What Explains Doctors' Usage of Mobile Information and Communication Technologies? A Comparison of US and Portuguese Hospitals

Doctors, either as a result of individual initiative or departmental policy, may use a number of different mobile computers. The relationship between device ownership/provision and usage is, however, rarely discussed. This paper therefore presents survey data (N=267) on mobile computer ownership and use by doctors in two Portuguese and two US hospitals, considering both devices owned by individuals and those supplied by the hospital. The results show that ownership is not clearly related to either usage pattern or frequency of use. Providing handheld computers also did not lead to higher number of users, higher frequency of use or significant differences in tasks carried out. Nevertheless, doctors owning handhelds alone or in combination with laptops used them more frequently than those using laptops alone. Differences in usage pattern proportions rather than demographics were a better indication of differences in usage frequencies and the tasks for which MICT devices were being used.