Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study

Chen, Rai-Fu; Hsiao, Ju-Ling

doi:10.2196/32180

Cited by 5 publications

(8 citation statements)

References 74 publications

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“…The findings of this research resonate with prior studies explaining the relationship between HISs and healthcare professionals [ 62 , 75 , 79 , 80 ] and patient misidentification factors [ 24 , 54 , 81 ].…”

Section: Discussionsupporting

confidence: 87%

“…HIS technologies offer improved opportunities, such as decreasing human and medical errors, improving performances and results, tracking data, coordinating health services, and achieving better clinical outcomes [ 2 , 74 ]. In addition, healthcare information systems enable timely, quality, and efficient service [ 23 , 75 ]. Moreover, human capital affects organizational performance [ 76 , 77 , 78 ].…”

Section: Discussionmentioning

confidence: 99%

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Implementation of Health Information Systems to Improve Patient Identification

Popescu

El-Chaarani

El-Abiad

et al. 2022

IJERPH

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Wellbeing can be ensured in society through quality healthcare, a minimum of medical errors, and the improved performance of healthcare professionals. To this end, health information systems have been implemented in hospitals, with this implementation representing progress in medicine and information technologies. As a result, life expectancy has significantly increased, standards in healthcare have been raised, and public health has improved. This progress is influenced by the process of managing healthcare organizations and information systems. While hospitals tend to adapt health information systems to reduce errors related to patient misidentification, the rise in the occurrence and recording of medical errors in Lebanon resulting from failures to correctly identify patients reveals that such measures remain insufficient due to unknown factors. This research aimed to investigate the effect of health information systems (HISs) and other factors related to work-related conditions on reductions in patient misidentification and related consequences. The empirical data were collected from 109 employees in Neioumazloum Hospital in Lebanon. The results revealed a correlation between HISs and components and the effects of other factors on patient identification. These other factors included workload, nurse fatigue, a culture of patient safety, and lack of implementation of patient identification policies. This paper provides evidence from a Lebanese hospital and paves the way for further studies aiming to explore the role of information technologies in adopting HISs for work performance and patient satisfaction. Improved care for patients can help achieve health equality, enhance healthcare delivery performance and patient safety, and decrease the numbers of medical errors.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Implementation of Health Information Systems to Improve Patient Identification

Popescu

El-Chaarani

El-Abiad

et al. 2022

IJERPH

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“…TTF seeks to assess whether the technology's functionality is well aligned, i.e., compatible with the work done by end users. Studies have shown that technology will be more readily accepted and have a positive impact on individual performance if the technological characteristics match expected tasks [119][120][121][122][123][124][125][126].…”

Section: Research Model and Hypothesesmentioning

confidence: 99%

Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians’ and Specialists’ Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study

Nabelsi,

Lévesque-Chouinard

2024

JMIR Form Res

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Background Electronic consultation (eConsult) is an eHealth service that allows primary care providers (PCPs) to electronically consult specialists regarding their patients’ medical issues. Many studies have demonstrated that eConsult services improve timely access to specialist care; prevent unnecessary referrals; improve PCPs’, specialists’, and patients’ satisfaction; and therefore have a large impact on costs. However, no studies have evaluated PCPs’ and specialists’ acceptance of eConsult services in Quebec, Canada, and worldwide. Objective This exploratory study aims to identify factors affecting eConsult service acceptance by PCPs and specialists in urban and rural primary care clinics across 3 regions in the province of Quebec, Canada, by integrating the Unified Theory of Acceptance and Use of Technology and Task-Technology Fit (TTF) models and user satisfaction. This research was designed to broaden and assist in scaling up this effective eHealth service innovation across the province. Methods A cross-sectional web-based survey was sent to all PCPs (n=263) and specialists (n=62) who used the eConsult Quebec Service between July 2017 and May 2021. We proposed a unified model integrating the Unified Theory of Acceptance and Use of Technology model and TTF model and user satisfaction by endorsing 11 hypotheses. The partial least squares was used to investigate factors influencing the acceptance of the eConsult Quebec Service. Results Of the 325 end users, 136 (41.8%) users responded (PCPs: 101/263, 38.4%; specialists: 35/62, 57%). The results of the analysis with partial least squares method indicate that 9 of our 11 hypotheses are supported. The direct relationships uniting the various constructs of the model highlighted the importance of several key constructs and predominant correlations. The results suggest that satisfaction is the key driver behind the use of the eConsult Quebec Service. Performance expectancy (P<.001) and effort expectancy (P=.03) can have a positive impact on behavioral intention (BI), and BI (P<.001) can impact adoption. TTF has an influence on performance expectancy (P<.001), adoption (P=.02), and satisfaction (P<.001). However, the results show that there is no direct effect between social influence (P=.38) and BI or between facilitating conditions (P=.17) and adoption. Conclusions This study provides a better understanding of the factors influencing PCPs’ and specialists’ intention to adopt the eConsult Quebec Service. Furthermore, this study tests a research model and a technology that have never been explored in Quebec until now. On the basis of the results, the service is a good fit to meet the users’ need to improve access to specialized medical advice. Therefore, the results of our study have made a valuable contribution to the implementation of the service by policy makers in order to maximize acceptance, use, adoption, and success across the province of Quebec. Moreover, after 4 successful years, the eConsult Quebec pilot project is now the Conseil Numérique digital consultation service.

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“…Although research on the impact of technostress on medical practitioners is still in the preliminary stages of exploration, there is evidence that technostress on telemedicine and electronic health records can negatively impact the performance of medical practitioners in using technology or systems [41,42].…”

Section: Theoretical Backgroundmentioning

confidence: 99%

“…As a stress response, the technostress framework could substantially trigger employees’ intention to leave, job burnout, and feelings of job maladjustment [ 39 , 40 ]. Although research on the impact of technostress on medical practitioners is still in the preliminary stages of exploration, there is evidence that technostress on telemedicine and electronic health records can negatively impact the performance of medical practitioners in using technology or systems [ 41 , 42 ].…”

Section: Introductionmentioning

confidence: 99%

Investigating Factors Influencing Medical Practitioners’ Resistance to and Adoption of Internet Hospitals in China: Mixed Methods Study

Deng,

Yang,

Deng

et al. 2023

J Med Internet Res

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Background The swift shift toward internet hospitals has relied on the willingness of medical practitioners to embrace new systems and workflows. Low engagement or acceptance by medical practitioners leads to difficulties in patient access. However, few investigations have focused on barriers and facilitators of adoption of internet hospitals from the perspective of medical practitioners. Objective This study aims to identify both enabling and inhibiting predictors associated with resistance and behavioral intentions of medical practitioners to use internet hospitals by combining the conservation of resources theory with the Unified Theory of Acceptance and Use of Technology and technostress framework. Methods A mixed methods research design was conducted to qualitatively identify the factors that enable and inhibit resistance and behavioral intention to use internet hospitals, followed by a quantitative survey-based study that empirically tested the effects of the identified factors. The qualitative phase involved conducting in-depth interviews with 16 experts in China from June to August 2022. Thematic analysis was performed using the qualitative data analysis software NVivo version 10 (QSR International). On the basis of the findings and conceptual framework gained from the qualitative interviews, a cross-sectional, anonymous, web-based survey of 593 medical practitioners in 28 provincial administrative regions of China was conducted. The data collected were analyzed using the partial least squares method, with the assistance of SPSS 27.0 (IBM Corp) and Mplus 7.0 (Muthen and Muthen), to measure and validate the proposed model. Results On the basis of qualitative results, this study identified 4 facilitators and inhibitors, namely performance expectancy, social influence, work overload, and role ambiguity. Of the 593 medical practitioners surveyed in the quantitative research, most were female (n=364, 61.4%), had a middle title (n=211, 35.6%) or primary title (n=212, 35.8%), and had an average use experience of 6 months every year. By conducting structural equation modeling, we found that performance expectancy (β=−.55; P<.001) and work overload (β=.16; P=.005) had the most significant impact on resistance to change. Resistance to change fully mediated the influence of performance expectancy and partially mediated the influences of social influence (variance accounted for [VAF]=43.3%; P=.002), work overload (VAF=37.2%; P=.03), and role ambiguity (VAF=12.2%; P<.001) on behavioral intentions to use internet hospitals. In addition, this study found that the sex, age, professional title, and use experience of medical practitioners significantly moderated the aforementioned influencing mechanisms. Conclusions This study investigated the factors that facilitate or hinder medical practitioners’ resistance to change and their behavioral intentions to use internet hospitals. The findings suggest that policy makers avoid the resistance and further promote the adoption of internet hospitals by ensuring performance expectancy and social influence and eliminating work overload and role ambiguity.

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Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study

Cited by 5 publications

References 74 publications

Implementation of Health Information Systems to Improve Patient Identification

Implementation of Health Information Systems to Improve Patient Identification

Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians’ and Specialists’ Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study

Investigating Factors Influencing Medical Practitioners’ Resistance to and Adoption of Internet Hospitals in China: Mixed Methods Study

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