Development and Initial Validation of an Instrument to Measure Physicians' Use of, Knowledge about, and Attitudes Toward Computers

Cork, Randy D.; Detmer, William M.; Friedman, Charles P.

doi:10.1136/jamia.1998.0050164

Cited by 111 publications

(90 citation statements)

References 35 publications

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“…8 The instrument was modified based on previous survey instruments which assessed the extent of use of computers amongst health professionals, Roger's innovation diffusion theory, Davis's Technology Acceptance Model and Dixon's IT Adoption Model. [9][10][11][12] The questionnaire consisted of 6 parts -Demography, Current prescribing activities, Computer Usage, Perceived usefulness, Perceived ease of use and Perceived fitness of e-prescriptions. The response was measured on Likert scale 1(Strongly disagree) to 5 (Strongly agree).…”

Section: Dhanya S Palappallil 1 * Carol Pinheiromentioning

confidence: 99%

Perceptions of Prescribers towards Electronic Prescription: A Pre-Implementation Evaluation

Palappallil¹,

Pinheiro²

2018

JYP

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Objective: Electronic (e) prescribing is computerised prescribing. The Government of Kerala has started the e-health initiative. The objective of this study was to obtain the perceptions of prescribing doctors on e-prescription before its implementation. Method: This was a questionnaire based cross sectional study conducted for a period of six months in a Government tertiary care teaching hospital of Kerala. The prescribing doctors of the institution formed the sample population. The response to the structured questionnaire was measured on Likert scale. Data were analysed using SPSS 16. Domain scores of perceived usefulness, ease of use and fitness to the Institution were calculated by averaging the response. Chi square test was done to find the association of score of each domain with independent variables. Results: Two hundred and fifty seven prescribing doctors of age range 22-60 years participated of which 49% were females and 51% males. Response rate was 73% (257/350). Although 70.5% have heard of e-prescriptions only 14% participants had hands on exposure. The mean perceived usefulness, perceived ease of use and fitness were 3.5±0.47, 3.35± 0.49 and 2.95 ± 0.44. Conclusion: Dislike for paper prescriptions was the single most important factor associated with perceived usefulness, perceived ease of use and perceived fitness of e-prescription in the institution. Information technology training and infrastructure development should go hand in hand with implementation of e-prescribing. Key words: Electronic prescribing, Electronic prescription, Medication error, Health Information Technology. Key Messages: For successful implementation of electronic prescriptions, training and technologically developed settings is a must. Educating the prescribers on preventable medication errors associated with paper prescriptions can lead to the acceptance of e-prescribing. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Section: Dhanya S Palappallil 1 * Carol Pinheiromentioning

confidence: 99%

Perceptions of Prescribers towards Electronic Prescription: A Pre-Implementation Evaluation

Palappallil¹,

Pinheiro²

2018

JYP

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“…10 Assessing physicians' attitudes and behaviours that predict technology adoption has been an area of ongoing research. [11][12][13][14][15][16][17][18] A few studies investigate attitudes toward EHR adoption in inpatient 19 and academic ambulatory care settings. 20 Some have investigated adoption readiness using statewide survey samples of medical practices, [21][22][23][24] others have assessed physicians' perceptions of quality of care.…”

Section: Introductionmentioning

confidence: 99%

Assessing attitudes toward electronic prescribing adoption in primary care: a survey of prescribers and staff

Devine¹,

Patel²,

Dixon³

et al. 2010

Journal of Innovation in Health Informatics

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Background Using survey instruments to assess physicians' attitudes toward electronic health record (EHR) adoption has been an ongoing area of research. No instrument has emerged for widespread use. Objective We used a theoretically-based, 37-question survey instrument to assess attitudes toward electronic (e-) prescribing adoption in the context of an existing EHR. Our objective was to elicit information to inform strategies to maximise adoption. Methods The instrument assesses attitudes in four domains: finesse, intent to use technology, perceived usefulness and perceived ease of use. Two additional questions ask about computer use at home and self-assessed computer knowledge. We administered the instrument to prescribers and staff at three primary care sites between 2005 and 2007. Each site represented a unique transition from paper-based or partial (Phase 1) to full (Phase 2) e-prescribing use.

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“…A number of studies have investigated the use of Internet-based information systems by health-care providers and described development of evaluation instruments (typically questionnaires) for assessing their use of information technology [2,3]. However, an indepth understanding of the effects of use of the WWW in providing providers and patients with access to their medical data necessitates new approaches to evaluation.…”

Section: Introductionmentioning

confidence: 99%

‘Televaluation’ of clinical information systems: an integrative approach to assessing Web-based systems

Kushniruk¹,

Patel²,

Patel³

et al. 2001

International Journal of Medical Informatics

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The World Wide Web provides an unprecedented opportunity for widespread access to health-care applications by both patients and providers. The development of new methods for assessing the effectiveness and usability of these systems is becoming a critical issue. This paper describes the distance evaluation (i.e. 'televaluation') of emerging Web-based information technologies. In health informatics evaluation, there is a need for application of new ideas and methods from the fields of cognitive science and usability engineering. A framework is presented for conducting evaluations of health-care information technologies that integrates a number of methods, ranging from deployment of on-line questionnaires (and Web-based forms) to remote video-based usability testing of user interactions with clinical information systems. Examples illustrating application of these techniques are presented for the assessment of a patient clinical information system (PatCIS), as well as an evaluation of use of Web-based clinical guidelines. Issues in designing, prototyping and iteratively refining evaluation components are discussed, along with description of a 'virtual' usability laboratory.

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Development and Initial Validation of an Instrument to Measure Physicians' Use of, Knowledge about, and Attitudes Toward Computers

Cited by 111 publications

References 35 publications

Perceptions of Prescribers towards Electronic Prescription: A Pre-Implementation Evaluation

Perceptions of Prescribers towards Electronic Prescription: A Pre-Implementation Evaluation

Assessing attitudes toward electronic prescribing adoption in primary care: a survey of prescribers and staff

‘Televaluation’ of clinical information systems: an integrative approach to assessing Web-based systems

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