Assoc - Medication administration quality and health information technology: a national study of US hospitals. ( 0,668981973331414 )
J Am Med Inform Assoc - Behavioral health providers' beliefs about health information exchange: a statewide survey. ( 0,666861537394982 )
J Med Syst - Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. ( 0,663900344157219 )
Int J Med Inform - Factors influencing acceptance of technology for aging in place: a systematic review. ( 0,661928008692611 )
Int J Med Inform - An investigation on physicians' acceptance of hospital information systems: a case study. ( 0,659451051800444 )
Int J Med Inform - The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home. ( 0,655672499413423 )
BMC Med Inform Decis Mak - Factors of accepting pain management decision support systems by nurse anesthetists. ( 0,65506321068903 )
Comput. Biol. Med. - Application of grey system theory in telecare. ( 0,65239349213199 )
Telemed J E Health - Understanding gender differences in m-health adoption: a modified theory of reasoned action model. ( 0,652186050336456 )
BMC Med Inform Decis Mak - Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study. ( 0,652111591345146 )
AMIA Annu Symp Proc - Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users. ( 0,647247260472603 )
Med Decis Making - On averages and peaks: how do people integrate attitudes about multiple diseases to reach a decision about multiplex genetic testing? ( 0,645804304785212 )
J Med Syst - Determinants of telemedicine acceptance in selected public hospitals in Malaysia: clinical perspective. ( 0,645374779139766 )
J Am Med Inform Assoc - Development and validation of a survey instrument for assessing prescribers' perception of computerized drug-drug interaction alerts. ( 0,644016206461615 )
Comput Math Methods Med - Mathematical methods for assessing the prognostic of fixed partial dentures resulting from evaluating a group of dental patients in Romania. ( 0,6432409530505 )
Health Informatics J - Willing but unwilling: attitudinal barriers to adoption of home-based health information technology among older adults. ( 0,638830616864395 )
BMC Med Inform Decis Mak - Adoption of telemedicine: from pilot stage to routine delivery. ( 0,638289953221433 )
Healthc (Amst) - EHR adopters vs. non-adopters: Impacts of, barriers to, and federal initiatives for EHR adoption. ( 0,633068784127232 )
Perspect Health Inf Manag - EHR acceptance factors in ambulatory care: a survey of physician perceptions. ( 0,631173581837039 )
BMC Med Inform Decis Mak - Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya. ( 0,628905169256348 )
J Med Syst - Provider stakeholders' perceived benefit from a nascent health information exchange: a qualitative analysis. ( 0,627767409964768 )
J Med Syst - Determinants of RFID adoption in Malaysia's healthcare industry: occupational level as a moderator. ( 0,622678552012305 )
Int J Med Inform - Development and initial evaluation of the Clinical Information Systems Success Model (CISSM). ( 0,619244926948082 )
Med Decis Making - Risk perception of prescription drugs: results of a survey among experts in the European regulatory network. ( 0,61878575623519 )
Int J Med Inform - Barriers to organizational adoption of EMR systems in family physician practices: a mixed-methods study in Canada. ( 0,618526852848338 )
Med Decis Making - Divergent intentions to use antibiotic guidelines: a theory of planned behavior survey. ( 0,616719437715449 )
BMC Med Inform Decis Mak - General practitioners' attitudes and preparedness towards Clinical Decision Support in e-Prescribing (CDS-eP) adoption in the West of Ireland: a cross sectional study. ( 0,615093270841739 )
BMC Med Inform Decis Mak - Barriers to the use of reminder/recall interventions for immunizations: a systematic review. ( 0,615077244965936 )