System Use and User Satisfaction in the Adoption of Electronic Medical Records Systems: A Case of DHIS2 Tracker Implementation in Tanzania

Abstract

The adoption of Electronic Medical Records Systems (EMRs) is on the rise in developing countries due to the need to ensure improved quality of healthcare through client continuum and monitoring and information sharing through collecting detailed, good quality and reliable information overtime. In spite the benefits of EMRs, their success depends on use and satisfaction of users with the system. Recently National Tuberculosis and Leprosy Program of Tanzania adopted an EMRs known as the DHIS2 Tracker to help with case management, improve reporting and reduce lost to follow-up cases. This study therefore aimed to investigate factors influencing use and user satisfaction of DHIS2 Tracker by adapting both the DeLone & McLean Model with the Technology Acceptance Model. The research model consisted of six factors from which an online questionnaire using google forms was developed and shared with users of the system. In order to assess the relationship between factors, nine hypotheses were developed and multiple regression analysis was conducted.The analyzed data supported five out of nine hypotheses and indicates that system quality and attitude have positive significant influence on both system usage and user satisfaction, while use of the system has a positive significant influence on satisfaction. However, user background and information quality do not have significant influence on either use or satisfaction of DHIS2 Tracker. These findings help implementers understand areas of focus during implementation of DHIS2 Tracker.

Implementation of a national electronic health information system in Gabon: a survey of healthcare providers’ perceptions

“…A plausible explanation could be that the ISSM variables are seen as interdependent, meaning that other constructs, such as useful functions and actual use, might capture the influence of user satisfaction on perceived benefits [35]. A recent study conducted in Tanzania has tested a model that combines constructs from the ISSM and the TAM to understand user satisfaction and use of an EMR system [22]. The final model suggests that attitude and system quality are the only significant predictors of user satisfaction and system use.…”

“…Other models have also been used to study technology acceptance in developing countries. For instance, several authors used the DeLone and McLean Information System Success Model (ISSM) [21] to measure the success of implementing an HIS [22][23][24][25][26]. These studies generally support the use of this model when it comes to evaluating the success of implementation in a developing or resource-limited country.…”

Implementation of a National Electronic Health Information System in Gabon: A Survey of Healthcare Providers’ Perceptions.

“…A recent study conducted in Tanzania has tested a model that combines constructs from the ISSM and the TAM to understand user satisfaction and use of an EMR system [22]. The nal model suggests that attitude and system quality are the only signi cant predictors of user satisfaction and system use.…”

Implementation of a National Electronic Health Information System in Gabon: A Survey of Healthcare Providers’ Perceptions.

“…A recent study conducted in Tanzania has tested a model that combines constructs from the ISSM and the TAM to understand user satisfaction and use of an EMR system [21]. The final model suggests that attitude and system quality are the only significant predictors of user satisfaction and system use.…”

“…Other models have also been used to study technology acceptance in developing countries. For instance,several authors used the DeLone and McLean Information System Success Model (ISSM) [20]to measure the success of implementing a HIS [21][22][23][24][25]. These studies generallysupport the use of this model when it comes to evaluating the success of an implantation in a developing or resourcelimited country.…”