Electronic Medical Records Use An Examination of Resident Physician Intentions

Trimmer, Ken; Beachboard, John C.; Wiggins, Carla; Woodhouse, W. Mark

doi:10.1109/hicss.2008.140

Cited by 18 publications

(16 citation statements)

References 26 publications

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“…UTAUT has also been used to underpin qualitative investigations and mixed methods studies. For example, a small US study drew on UTAUT to assess the attitudes and perceptions of 7 physician residents towards the use of electronic medical records [41] whilst another explored the adoption of robotic-assisted surgery by US surgeons [42].…”

Section: The Unified Theory Of Acceptance and Use Of Technologymentioning

confidence: 99%

South African physicians’ acceptance of e-prescribing technology: an empirical test of a modified UTAUT model

Cohen¹,

Bancilhon²,

Jones³

2013

SACJ

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E-prescribing systems hold promise for improving the quality and efficiency of the scripting process. Yet, the use of the technology has been associated with a number of challenges. The diffusion of e-prescribing into physician practices and the consequent realisation of its potential benefits will depend on whether physicians are willing to accept and engage with the technology. This study draws on the Unified Theory of Acceptance and Use of Technology (UTAUT) and recent literature on user trust in technology to develop and test a model of the factors influencing South African physicians’ acceptance of e-prescribing. Data was collected from a sample of 72 physicians. Results indicate a general acceptance of e-prescribing amongst physicians who on average reported strong intentions to use e-prescribing technologies if given the opportunity. PLS analysis revealed that physicians’ performance expectancies and perceptions of facilitating conditions had significant direct effects on acceptance whilst trust and effort expectancy had important indirect effects. Social influence and price value perceptions did not add additional explanatory power. The model explained 63% of the variation in physician acceptance.

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Section: The Unified Theory Of Acceptance and Use Of Technologymentioning

confidence: 99%

South African physicians’ acceptance of e-prescribing technology: an empirical test of a modified UTAUT model

Cohen¹,

Bancilhon²,

Jones³

2013

SACJ

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“…Health care professionals have not been eager to embrace the new technology and use it in their practices (LeTourneau, 2004; LaPointe & Rivard, 2005; Bhattacherjee & Hikmet, 2007). One reason for this reticence may be that EMR/CPOE implementation causes major disruptions in established clinical practices (Campbell et al, 2006; Trimmer, Beachboard, Wiggins, & Woodhouse, 2008). For example, direct physician order entry through CPOE applications may have negative impacts on physicians' workflow, leading to a loss of efficiency ranging from 20% to 40% (Poon et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…When hospital management confronted physicians who did not want to use EMR and threatened to decrease their hospital bed allocations, physicians responded with “aggressive resistance.” They formed coalitions and asked administrators to withdraw the EMR system “until the system was better structured” (Lapointe & Rivard, 2005, p. 482). Recently, other authors have also found that physicians do not respond well to perceptions of threats and tend to resist EMR (Bhattacherjee & Hikmet, 2007; Trimmer et al, 2008). This has led some hospitals to develop policies that allow physicians a choice of whether or not to use EMR systems and how to use them (Davidson & Chismar, 2007).…”

Section: Introductionmentioning

confidence: 99%

Paper Versus Electronic Medical Records: The Effects of Access on Physicians' Decisions to Use Complex Information Technologies*

Ilie¹,

Slyke²,

Parikh³

et al. 2009

Decision Sciences

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This study examines physicians' responses to complex information technologies (IT) in the health care supply chain. We extend individual-level IT adoption models by incorporating a new construct: system accessibility. The main premise of the study is, when faced with a decision between alternate IT systems, individual users tend to select and make use of the technology or system that is most readily accessible. We discuss both physical and logical dimensions of accessibility as they relate to adoption of electronic medical records (EMR). Physical accessibility refers to the availability of computers that can be used to access EMR, while logical accessibility refers to the ease or difficulty of logging into the system. Using data from a survey of 199 physicians practicing in a large U.S. hospital, we show that, when deciding between the paper chart and EMR, accessibility is an important consideration in a physician's decision to use the system. Both dimensions of accessibility act as barriers to EMR use intentions through their indirect effect on physicians' perceptions of EMR usefulness and ease of use. Logical access also has a direct effect on EMR use intentions. We conclude that accessibility is an important factor that limits acceptance of complex IT such as EMR.

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“…Thereby, there is a distinction between hospital administrators, who oversee the implementation in a management position and clinicians that deal with patients directly and use the IT system on a daily basis. We focus on the latter group, since they experience the potential costs of the implementation of such as system in terms of increased time spent learning and navigating it (Berner, Detmer, and Simborg 2004;Ilie, Courtney, and Van Slyke 2007;Trimmer et al 2008).…”

Section: The Implementation Of Electronic Health Care Records In the Ukmentioning

confidence: 99%

Unraveling the hindering factors of digital public service delivery at street-level: the case of electronic health records

Giest

Raaphorst

2018

Policy Design and Practice

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There are several elements as to why digitization of public services is progressing slowly. Many explanations center on structural aspects of public institutions and their capacity and capabilities to implement digital tools. Others highlight the uptake by citizens as key to making technical solutions in the public domain work. This paper draws attention to a third line of argumentation by focusing on the role of street-level bureaucrats. Based on the assumption that they are caught in between the technical details of digital public service delivery and the organizational context in which these tools are implemented, the goal is to identify some of the factors that hinder the use of digital applications by streetlevel bureaucrats. To unravel those hindering factors, we use the "failed" implementation of electronic health records in the United Kingdom as an example in order to link it to existing research on digital governance and street-level bureaucracy. We conclude that the disconnect between organizational structures and digital tools is magnified at street-level, which may threaten discretionary power and autonomy of public servants and can make daily tasks more complicated and time-consuming. Policy implications drawn from this include, paying special attention to the trade-off between local autonomy regarding the adjustment of digital tools and national guidance and standardization as well as the distinction between the potential inability of public servants to use the tools due to limited training or age and the unwillingness linked to a loss of power and discretion. ARTICLE HISTORY

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Electronic Medical Records Use An Examination of Resident Physician Intentions

Cited by 18 publications

References 26 publications

South African physicians’ acceptance of e-prescribing technology: an empirical test of a modified UTAUT model

South African physicians’ acceptance of e-prescribing technology: an empirical test of a modified UTAUT model

Paper Versus Electronic Medical Records: The Effects of Access on Physicians' Decisions to Use Complex Information Technologies*

Unraveling the hindering factors of digital public service delivery at street-level: the case of electronic health records

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