Applying Electronic Medical Records in health care

Abstract

KeywordsElectronic medical record (EMR), physician, technology acceptance model (TAM), diffusion of innovation theory (DOI), structural equation modeling (SEM) SummaryBackground: In order to fulfill comprehensive interoperability and recognize the electronic medical records (EMRs') benefits, physicians' attitudes toward using and applying EMR must be recognized. Objectives: The purpose of this study was to present an integrated model of applying EMRs by physicians. Methods: This was a cross sectional study in which a sample of 330 physicians working in hospitals affiliated to the Tehran University of medical sciences (TUMS) was selected. Physicians' attitudes toward using and accepting EMR in health care have been analyzed by an integrated model of two classical theories i.e. technology acceptance model (TAM) and diffusion of innovation (DOI). The model was tested using an empirical survey. The final model was tested by structural equation modeling (SEM) and represented by Analysis of Moment Structures (AMOS). Results:The results suggest that the hybrid model explains about 43 percent of the variance of using and accepting of EMRs (R2=0.43). The findings also evidenced that Perceived Usefulness (PU), Perceived Ease of Use (PEOU), Relative Advantage, Compatibility, Complicatedness and Trainability have direct and significant effect on physicians' attitudes toward using and accepting EMRs. But concerning observeability, significant path coefficient was not reported. Conclusions:The integrated model supplies purposeful intuition for elucidates and anticipates of physicians' behaviors in EMRs adoption. The study identified six relevant factors that affect using and applying EMRs that should be subsequently the major concern of health organizations and health policy makers.

Determinant Factors in Adopting Mobile Technology-based Services by Academic Librarians

“…Some studies carried out by some researchers in order to find any possible relationship. They came to this conclusion that association among them is negative and direct which implies that the more the mobile technology services become complicated, the less they are used by the people 2,[23][24][25]29,30 . This research showed that there is no association among them.…”

“…These findings are in line with other studies already done in the field like 2, 7, 9, 23,24 . The literature indicated positive and significant effect of relative advantage on both PU and PEOU, the researchers implied that the users would be more delighted to implement mobile technology at their work if it had some sort of relative advantage 2,6,17,[25][26][27] . Concerning this association, H6 was supported in this study.…”

“…Today, libraries, particularly academic libraries should function in a user focused, technology based environment, providing personalised value added facilities, since the academic society heavily depends on information and using this information and communication technology in academic libraries can lead to improve academic society and university students' information level by having fast and less expensive access to scientific resources. As Abdekhoda 2 , et al notes 'recently, studies to recognise and forecast human factors and subjects related to technology application have been gradually recognised. Hence, knowledge worker need to be aware of technical changes, peer forward, and prepare for the upcoming of library mobile communication.…”

Physicians' Estimates of Electronic Prescribing's Impact on Patient Safety and Quality of Care

“…17,18 Additionally, PSQ were studied and noted as having a relationship with concepts described in the TAM model. 19 Most studies have focused on health professionals' behavioral intention to use health care technology. 20,21 Holden and Karsh highlighted the necessity of contextualizing the TAM model for health care settings and suggested that this could be done by differentiating between performance benefits accruing at the personal and group levels, focusing on health care outcomes, and allowing for different sources of social influences.…”

“…29,30 Interoperability issues may arise if patient care requirements, clinical processes, and administrative requirements are not adequately addressed. 19,31 Interoperability refers to the ability of various information systems and software applications to communicate, exchange data, and use information that has been exchanged. 32 Definitions for e-prescriptions contain the use cases, requirements and data contents of the pharmacy system, Patient Records Archive, and HL7 definitions.…”