Healthcare Professionals’ Adoption of Clinical IT in Hospital: A View of Relationship between Healthcare Professionals and Hospital

The application of IT has become significant in the health sector. Clin ical IT is considered as a strategic tool to improve efficiency of health care delivery and effectiveness of physicians in the health care sector. New technologies that change the traditional practice patterns of healthcare professionals in hospitals cannot be simp ly accepted by them. There is enough evidence to claim that healthcare professionals are not willing to accept and use clin ical IT that interferes with their day-to-day work activities. If healthcare professionals do not use new clin ical IT, all the effort, money and resources used for the implementation of the system have no result. However, factors affecting healthcare professionals' acceptance of clinical IT are still not fu lly identified. In this study, an extension to TAM is used to incorporate the unique characteristic of physicians, physicians' computer literacy and features of clinical IT. The extended model has been developed to chiefly address the issues of IT adoption amongst healthcare professionals in a hospital setting. A survey has been conducted to evaluate the model among 300 healthcare p rofessionals in Malaysia. The structural equation model has been used to test the model in this context. The results reflect the role of perceived threat to professional autonomy, healthcare professional-hospital relationship, perceived usefulness and perceived ease of use in determin ing healthcare professionals' intention to use clin ical IT systems in Malaysia. The proposed model can exp lain 51% of the variance of physicians' intention to accept clinical IT.

[1]  Duncan C. L. Fitzwilliams.  THE HOSPITAL OF THE FUTURE , 1934, British medical journal.

[2]  C. Fornell,et al.  Evaluating structural equation models with unobservable variables and measurement error. , 1981 .

[3]  Fred D. Davis,et al.  User Acceptance of Computer Technology: A Comparison of Two Theoretical Models , 1989 .

[4]  Fred D. Davis.  Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..

[5]  J. Raelin,et al.  An Anatomy of Autonomy: Managing Professionals , 1989 .

[6]  Jeffrey E. Kottemann,et al.  Decisional Conflict and User Acceptance of Multicriteria Decision-Making Aids , 1991 .

[7]  Kieran Mathieson,et al.  Predicting User Intentions: Comparing the Technology Acceptance Model with the Theory of Planned Behavior , 1991, Inf. Syst. Res..

[8]  John P. Meyer,et al.  A three-component conceptualization of organizational commitment , 1991 .

[9]  Ephraim R. McLean,et al.  Information Systems Success: The Quest for the Dependent Variable , 1992, Inf. Syst. Res..

[10]  Fred D. Davis,et al.  Extrinsic and Intrinsic Motivation to Use Computers in the Workplace1 , 1992 .

[11]  Fred D. Davis.  User Acceptance of Information Technology: System Characteristics, User Perceptions and Behavioral Impacts , 1993, Int. J. Man Mach. Stud..

[12]  Magid Igbaria,et al.  User acceptance of microcomputer technology: An empirical test , 1993 .

[13]  Lyman W. Porter,et al.  Choice of employee-organization relationship: Influence of external and internal organizational factors , 1995 .

[14]  Peter A. Todd,et al.  Assessing IT usage: the role of prior experience , 1995 .

[15]  Sang M. Lee,et al.  An Empirical Study of the Relationships among End-User Information Systems Acceptance, Training, and Effectiveness , 1995, J. Manag. Inf. Syst..

[16]  Gordon B. Davis,et al.  Testing the Determinants of Microcomputer Usage via a Structural Equation Model , 1995, J. Manag. Inf. Syst..

[17]  Randall P. Settoon,et al.  Social Exchange in Organizations: Perceived Organizational Support, Leader-Member Exchange, and Employee Reciprocity , 1996 .

[18]  Daniel M. Eveleth,et al.  Foci And Bases Of Employee Commitment: Implications For Job Performance , 1996 .

[19]  Fred D. Davis,et al.  A Model of the Antecedents of Perceived Ease of Use: Development and Test† , 1996 .

[20]  J G Anderson,et al.  Evaluating the Impact of Health Care Information Systems , 1997, International Journal of Technology Assessment in Health Care.

[21]  K. E. Ghorab,et al.  The impact of technology acceptance considerations on system usage, and adopted level of technological sophistication: An empirical investigation , 1997 .

[22]  Christian Korunka,et al.  New Information Technologies, Job Profiles, and External Workload as Predictors of Subjectively Experienced Stress and Dissatisfaction at Work , 1997, Int. J. Hum. Comput. Interact..

[23]  M. Conner,et al.  Extending the Theory of Planned Behavior: A Review and Avenues for Further Research , 1998 .

[24]  Richard D. Johnson,et al.  The Multilevel and Multifaceted Character of Computer Self-Efficacy: Toward Clarification of the Construct and an Integrative Framework for Research , 1998, Inf. Syst. Res..

[25]  Chockalingam Viswesvaran,et al.  The Role of Social Support in the Process of Work Stress: A Meta-Analysis , 1999 .

[26]  Olivia R. Liu Sheng,et al.  Examining the Technology Acceptance Model Using Physician Acceptance of Telemedicine Technology , 1999, J. Manag. Inf. Syst..

[27]  P. Yellowlees,et al.  Health online: the future isn't what it used to be , 1999, The Medical journal of Australia.

[28]  Zhiping Walter,et al.  Theory of user acceptance of information technologies: an examination of health care professionals , 1999, Proceedings of the 32nd Annual Hawaii International Conference on Systems Sciences. 1999. HICSS-32. Abstracts and CD-ROM of Full Papers.

[29]  Pamela Tierney,et al.  Work relations as a precursor to a psychological climate for change , 1999 .

[30]  A. Bedeian,et al.  Organizational Change: A Review of Theory and Research in the 1990s , 1999 .

[31]  J D Anderson.  Increasing the acceptance of clinical information systems. , 1999, M.D. computing : computers in medical practice.

[32]  H. Schoenfeld.  Hospital of the future , 2000, BMJ : British Medical Journal.

[33]  Fred D. Davis,et al.  A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies , 2000, Management Science.

[34]  Detmar W. Straub,et al.  Structural Equation Modeling and Regression: Guidelines for Research Practice , 2000, Commun. Assoc. Inf. Syst..

[35]  Elena Karahanna,et al.  Time Flies When You're Having Fun: Cognitive Absorption and Beliefs About Information Technology Usage , 2000, MIS Q..

[36]  L. Eby,et al.  Perceptions of Organizational Readiness for Change: Factors Related to Employees' Reactions to the Implementation of Team-Based Selling , 2000 .

[37]  Mark Western,et al.  Measuring IT use in Australian General Practice 2001 , 2001 .

[38]  F. Mair,et al.  Resisting and promoting new technologies in clinical practice: the case of telepsychiatry. , 2001, Social science & medicine.

[39]  G Dowswell,et al.  Clinical guidelines: attitudes, information processes and culture in English primary care. , 2001, The International journal of health planning and management.

[40]  Gareth R. Jones,et al.  The role of information technology in the organization: a review, model, and assessment , 2001 .

[41]  Magid Igbaria,et al.  IT acceptance in a less-developed country: a motivational factor perspective , 2002, Int. J. Inf. Manag..

[42]  George Dowswell,et al.  Practice nurses and clinical guidelines in a changing primary care context: an empirical study. , 2002, Journal of advanced nursing.

[43]  John P. Meyer,et al.  Commitment to organizational change: extension of a three-component model. , 2002, The Journal of applied psychology.

[44]  Lai Ming Ho,et al.  Physicians' attitudes towards the computerization of clinical practice in Hong Kong: a population study , 2002, Int. J. Medical Informatics.

[45]  R. Eisenberger,et al.  Perceived organizational support: a review of the literature. , 2002, The Journal of applied psychology.

[46]  Paul Jen-Hwa Hu,et al.  Examining a Model of Information Technology Acceptance by Individual Professionals: An Exploratory Study , 2002, J. Manag. Inf. Syst..

[47]  K. Kuehn,et al.  CITIZENSHIP BEHAVIOR IN A NON‐WESTERN CONTEXT: AN EXAMINATION OF THE ROLE OF SATISFACTION, COMMITMENT AND JOB CHARACTERISTICS ON SELF‐REPORTED OCB , 2002 .

[48]  Opinions on the use of clinical decision support systems for paediatric prescribing in a New Zealand hospital , 2003 .

[49]  Vallabh Sambamurthy,et al.  Sources of Influence on Beliefs about Information Technolgoy Use: An Empirical Study of Knowledge Workers , 2003, MIS Q..

[50]  M. Brennan,et al.  Developing professional skills , 2003, The Lancet.

[51]  W. R. Allen,et al.  Does Attribution Theory Explain Physicians' Nonacceptance of Clinical Practice Guidelines? , 2003, Hospital Topics.

[52]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[53]  Sonja Wiley-Patton,et al.  Does the extended technology acceptance model apply to physicians , 2003, 36th Annual Hawaii International Conference on System Sciences, 2003. Proceedings of the.

[54]  S. Srinivasan,et al.  Role of trust in e-business success , 2004, Inf. Manag. Comput. Secur..

[55]  Bengisu Tulu,et al.  Use of online systems in clinical medical assessments: an analysis of physician acceptance of online disability evaluation systems , 2004, 37th Annual Hawaii International Conference on System Sciences, 2004. Proceedings of the.

[56]  Abigail Zuger,et al.  Dissatisfaction with medical practice. , 2004, The New England journal of medicine.

[57]  Manuel Lowenhaupt.  Removing barriers to technology. , 2004, Physician executive.

[58]  Joe Flower.  Digital technology essential and subversive. , 2004, Physician executive.

[59]  Pauline Ratnasingam,et al.  The Role of Facilitating Conditions and Institutional Trust in Electronic Marketplaces , 2005, J. Electron. Commer. Organ..

[60]  Jin Nam Choi.  Multilevel and Cross-Level Effects of Workplace Attitudes and Group Member Relations on Interpersonal Helping Behavior , 2006 .

[61]  Petrus Guriting,et al.  Borneo online banking: evaluating customer perceptions and behavioural intention , 2006 .

[62]  J. Holsinger,et al.  Physician professionalism for a new century , 2006, Clinical anatomy.

[63]  Mun Y. Yi,et al.  Understanding information technology acceptance by individual professionals: Toward an integrative view , 2006, Inf. Manag..

[64]  I-Chiu Chang,et al.  Physicians' acceptance of pharmacokinetics-based clinical decision support systems , 2007, Expert Syst. Appl..

[65]  Tsai-Hsin Chu,et al.  Exploring knowledge contribution from an OCB perspective , 2007, Inf. Manag..

[66]  Richard E. Scott,et al.  e-Records in health - Preserving our future , 2007, Int. J. Medical Informatics.

[67]  Graham Pervan,et al.  ICT and OTs: A model of information and communication technology acceptance and utilisation by occupational therapists , 2007, Int. J. Medical Informatics.

[68]  Achilles A. Armenakis,et al.  Organizational Change Content, Process, and Context: A Simultaneous Analysis of Employee Reactions , 2007 .

[69]  Eike-Henner W. Kluge,et al.  Secure e-Health: Managing risks to patient health data , 2007, Int. J. Medical Informatics.

[70]  I. Jawahar,et al.  Conscientiousness and contextual performance: The compensatory effects of perceived organizational support and leader‐member exchange , 2007 .

[71]  野中 郁次郎,et al.  The knowledge-creating company , 2008 .

[72]  Massimo Magni,et al.  Intra-organizational relationships and technology acceptance , 2008, Int. J. Inf. Manag..

[73]  Zhiping Walter,et al.  Physician acceptance of information technologies: Role of perceived threat to professional autonomy , 2008, Decis. Support Syst..

[74]  Su-Chao Chang,et al.  An extension of trust and TAM model with IDT in the adoption of the electronic logistics information system in HIS in the medical industry , 2008, Int. J. Medical Informatics.

[75]  Yair Levy,et al.  Integrating Trust and Computer Self-Efficacy with TAM: AnEmpirical Assessment of Customersâ Acceptance of BankingInformation Systems (BIS) in Jamaica , 2008 .

[76]  Prodromos D. Chatzoglou,et al.  Using a modified technology acceptance model in hospitals , 2009, Int. J. Medical Informatics.

[77]  Chia-Ching Chang,et al.  Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes , 2009, Int. J. Medical Informatics.

[78]  Liaquat Hossain,et al.  Exploring user acceptance of technology using social networks , 2009 .

[79]  Brian M. Kleiner,et al.  Empirically understanding trust in medical technology , 2009 .

[80]  Pierre Frémont,et al.  A systematic review of interventions promoting clinical information retrieval technology (CIRT) adoption by healthcare professionals , 2010, Int. J. Medical Informatics.

[81]  H. Zandhessami,et al.  Determinants of user acceptance of internet banking: An empirical study , 2014 .

[82]  Richard,et al.  Extrinsic and Intrinsic Motivation to Use Computers in the Workplace , 2022 .