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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34338


    標題: Health Professionals' Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
    作者: Chen, Rai-Fu
    Hsiao, Ju-Ling
    貢獻者: Chia Nan Univ Pharm & Sci, Dept Informat Management
    Chia Nan Univ Pharm & Sci, Dept Pharm
    關鍵字: health care professional
    electronic medical records
    IS infusion
    individual performance
    EHR
    electronic health record
    performance
    perspective
    information system
    integration
    decision-making
    health information exchange
    questionnaire
    日期: 2021
    上傳時間: 2023-11-11 11:44:31 (UTC+8)
    出版者: JMIR PUBLICATIONS, INC
    摘要: Background: Electronic medical records (EMRs) are integrated information sources generated by health care professionals (HCPs) from various health care information systems. EMRs play crucial roles in improving the quality of care and medical decision-making and in facilitating cross-hospital health information exchange. Although many hospitals have invested considerable resources and efforts to develop EMRs for several years, the factors affecting the long-term success of EMRs, particularly in the EMR infusion stage, remain unclear. Objective: The aim of this study was to investigate the effects of technology, user, and task characteristics on EMR infusion to determine the factors that largely affect EMR infusion. In addition, we examined the effect of EMR infusion on individual HCP performance. Methods: A questionnaire survey was used to collect data from HCPs with >6 months experience in using EMRs in a Taiwanese teaching hospital. A total of 316 questionnaires were distributed and 211 complete copies were returned, yielding a valid response rate of 66.8%. The collected data were further analyzed using WarpPLS 5.0. Results: EMR infusion (R-2 =0.771) was mainly affected by user habits (beta=.411), portability (beta=.217), personal innovativeness (beta=.198), technostress (beta=.169), and time criticality (beta=.168), and individual performance (R-2 =0.541) was affected by EMR infusion (beta=.735). This finding indicated that user (habit, personal innovativeness, and technostress), technology (portability), and task (mobility and time criticality) characteristics have major effects on EMR infusion. Furthermore, the results indicated that EMR infusion positively affects individual performance. Conclusions: The factors identified in this study can extend information systems infusion theory and provide useful insights for the further improvement of EMR development in hospitals and by the government, specifically in its infusion stage. In addition, the developed instrument can be used as an assessment tool to identify the key factors for EMR infusion, and to evaluate the extent of EMR infusion and the individual performance of hospitals that have implemented EMR systems. Moreover, the results can help governments to understand the urgent needs of hospitals in implementing EMR systems, provide sufficient resources and support to improve the incentives of EMR development, and develop adequate EMR policies for the meaningful use of electronic health records among hospitals and clinics.
    關聯: JMIR MED INF, v.9, n.11, e32180
    Appears in Collections:[資訊管理系] 期刊論文
    [藥學系(所)] 期刊論文

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