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Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study

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...

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Detalles Bibliográficos
Autores principales: Chen, Rai-Fu, Hsiao, Ju-Ling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672292/
https://www.ncbi.nlm.nih.gov/pubmed/34851297
http://dx.doi.org/10.2196/32180
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author Chen, Rai-Fu
Hsiao, Ju-Ling
author_facet Chen, Rai-Fu
Hsiao, Ju-Ling
author_sort Chen, Rai-Fu
collection PubMed
description 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 (β=.411), portability (β=.217), personal innovativeness (β=.198), technostress (β=.169), and time criticality (β=.168), and individual performance (R(2)=0.541) was affected by EMR infusion (β=.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.
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spelling pubmed-86722922022-01-10 Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study Chen, Rai-Fu Hsiao, Ju-Ling JMIR Med Inform Original Paper 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 (β=.411), portability (β=.217), personal innovativeness (β=.198), technostress (β=.169), and time criticality (β=.168), and individual performance (R(2)=0.541) was affected by EMR infusion (β=.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. JMIR Publications 2021-11-30 /pmc/articles/PMC8672292/ /pubmed/34851297 http://dx.doi.org/10.2196/32180 Text en ©Rai-Fu Chen, Ju-Ling Hsiao. Originally published in JMIR Medical Informatics (https://medinform.jmir.org), 30.11.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Informatics, is properly cited. The complete bibliographic information, a link to the original publication on https://medinform.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Chen, Rai-Fu
Hsiao, Ju-Ling
Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
title Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
title_full Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
title_fullStr Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
title_full_unstemmed Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
title_short Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study
title_sort health professionals’ perspectives on electronic medical record infusion and individual performance: model development and questionnaire survey study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672292/
https://www.ncbi.nlm.nih.gov/pubmed/34851297
http://dx.doi.org/10.2196/32180
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