IntroductionToday, health information technologies are base of health services and Electronic Medical Record is one of them. The purpose of this paper is to investigate the Technology Acceptance Model (TAM) on EMR at Central Polyclinic Oil Industry that is a pioneer in implementation of EMR in Isfahan.MethodsThis study was an applied and analytical survey that it was done at the Central Polyclinic Oil Industry. Because statistical population were limited, sampling bas been done by conducting the census and the sample was according to the population. The data was collected by a researcher-made questionnaire that it was validated by experts and its reliability was confirmed by test retest. The questionnaire was developed in 5 scopes including external factors (data quality and user interface), perceived usefulness, perceived ease of usefulness, attitude toward using, and behavioral intention to use. The Results analyzed by SPSS.ResultsThere was a significant relationship between data quality with PU(r=/295, p0001) and PEU(r=/499, p0001). Also there was a significant relationship between user interface with PU(r=/543, p0001) and PEU(r=/477, p0001). PU and PEU had a significant relationship with attitude respectively (r=/590, p0001; r=/605, p0001). In addition attitude had a significant relationship with behavioral intention to use (r=/734, p0001). There was no significant relationship between data quality with attitude (r=/161, p>/005).DiscussionThe survey of the scopes in the polyclinic showed that there is relationship among user interface, perceived usefulness, perceived ease of usefulness, attitude toward using, and behavioral intention to use, but data quality has no relationship with attitude. It seems the system designers didn’t consider to data quality characteristics. It is proposed that they consult with health information management professionals for improvement the existing system.
Introduction: Today, eHealth is base of health services around the world, and electronic health records as an essential core element and its basic architecture for telehealth is considered. EHR offers many potential opportunities for healthcare systems we must focus on its challenges and related guidelines but for EHR deployment. The purpose of this paper is exploration challenges of EHR implementation and related guidelines in Isfahan. Methods: This is a qualitative study and we used the method of phenomenology, a in-depth semi-structured interviews were conducted with 15 of Physicians, Managers and Clear Sighted persons who had experiences regarding with electronic health record. Conclusion: The researcher divided challenges into two areas of infrastructure and structural. Challenges of electronic health records infrastructure are due to information technology, lack of uniform definitions and concepts, cultural problems, and lack of needs assessment before implementation and the challenges of structural are due to instability enforced, violations of privacy and legal cases, compromise getting information management, and lack of integration and sharing of enterprise-level.
Introduction:Simultaneous with the rapid changes in the technology and information systems, hospitals interest in using them. One of the most common systems in hospitals is electronic medical record (EMR) whose one of uses is providing better health care quality via health information technology. Prior to its use, attempts should be put to identifying factors affecting the acceptance, attitude and utilizing of this technology. The current article aimed to study the effective factors of EMR acceptance by technology acceptance model (TAM) at central polyclinic of Oil Industry in Isfahan.Materials and Methods:This was a practical, descriptive and regression study. The population research were all EMR users at polyclinic of Oil Industry in 2012 and its sampling was simple random with 62 users. The tool of data collection was a research-made questionnaire based on TAM. The validity of questionnaire has been assigned through the strategy of content validity and health information technology experts’ views and its reliability by test-retest.Findings:The system users have positive attitude toward using EMR (56.6%). Also, users are not very satisfied with effective external (38.14%) and behavioral factors (47.8%) upon using the system. Perceived ease-of-use (PEU) and perceived usefulness (PU) were at a good level.Conclusion:Lack of relative satisfaction with using of EMR derives from factors such as appearance, screen, data and information quality and terminology. In this study, it is suggested to improve the system and the efficiency of the users through software’ external factors development. So that PEU and users’ attitude to be changed and moved in positive manner.
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