Development of a Measure of Clinical Information Systems Expectations and Experiences

Abstract

Our findings suggest that the measure of clinical information systems expectations and experiences offers a valid and reliable tool for assessing the perceived impact of new clinical technology on work process and outcomes. This instrument can be useful before and after technology implementation by assisting in the identification of staff perceptions and concerns, thus allowing for targeted interventions to address these issues.

An Empirical Study of Physicians' Acceptance of Hospital Information Systems in Taiwan

“…The measurement of factors affecting physicians' acceptance of HIS can be summarized as follows: System quality was measured using seven items adapted from Wixom and Todd, 18 whereas information quality was measured using 11 items adapted from Otineo et al 22 Service quality was measured using eight items adapted from Kettinger and Lee. 23 Perceived usefulness was measured using 12 items adapted from Wakefield et al, 25 whereas perceived ease of use was measured using five items adapted from Wixom and Todd. 18 HIS Acceptance was measured using two items adapted from Wixom and Todd.…”

“…10 This implies that physicians will consider HIS a useful tool to improve the doctor-patient relationship, internal communications, working environment, and medical quality and are more likely to accept the system. 25 Physicians will also more positively perceive the use of HIS to obtain the required information once the system is easy to use and user friendly. This result does not agree with the findings of Chau and Hu 10 regarding the relationship between perceived ease of use and IT/IS acceptance.…”

“…To fulfill physicians' information requirements, HIS development concerns should include the capability to integrate different data sources, accuracy, timeliness, and completeness of information provided. 25 Healthcare professionals are likely to accept technologies that provide useful healthcare information. This study shows that high-quality information helps to integrate healthcare processes and medical knowledge.…”

“…The constructs of perceived usefulness (users' subjective beliefs towards the benefits of using HIS to achieve job goals within a medical practice), 25 perceived ease of use (the degree to which users believe that using HIS would be free from effort), 4,18 and system acceptance (the attitudes of physicians towards using HIS) 15,18 are the core of most technology acceptance studies. The TAM suggests that perceived ease of use and perceived usefulness in IT/IS determine the attitudes of individuals with regard to IT/IS.…”

Assessing attitudes toward electronic prescribing adoption in primary care: a survey of prescribers and staff

“…10 Assessing physicians' attitudes and behaviours that predict technology adoption has been an area of ongoing research. [11][12][13][14][15][16][17][18] A few studies investigate attitudes toward EHR adoption in inpatient 19 and academic ambulatory care settings. 20 Some have investigated adoption readiness using statewide survey samples of medical practices, [21][22][23][24] others have assessed physicians' perceptions of quality of care.…”