Acceptance of E-Prescriptions and Automated Medication-Management Systems in Hospitals: An Extension of the Technology Acceptance Model

Escobar‐Rodríguez, Tomás; Monge-Lozano, Pedro; Romero-Alonso, Ma Mercedes

doi:10.2308/isys-10254

Cited by 23 publications

(7 citation statements)

References 78 publications

(88 reference statements)

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“…TAM was proposed by Davis (1989) to study the role of human behavior attributes in the acceptance of an information system. TAM is an adaptation of a psychological theory, Escobar-Rodriguez and Romero-Alonso (2013) 118 Medical staff E-health system TAM Glegg et al (2013) 42 Medical staff E-health tool DTPB Guo et al (2013) 204 Public E-health system TAM Hendrikx et al (2013) 68 Patients E-health system TAM Huang (2013) 369 Public E-health tool TAM (continued ) Kuo et al (2013) 665 Medical staff E-health tool TAM Liu et al (2013) 50 Patients E-health tool TAM Martínez-Caro et al (2013) 256 Patients E-health system TAM Monthuy- Blanc et al (2013) 205 Medical staff E-health tool TAM Noblin et al (2013) 560 Patients E-health tool TAM Nuq and Aubert (2013) 329 Medical staff E-health system TAM Sun et al (2013) 204 Public E-health system TAM, TPB Tsai et al (2013) 101 Public E-health tool TAM Aldosari (2012) 89 Medical staff E-health system TAM Bhagya Lakshmi and Rajaram (2012) 465 Medical staff E-health system TAM Chen and Hsiao (2012) 81 Medical staff E-health system TAM Dünnebeil et al (2012) 117 Medical staff E-health system TAM Escobar- Rodríguez et al (2012) 209 Medical staff E-health tool TAM Hung and Jen (2012) 170 Public E-health system TAM 224 Medical staff E-health tool DTPB Ketikidis et al (2012) 133 Medical staff E-health system TAM Kim and Park (2012) 728 Public E-health system TAM 449 Patients E-health system TAM Kowalczyk (2012) 110 Medical staff E-health tool TAM2 Lu et al (2012) 277 Medical staff E-health system TAM Maass and Varshney (2012) 51 Public E-health system TAM, TPB Wirtz et al (2012) 502 Medical Staff E-health tool TAM Xue et al (2012) 700 Public E-health tool TAM Cudmore et al (2011) 192 Public E-health system TAM Dyball et al (2011) 48 Medical staff E-health system TAM Egea and González (2011) 254 Medical staff ...…”

Section: Tam and Related Theoriesmentioning

confidence: 99%

A meta-analysis of e-health applications acceptance

Chauhan

Jaiswal²

2017

JEIM

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Purpose The increasing importance of electronic health (e-health) has raised the significance of exploring the factors influencing the users’ acceptance of e-health applications. There has been an extensive usage of the technology acceptance model (TAM) in e-health applications acceptance research. However, not all TAM relationships are borne out in all the studies. There is a variation in predicted effects in several studies with different user type and application type. The purpose of this paper is to bridge a research gap by providing a holistic view of the e-health applications acceptance research by integrating the findings of existing relevant literature. Design/methodology/approach A statistical meta-analysis of the effect size of causal relationships between common TAM constructs was conducted on 111 peer-reviewed academic studies published in various journals. Findings The results confirm the validity and robustness of the TAM in e-health applications acceptance research. Further, a moderator analysis based on user type and e-health application type demonstrated that the effect size of causal relationships between TAM constructs majorly depends on the user type, but not on e-health application type. Research limitations/implications This research provides a ready reference of the existing studies on e-health applications acceptance to the researchers. Further, if researchers or practitioners want to learn more about the particular user or application type, they may find the results valuable. Practical implications This research suggests that the general public can be used as the surrogates for patients in e-health applications acceptance research. The implementation strategy found successful for medical staff may not work for general public and patients. This research also suggests ways to enhance acceptance of e-health applications among different user groups. Originality/value The research is original and is based on the existing literature and its interpretation.

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Section: Tam and Related Theoriesmentioning

confidence: 99%

A meta-analysis of e-health applications acceptance

Chauhan

Jaiswal²

2017

JEIM

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“…Today, in line with the notion that “access to the right information at the right time is a crucial ingredient of modern healthcare” (Nicholas et al , 2001, p. 157), there are enormous applications of ICT used in the Health Sector which have the potential to secure and improve appropriately the management of healthcare information, access to health services, and the quality of care with less costs. This is what Escobar‐Rodríguez et al (2012, p. 78) highlight: “IT plays a fundamental role in improving the quality of health care service while increasing its efficiency”. On the other hand, among the most notable organisations which have experienced such a change affected by technological developments we can name libraries.…”

Section: Introductionmentioning

confidence: 83%

The status of information technology in Iranian hospital libraries

Isfandyari‐Moghaddam

Sabbaghan

Dehghani

et al. 2013

Program

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PurposeThe purpose of this paper is to compare the attitude of the managers of libraries located at Iran, Tehran and Shahid Beheshti Medical Sciences Universities' training hospitals, on the status of information technology (IT) in the mentioned libraries.Design/methodology/approachThis study employed a researcher‐made questionnaire. The managers of 40 hospital libraries of Iran, Tehran and Shahid Beheshti Universities formed the population of the research. To analyze the collected data, the statistical software SPSS (version 17) was used.FindingsResults showed that 12.5 per cent of Tehran, 15.6 per cent of Iran and 25 per cent of Shahid Beheshti Universities library managers agreed, to a very large extent, on the application and development of IT and its tools and 93.7 per cent of the managers from all three hospital libraries deemed the application of IT most necessary. The managers believed that the greatest advantage of IT is concerned with the reduction of human efforts (59.4 per cent), and 100 per cent of the managers acknowledged the need for further promotion of their skills in a wide variety of IT issues. In total, 16.1 per cent at Tehran, 12.9 per cent at Iran and 29 per cent at Shahid Beheshti University considerably approved of formal education for the promotion of their librarians' skills.Originality/valueThis study is a step towards acknowledging the contribution, status, and value of hospital libraries to the health sector by the library managers in theory and practice, in the shadow of considering their librarians as network experts, information media and system designers, and technology experts.

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“…The serious implications of their actions for patients and the considerable responsibility they assume could mean that intention to use a technology might depend on factors related to improving PSQ and not on usability issues. 20 Furthermore, Gururajan showed that the ease-of-use factor was not strongly significant in the health care domain when determining wireless technology adoption. The health care environment is complex, sensitive, and time critical.…”

Section: Discussionmentioning

confidence: 99%

“…19 Most studies have focused on health professionals' behavioral intention to use health care technology. 20,21 Holden and Karsh highlighted the necessity of contextualizing the TAM model for health care settings and suggested that this could be done by differentiating between performance benefits accruing at the personal and group levels, focusing on health care outcomes, and allowing for different sources of social influences. 12 For example, Sun et al extended IT usage models to include the role of IT's perceived work compat-ibility in shaping users' IT usage intention, usage, and performance in a work setting.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Physicians' Estimates of Electronic Prescribing's Impact on Patient Safety and Quality of Care

et al. 2018

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Background Electronic prescribing (e-prescribing) is a potentially important intervention that can be used to reduce errors. It provides many potential benefits over handwritten medication prescriptions, including standardization, legibility, audit trails, and decision support. Electronic health record (EHR) and e-prescribing systems may greatly enhance communication and improve the quality and safety of care. Objectives Our aim is to investigate physician's opinions about the influence of electronic prescriptions on patient safety and quality of care. Methods This study extends the technology acceptance model to analyze the acceptance of e-prescribing and adds an understanding of what kind of impact the external variables (patient identification and the interoperability of applications) have on physicians' individual work performance (i.e., patient safety and quality of care). The empirical analysis uses data from surveys conducted in 2012 and 2014 in Finland. The participants were physicians, and e-prescribing was the only method that could be used for prescribing medication when these studies were conducted. Results Physicians' perceived usefulness of e-prescribing was significantly associated with patient safety and quality of care. The interoperability of an EHR had a significant effect on both the perceived ease of use and perceived usefulness of e-prescribing. The findings show that experience with an e-prescribing system has a positive effect on participants' perceived ease of use and perceived usefulness of e-prescribing. Conclusion This study highlights potential safety and efficiency benefits associated with integrated health information technology in health care. The perceived usefulness of e-prescribing affected physicians' opinions on patient safety and quality of care.

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Acceptance of E-Prescriptions and Automated Medication-Management Systems in Hospitals: An Extension of the Technology Acceptance Model

Cited by 23 publications

References 78 publications

A meta-analysis of e-health applications acceptance

A meta-analysis of e-health applications acceptance

The status of information technology in Iranian hospital libraries

Physicians' Estimates of Electronic Prescribing's Impact on Patient Safety and Quality of Care

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