Determinants of physicians' technology acceptance for e-health in ambulatory care
Determinants of physicians' technology acceptance for e-health in ambulatory care
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DOI：
10.1016/j.ijmedinf.2012.02.002
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发表时间：
2012-11-01
影响因子：
4.9
通讯作者：
Krcmar, Helmut
中科院分区：
文献类型：
--
作者：
Duennebeil, Sebastian;Sunyaev, Ali;Krcmar, Helmut
背景：德国正在引进一个全国性的远程医疗基础设施，以实现电子保健服务。该项目正面临来自德国医生的巨大阻力，这导致了五年多的拖延。对于医生采用电子保健创新的实际负担和驱动因素知之甚少。目的：根据对参加国家远程医疗试验台的德国医生的定量研究，本文扩展了现有的电子医疗技术接受模型（TAM）（电子健康）在门诊护理设置和阐述的决定因素的重要性，医生在他们的决定使用电子健康应用程序。本研究探讨的意见，态度和知识的医生在门诊护理，以找到驱动程序的技术接受信息技术（IT）的利用率，流程和安全导向，标准化，沟通，文档和一般的工作模式。我们确定了在电子健康研究中使用的TAM结构中的变量，这些变量具有最强有力的证据来确定使用电子健康应用程序的意图。偏最小二乘（PLS）回归模型从117名医生的数据显示，感知的重要性标准化和感知的重要性，目前的IT利用（p < 0.01）是在实践中接受电子健康服务（EHS）的最重要驱动因素。显着的影响（p < 0.05）被认为是重要的信息安全和过程的方向，以及文件的强度和电子健康相关的knowledge.Conclusions：这项研究扩展了工作收集到的技术接受的研究，在医疗保健的调查因素，影响感知有用性和感知易用性的电子健康服务。基于这些实证研究结果，我们得出的影响，电子健康服务的设计和引进，包括建议引入主题的医生在门诊护理和激励结构使用电子健康。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Background: Germany is introducing a nation-wide telemedicine infrastructure that enables electronic health services. The project is facing massive resistance from German physicians, which has led to a delay of more than five years. Little is known about the actual burdens and drivers for adoption of e-health innovations by physicians.Objective: Based on a quantitative study of German physicians who participated in the national testbed for telemedicine, this article extends existing technology acceptance models (TAM) for electronic health (e-health) in ambulatory care settings and elaborates on determinants of importance to physicians in their decision to use e-health applications.Methods: This study explores the opinions, attitudes, and knowledge of physicians in ambulatory care to find drivers for technology acceptance in terms of information technology (IT) utilization, process and security orientation, standardization, communication, documentation and general working patterns. We identified variables within the TAM constructs used in e-health research that have the strongest evidence to determine the intention to use e-health applications.Results: The partial least squares (PLS) regression model from data of 117 physicians showed that the perceived importance of standardization and the perceived importance of the current IT utilization (p < 0.01) were the most significant drivers for accepting electronic health services (EHS) in their practice. Significant influence (p < 0.05) was shown for the perceived importance of information security and process orientation as well as the documentation intensity and the e-health-related knowledge.Conclusions: This study extends work gleaned from technology acceptance studies in health-care by investigating factors which influence perceived usefulness and perceived ease of use of e-health services. Based on these empirical findings, we derive implications for the design and introduction of e-health services including suggestions for introducing the topic to physicians in ambulatory care and incentive structures for using e-health. (C) 2012 Elsevier Ireland Ltd. All rights reserved.