Critical factors influencing physicians’ intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model

Hsiao, Ju-Ling; Chen, Rai-Fu

doi:10.1186/s12911-016-0241-3

Cited by 56 publications

(47 citation statements)

References 78 publications

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“…However, in contrary with previous researches [20,31], significant effects of attitude and relative advantage were not detected in this study. The plausible reason may be that many physicians are required to follow CPG on antimicrobial by their organization whatever their subjective attitude or assessment towards certain guideline [19].…”

Section: Discussioncontrasting

confidence: 99%

Utilization of clinical practice guideline on antimicrobial and its determinants in China: A multilevel analysis

Deng

Liu²

2020

Preprint

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Background: Nowadays, irrational use of antimicrobials has threatened public health. It’s necessary to expanding the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial. However, the utilization status of CPG on antimicrobial and the influencing factors are largely unknown. Methods: A cross-sectional survey was conducted, using a structured questionnaire, on a sample among physicians from 16 public hospitals in eastern, central and western part of China. A multilevel regression model was employed to examine factors associated with physicians’ utilization of CPG on antimicrobial. Results: A total of 815 physicians included in this study. About eighty percent of the surveyed physicians reported their strict adherence to the CPG on antimicrobial. Dimensions of “subjective norm”, “perceived risk” and “behavioral intention” from the domain of physician belief, dimension of “ease of use” from the domain of CPG traits, and dimensions of “top management support” and “organization & implementation” from the domain of hospital practice were significantly associated with physicians’ utilization of CPG on antimicrobial. And most demographics of physician were not found to be significantly related to the CPG use. In addition, results showed region is a significant factor affecting physicians’ CPG use. Conclusions: This study depicted the current status of CPG on antimicrobial and comprehensively identified its potential determinants not only from the three domains, such as physician belief, at the individual level, but also from the location region at the organizational level. The results will provide direct reference on implementation of CPG on antimicrobial and will be generalizable to the setting of health care system.

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Section: Discussioncontrasting

confidence: 99%

Utilization of clinical practice guideline on antimicrobial and its determinants in China: A multilevel analysis

Deng

Liu²

2020

Preprint

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“…Regarding the technology adoption context, some previous studies approached to identify major dimensions and variables that have a significant role in ensuring the successful adoption behavior [15], [17], [25], [80], [91], [96], [105]. Hence, assuming this study and the results achieved from a review of relevant research, the comprehensive dimensions and variables are included to investigate the adoption of IS in the healthcare domain, particularly hospitals.…”

Section: Main Drivers and Barriers Of The His Adoptionmentioning

confidence: 99%

“…Since the HIS assists healthcare providers to streamline the flow of patients' information and its accessibility, the significance of the HIS in providing high-quality patient care has been developed [4,9,[11][12][13][14]. Therefore, implementation of HIS becomes fundamentally crucial in making the right diagnostic, treatment and administration requirements, and thereby delivers better patient care and support to clinical decision making [15][16][17]. Even though the HIS has brought the immense change to process of care delivery, it has attempted to increase the quality and safety of care [1], [9], [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

Esfahani

Ahmadi

Nilashi

et al. 2017

IJET

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Background: Hospital Information System (HIS) is implemented to provide high-quality patient care. The aim of this study is to identify significant dimensional factors that influence the hospital decision in adopting the HIS. Methods: This study designs the initial integrated model by taking the three main dimensions in adopting HIS technology. Accordingly, DEMATEL was utilized to test the strength of interdependencies among the dimensions and variables. Then ANP approach is adapted to determining how the factors are weighted and prioritized by professionals and main users working in the Iranian public hospitals, involved with the HIS system. Results: The results indicated that "Perceived Technical Competence" is a key factor in the Human dimension. The respondents also believed that "Relative Advantage," "Compatibility" and "Security Concern" of Technology dimension should be further assessed in relation to other factors. With respect to Organization dimension, "Top Management Support" and "Vendor Support" are considered more important than others. Conclusion: Applying the TOE and HOT-fit models as the pillar of our developed model with significant findings add to the growing literature on the factors associated with the adoption of HIS and also shed some light for managers of public hospitals in Iran to successfully adopt the HIS.

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“…However, there are still some limitations to this study. First of all, owing to the social desirability bias [46], the participants of this study may be unwilling to voice negative assessments about themselves and the hospitals, which may directly lead to overestimation of the attitude, belief, intention, and utilization of CPG on antimicrobial [47]. Secondly, because of the sampling error, although the provinces included in this study was randomly selected from the eastern, central and western part of China, it was difficult to balance the number of provinces from the south and north.…”

Section: Discussionmentioning

confidence: 99%

Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants

Deng

Liu

2020

BMC Health Serv Res

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Background: Nowadays, irrational use of antimicrobials has threatened public health. It's necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial. However, the utilization status of CPG on antimicrobial and the influencing factors, especially the ones at the organizational level, remain largely unknown. Methods: A cross-sectional questionnaire survey was conducted on a sample among physicians from 16 public hospitals in the eastern, central and western parts of China. A multilevel regression model was employed to examine factors associated with physicians' utilization of CPG on antimicrobial. Results: A total of 815 physicians were included in this study. About 80% of the surveyed physicians reported their adherence to the CPG on antimicrobial. Dimensions of "subjective norm", "perceived risk" and "behavioral intention" from the domain of physician belief, a dimension of "ease of use" from the domain of CPG traits, and dimensions of "top management support" and "organization & implementation" from the domain of hospital practice were significantly associated with physicians' utilization of CPG on antimicrobial. And except for working department, most demographics characteristics of the physician were not found to be significantly related to the CPG use. In addition, it also showed that region is a significant factor affecting physicians' CPG use. Conclusions: This study depicted the current status of CPG on antimicrobial and comprehensively identified its potential determinants not only from the three domains at the individual level, such as physician belief, but also from the location region at the organizational level. The results will provide a direct reference for the implementation of CPG on antimicrobial.

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Critical factors influencing physicians’ intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model

Cited by 56 publications

References 78 publications

Utilization of clinical practice guideline on antimicrobial and its determinants in China: A multilevel analysis

Utilization of clinical practice guideline on antimicrobial and its determinants in China: A multilevel analysis

An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants

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