Abstract
BackgroundWith respect to information management, most of the previous studies on the acceptance of healthcare information technologies were analyzed from “positive” perspectives. However, such acceptance is always influenced by both positive and negative factors and it is necessary to validate both in order to get a complete understanding. This study aims to explore physicians’ acceptance of mobile electronic medical records based on the dual-factor model, which is comprised of inhibitors and enablers, to explain an individual’s technology usage. Following an earlier healthcare study in the USA, the researchers conducted a similar survey for an Eastern country (Taiwan) to validate whether perceived threat to professional autonomy acts as a critical inhibitor. In addition, perceived mobility, which is regarded as a critical feature of mobile services, was also evaluated as a common antecedent variable in the model.MethodsPhysicians from three branch hospitals of a medical group were invited to participate and complete questionnaires. Partial least squares, a structural equation modeling technique, was used to evaluate the proposed model for explanatory power and hypotheses testing.Results158 valid questionnaires were collected, yielding a response rate of 33.40%. As expected, the inhibitor of perceived threat has a significant impact on the physicians’ perceptions of usefulness as well as their intention to use. The enablers of perceived ease of use and perceived usefulness were also significant. In addition, as expected, perceived mobility was confirmed to have a significant impact on perceived ease of use, perceived usefulness and perceived threat.ConclusionsIt was confirmed that the dual-factor model is a comprehensive method for exploring the acceptance of healthcare information technologies, both in Western and Eastern countries. Furthermore, perceived mobility was proven to be an effective antecedent variable in the model. The researchers believe that the results of this study will contribute to the research on the acceptance of healthcare information technologies, particularly with regards to mobile electronic medical records, based on the dual-factor viewpoints of academia and practice.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-014-0125-3) contains supplementary material, which is available to authorized users.
Highlights
With respect to information management, most of the previous studies on the acceptance of healthcare information technologies were analyzed from “positive” perspectives
A Wireless Health Outcomes Monitoring System (WHOMS) was developed and tested with cancer patients using mobile phones and the results suggested that such a mobile system has the potential to detect patient-suffering earlier and enable the start of well-timed intervention [23]
With a significance of 0.05 or better, the results revealed that the physicians’ perceptions of Perceived Usefulness (PU) and PEOU were positively associated with their behavioral intentions to use MEMR, while PT was negatively associated
Summary
With respect to information management, most of the previous studies on the acceptance of healthcare information technologies were analyzed from “positive” perspectives. Since the national health insurance system was launched in Taiwan in 1995, medical institutions have become more active in introducing a variety of technologies in order to get fee payments from the Bureau of National Health Insurance quickly and correctly. These technologies are related to healthcare information, such as computerized physician order entry systems (CPOE), medication administration systems, and clinical support systems. Medical coaching institutions have introduced ISO27001 information security certification and an electronic signature system, and the National Exchange Center of Electronic Medical Records has been established
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