Hospital Information System Satisfaction in Brazil: Background and Moderating Effects

Abstract

In the last years, hospitals in Brazil have made significant investments in adopting and implementing new hospital information system (HIS). Whether these investments will prove beneficial for these organizations depends on the support that will be provided to ensure the effective use of the information systems (IS) implemented and also on the satisfaction of its users.The purpose of this study is to propose a conceptual model, appropriate for the intention to use HIS, by adopting the system, service, and information qualities covered in the Information System Success Model proposed by DeLone and Mclean.In the present study, structural analysis applied to data from a sample of 393 HIS users showed the variables service quality, information quality, system quality and satisfaction to act as antecedents of HIS success. A novel finding of the study was the importance of the user's aptitude with respect to computer moderating the relationships of the model.Managerial implications are provided accordingly. Suggestions for introducing healthcare information system are then provided as well.

Modeling antecedents of electronic medical record system implementation success in low-resource setting hospitals

“…Thus, a net positive effect from these factors will result in a positive effect on EMR success. This result is consistent with different studies [ 7 , 13 , 16 , 20 ] but different from e-government success [ 14 ] which might be attributed to the difference in user type and setting.…”

“…The mediating effect of computer literacy with respect to EMR use and user satisfaction was measured using a method already applied by Nunes et al [ 20 ]. In this procedure, a Student’s t -test was calculated for both variances and the comparison shows that computer literacy mediates the relationship between service quality and EMR use as well as user satisfaction.…”

“…The second category, consisting of 24 items, was designed to measure the perceived system quality, information quality, service quality, satisfaction, expectation towards future benefits and mediation effects of computer literacy. For the latter the questions were adapted from Nunes et a.l [ 20 ], the others from Seddon et al [ 37 ] and Doll et al [ 38 ]. A pretest of the questionnaire was conducted in a hospital other than the study hospitals.…”

“…In the context of low-resource settings, Hanmer et al [ 18 ] developed a conceptual case study model of factors that affect HIS success by including some of the D&M constructs. Nunes et al [ 20 ] also validated partial components of the D&M model to predict the intention to use for a HIS among health professionals in Brazil. Despite the above studies that use part of the D&M constructs in EMR evaluation, we do not know of any study that brings together all the measures of D&M constructs and validates them for its applicability in assessing EMR success in the context of low-resource settings.…”

“…Additionally, most evaluation and case studies of EMR implementations in low-resource settings reported that computer literacy seems to be a main hindering factor for the success of EMR [ 21 – 24 ] especially in a relationship between service quality and IS use [ 20 ] but this effect is not yet rigorously tested in those settings.…”