Physicians’ attitudes towards the computerization of clinical practice in Hong Kong: a population study

Johnston, Janice M.; Leung, Gabriel M.; Wong, Jacqueline; Ho, Lai‐Ming; Fielding, Richard

doi:10.1016/s1386-5056(02)00005-9

Cited by 31 publications

(27 citation statements)

References 10 publications

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“…A lack of computer knowledge and skills has often been identified as a major obstacle to internet adoption in medical practice. 19,27 Thus, completion of the program could be encouraged by improving physicians' perception of ease of use and self-efficacy. Also, technological barriers, including problems with internet connection, should be taken into account since they could be easily modified.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perceived barriers to completing an e-learning program on evidence-based medicine

Mp¹,

Légaré²,

Labrecque³

et al. 2007

Journal of Innovation in Health Informatics

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Purpose The Continuing Professional Development Center of the Faculty of Medicine at Laval University offers an internet-based program on evidence-based medicine (EBM). After one year, only three physicians out of the 40 who willingly paid to register had completed the entire program. This descriptive study aimed to identify physicians' beliefs regarding their completion of this online program. Methods Using theoretical concepts from the Theory of Planned Behaviour, a semi-structured telephone interview guide was developed to assess respondents' attitudes, perceived subjective norms, perceived obstacles and facilitating conditions with respect to completing this internet-based program. Three independent reviewers performed content analysis of the interview transcripts to obtain an appropriate level of reliability. Findings were shared and organised according to theoretical categories of beliefs.Results A total of 35 physicians (88% response rate) were interviewed. Despite perceived advantages to completing the internet-based program, barriers remained, especially those related to physicians' perceptions of time constraints. Lack of personal discipline and unfamiliarity with computers were also perceived as important barriers. Conclusions This study offers a theoretical basis to understand physicians' beliefs towards completing an internet-based continuing medical education (CME) program on EBM. Based upon respondents' insights, several modifications were carried out to enhance the uptake of the program by physicians and, therefore, its implementation.

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Section: Discussionmentioning

confidence: 99%

“…[14][15][16][17] This study was based upon Aizen's Theory of Planned Behaviour (TPB), 18 a model that has proved relevant for understanding several behaviours of healthcare providers. [19][20][21][22] Figure 1 illustrates the theoretical relationships between behaviour and its determinants, as proposed by the TPB.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Perceived barriers to completing an e-learning program on evidence-based medicine

Mp¹,

Légaré²,

Labrecque³

et al. 2007

Journal of Innovation in Health Informatics

View full text Add to dashboard Cite

show abstract

“…Co mmonly, model fit is obtained when 2 / d.f. is lower than 3, the CFI, GFI and NFI are higher than 0.90, RM R is lower than 0.05 and the RMSEA is lower than 0.08 [61]. in this study, The model fit indices are: CFI = 0.91, NFI = 0.90, TLI = 0.90, RM R = 0.057, RM SEA = 0.052, 2/ d.f.…”

Section: Resultsmentioning

confidence: 44%

“…CDS systems are co mputer systems that regarded as an application of Decision Support System (DSS), which takes patient data as input and generates decision-specific advice [61,62]. Moreover, these systems are referred to as knowledge-based systems that by the use of a set of reasoning techniques can suggest diagnostic options and care planning.…”

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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“…However, there was less support for maintaining medical records electronically. The physicians were concerned about the negative impact of computerization on the clinical encounter and the perceived high cost of computerization [7]. Given the slow adoption of medical informatics in Hong Kong and Asia, a study was conducted to understand the contributory barriers and potential incentives associated with information technology implementation.…”

Section: Related Workmentioning

confidence: 99%

Adoption of Health Information Systems in Sri Lanka

2015

March 29-30, 2015 Singapore

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Physicians’ attitudes towards the computerization of clinical practice in Hong Kong: a population study

Cited by 31 publications

References 10 publications

Perceived barriers to completing an e-learning program on evidence-based medicine

Perceived barriers to completing an e-learning program on evidence-based medicine

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

Adoption of Health Information Systems in Sri Lanka

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