Critical factors influencing physicians' intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model

doi:10.1186/s12911-016-0241-3

CNU IR > College of Smart Living > Dept. of Information Management > Periodical Articles > Item 310902800/30903

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/30903

Title:	Critical factors influencing physicians' intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model
Authors:	Hsiao, Ju-Ling Chen, Rai-Fu
Contributors:	Chia Nan Univ Pharm & Sci, Dept Informat Management Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
Keywords:	Activity theory Attitude to computers Clinical practices guideline systems Evidence-based medicine Technology acceptance model management
Date:	2016-01
Issue Date:	2018-01-18 11:37:36 (UTC+8)
Publisher:	Biomed Central Ltd
Abstract:	Background: With the widespread use of information communication technologies, computerized clinical practice guidelines are developed and considered as effective decision supporting tools in assisting the processes of clinical activities. However, the development of computerized clinical practice guidelines in Taiwan is still at the early stage and acceptance level among major users (physicians) of computerized clinical practice guidelines is not satisfactory. This study aims to investigate critical factors influencing physicians' intention to computerized clinical practice guideline use through an integrative model of activity theory and the technology acceptance model. Methods: The survey methodology was employed to collect data from physicians of the investigated hospitals that have implemented computerized clinical practice guidelines. A total of 505 questionnaires were sent out, with 238 completed copies returned, indicating a valid response rate of 47.1 %. The collected data was then analyzed by structural equation modeling technique. Results: The results showed that attitudes toward using computerized clinical practice guidelines (gamma = 0.451, p < 0.001), organizational support (gamma = 0.285, p < 0.001), perceived usefulness of computerized clinical practice guidelines (gamma = 0.219, p < 0.05), and social influence (gamma = 0.213, p < 0.05) were critical factors influencing physicians' intention to use computerized clinical practice guidelines, and these factors can explain 68.6 % of the variance in intention to use computerized clinical practice guidelines. Conclusions: This study confirmed that some subject (human) factors, environment (organization) factors, tool (technology) factors mentioned in the activity theory should be carefully considered when introducing computerized clinical practice guidelines. Managers should pay much attention on those identified factors and provide adequate resources and incentives to help the promotion and use of computerized clinical practice guidelines. Through the appropriate use of computerized clinical practice guidelines, the clinical benefits, particularly in improving quality of care and facilitating the clinical processes, will be realized.
Relation:	Bmc Medical Informatics and Decision Making, v.16, 3
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles [Dept. of Information Management] Periodical Articles

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