Physicians' acceptance of electronic medical records exchange: An extension of the decomposed TPB model with institutional trust and perceived risk

doi:10.1016/j.ijmedinf.2014.08.008

CNU IR > College of Smart Living > Dept. of Hospital and Health (including master's program) > Periodical Articles > Item 310902800/29592

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/29592

Title:	Physicians' acceptance of electronic medical records exchange: An extension of the decomposed TPB model with institutional trust and perceived risk
Authors:	Hsieh, Pi-Jung
Contributors:	醫務管理系
Keywords:	Health information technology Acceptance process Electronic medical records Electronic medical records exchange
Date:	2015-01
Issue Date:	2016-04-19 19:01:21 (UTC+8)
Publisher:	Elsevier Ireland Ltd
Abstract:	Purpose: Electronic medical records (EMRs) exchange improves clinical quality and reduces medical costs. However, few studies address the antecedent factors of physicians' intentions to use EMR exchange. Based on institutional trust and perceived risk integrated with the decomposed theory of planned behavior (TPB) model, we propose a theoretical model to explain the intention of physicians to use an EMR exchange system.Methods: We conducted a field survey in Taiwan to collect data from physicians who had experience using the EMR exchange systems. A valid sample of 191 responses was collected for data analysis. To test the proposed research model, we employed structural equation modeling using the partial least squares method.Results: The study findings show that the following five factors have a significant influence on the physicians' intentions to use EMR exchange systems: (a) attitude; (b) subjective norm; (c) perceived behavior control; (d) institutional trust; and (e) perceived risk. These five factors are predictable by perceived usefulness, perceived ease of use, and compatibility, interpersonal and governmental influence, facilitating conditions and self-efficacy, situational normality and structural assurance, and institutional trust, respectively. The results also indicate that institutional trust and perceived risk integrated with the decomposed TPB model improve the prediction of physician's intentions to use EMR exchange.Conclusion: The results of this study indicate that our research model effectively predicts the intention of physicians to use EMR exchange, and provides valuable implications for academics and practitioners. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
Relation:	International Journal of Medical Informatics, v.84 n.1, pp.1-14
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles

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