Abstract
Currently in healthcare organisations paper-based patient record management faces many challenges. Most hospitals are promoting the full implementation of Electronic Medical Records (EMRs). Medical environments change frequently, which makes full acceptance of electronic medical records by physicians an important issue. EMRs solve many of the problems associated with paper records. Despite their advantages, however, EMR systems have not been universally adopted by doctors, and their pattern of use is uncertain. This study combines theory on reasoned action with a technology acceptance model to determine which factors influence physician adaptation of EMR within rural areas of Taiwan. In particular, this study examines the role of external factors, such as professional autonomy, training, and computer self-efficacy. It finds that EMR use is not significantly influenced by feelings towards professional autonomy, but is positively related to levels of training and computer selfefficacy.
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