The Acceptance of Primary Health Centre Information System Among Health Staff: An extended TAM Model

Abstract

Ngaglik I Public Health Center in Sleman is one of the health centers that have already applied SIMPUS (an application of management information system for public health center). The implementation of clinical information systems could potentially improve the performance of health care facilities, save operational costs, and increase patient satisfaction. In fact, the clinical information systems applied by public health center vary. One of them is SIMPUS. However until present, there have not been any assessments of the acceptance of the clinical information system, especially SIMPUS, at Ngaglik I Public Health Center. To describe the use of SIMPUS at Ngaglik I Public Health Center and evaluate user understanding in accepting SIMPUS application based on the Technology Acceptance Model (TAM). This was a quantitative study which used a survey method and a cross-sectional design. The research sample consisted of 50 respondents who were selected using a simple random sampling method. The data analysis technique was the SEM-PLS analysis with the TAM model and SmartPLS software. Statistically, the relationship between the Job Relevance and Perceived Ease of Use variables was weak (p-value = 0.818). There was a weak relationship between Output Quality and Perceived Ease of Use (p-value = 0.208). There was a strong relationship between Result Demonstrability and Perceived Ease of Use (0.000). There was a strong relationship between Result Demonstrability and Intention to Use (p-value = 0.011). There was a weak relationship between Screen Design and Intention to Use (p-value = 0.870). There was a weak relationship between Perceived Ease of Use and intention to use. Users’ job relevance to SIMPUS did not have any effect on perceived ease of use. Output quality did not have any effect on perceived ease of use. The screen design of SIMPUS display had no effect on intention to use. Intention to use did not affect system use. Intention to use did not affect system use. Facilitating condition did not have any effect on system use. System use was influenced by perceived ease of use and intention to use. Perceived ease of use and intention to use were influenced by result demonstrability.