Does Attribution Theory Explain Physicians' Nonacceptance of Clinical Practice Guidelines?

Borkowski, Nancy; Allen, William T.

doi:10.1080/00185860309598017

Cited by 23 publications

(17 citation statements)

References 45 publications

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“…2 Several studies evaluating physicians attitudes toward practice recommendations indicate that up to two-thirds of clinicians are unaware of practice guidelines, perceive adopting the practice guidelines as a challenge to autonomy, have diminished confidence in the professional organization, are confused regarding the guidelines, and in some instances have a greater concern with the adverse outcomes associated with not prescribing an antimicrobial more than with the risk of downstream complications of inappropriate prescribing. [65][66][67][68][69][70] Some investigators have suggested a multifaceted approach coupled with appropriate process outcome measures to address the issue of translational barriers to the acceptance of the IDSA ASB recommendations. The foundation of this multifaceted approach is the support by administrators and medical staff leadership.…”

Section: Translational Barriers To the Application Of The Infectious mentioning

confidence: 99%

Asymptomatic Bacteriuria in Noncatheterized Adults

Ferroni

Taylor

2015

Urologic Clinics of North America

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Section: Translational Barriers To the Application Of The Infectious mentioning

confidence: 99%

Asymptomatic Bacteriuria in Noncatheterized Adults

Ferroni

Taylor

2015

Urologic Clinics of North America

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“…Contrary to solo practitioners they are more concerned over a possible loss of their autonomy (Borkowski and Allen, 2003) and, thus, they tend to show resistance to the adoption of new services/products within their working practice (Harrison et al, 2002). Self-employed physicians on the other hand have been found to be heavy users of e-technology; more specifically, the adoption rate decreases as the size of the practice increases (Boehm, 2005).…”

Section: Working Statusmentioning

confidence: 99%

Determinants of Physicians' Purchase Intention for Innovative Services: Integrating Professional Characteristics With Technology Acceptance Model and Theory of Planned Behaviour

Kostopoulos

Rizomyliotis

Konstantoulaki³

2015

Int. J. Innov. Mgt.

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This paper seeks to explore the factors that influence physicians' purchase intention for supplementary professional services that have been recently introduced to the market. For that reason, a model has been developed and empirically tested using data collected from 100 physicians regarding an innovative e-detailing service. Results show that physicians' purchase intention is significantly influenced by five factors. Three of them derive from the integration of Technology Acceptance Model (TAM) with the Theory of Planned behaviour (TPB), i.e. perceived usefulness, perceived ease of use and professional image. The rest, namely work experience, working status and innovativeness, refer to physicians' professional characteristics. Work experience and innovativeness were found to have a significant effect on physicians' perceptions of the innovative service, whereas, physicians' current working status was not found to have significant influence on either their perceptions of the innovative service or their purchase intention.

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“…Literature states that instructions, rules, regulations and recommendations which are an integral part of clinical IT can change healthcare professionals' traditional work activit ies and may encroach on their professional autonomy [65]. The nature of instructions and treatment options suggested by clinical IT is oriented to guide healthcare professionals' behavior in clin ical decision making.…”

Section: Clinical It In the Healthcare Industrymentioning

confidence: 99%

Healthcare Professionals’ Adoption of Clinical IT in Hospital: A View of Relationship between Healthcare Professionals and Hospital

Esmaeilzadeh¹,

Sambasivan²

2012

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The application of IT has become significant in the health sector. Clin ical IT is considered as a strategic tool to improve efficiency of health care delivery and effectiveness of physicians in the health care sector. New technologies that change the traditional practice patterns of healthcare professionals in hospitals cannot be simp ly accepted by them. There is enough evidence to claim that healthcare professionals are not willing to accept and use clin ical IT that interferes with their day-to-day work activities. If healthcare professionals do not use new clin ical IT, all the effort, money and resources used for the implementation of the system have no result. However, factors affecting healthcare professionals' acceptance of clinical IT are still not fu lly identified. In this study, an extension to TAM is used to incorporate the unique characteristic of physicians, physicians' computer literacy and features of clinical IT. The extended model has been developed to chiefly address the issues of IT adoption amongst healthcare professionals in a hospital setting. A survey has been conducted to evaluate the model among 300 healthcare p rofessionals in Malaysia. The structural equation model has been used to test the model in this context. The results reflect the role of perceived threat to professional autonomy, healthcare professional-hospital relationship, perceived usefulness and perceived ease of use in determin ing healthcare professionals' intention to use clin ical IT systems in Malaysia. The proposed model can exp lain 51% of the variance of physicians' intention to accept clinical IT.

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Does Attribution Theory Explain Physicians' Nonacceptance of Clinical Practice Guidelines?

Cited by 23 publications

References 45 publications

Asymptomatic Bacteriuria in Noncatheterized Adults

Asymptomatic Bacteriuria in Noncatheterized Adults

Determinants of Physicians' Purchase Intention for Innovative Services: Integrating Professional Characteristics With Technology Acceptance Model and Theory of Planned Behaviour

Healthcare Professionals’ Adoption of Clinical IT in Hospital: A View of Relationship between Healthcare Professionals and Hospital

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