Abstract
Objectives: The medical institutes must be dependent on medical information systems to reduce administrative and operating costs, and enhance work efficiency of staff and service quality. However, the hospital is easy to overlook the users' ability in a hospital to use and accept the information systems, and then resulted in user dissatisfaction and poor efficiency of information systems while employing the medical information systems. This study was to investigate how system quality, perceived usefulness, perceived ease of use, internal marketing, and service quality could affect user satisfaction. Methods: There are total 300 questionnaires being sent out in this research project, with 200 questionnaires received at three hospitals with PACS systems (Picture Archiving and Communication Systems) in southern Taiwan, 194 out of 200 questionnaires are considered acceptable with a 64.7 percent response rate. Results: Results of this study found that the system quality has a significant positive effect on perceived usefulness and perceived ease of use, internal marketing have a significant positive effect on service quality, and perceived usefulness, perceived ease of use, and service quality has a significant positive effect on the user satisfaction. Conclusion: The results indicate that higher system quality and service quality result in enhanced user satisfaction as well as improved system performance of the hospital.
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