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Bramo SS, Desta A, Syedda M. Applying the
ICT4H
model to understand the challenges for implementing
ICT
‐based health information services in primary healthcare in
South Ethiopia. Learn Health Syst 2023. [DOI: 10.1002/lrh2.10360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Affiliation(s)
- Senait Samuel Bramo
- Department of Information science, Institute of Technology Jimma University Jimma Ethiopia
| | - Amare Desta
- Department of Business Studies, Faculty of Business University of Wales Trinity Saint David London UK
| | - Munavvar Syedda
- Department of Business & Information Systems, Faculty of Business Cardiff Metropolitan University Cardiff UK
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Liu C, Talaei-Khoei A, Storey VC, Peng G. A Review of the State of the Art of Data Quality in Healthcare. JOURNAL OF GLOBAL INFORMATION MANAGEMENT 2023. [DOI: 10.4018/jgim.316236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Effective implementation of strategic data-driven health analysis initiatives is heavily dependent on the quality of the electronic medical records that serve as the foundation from which to improve clinical decisions and, in turn, the quality of care. Although there is a large body of research on the quality of healthcare data, a systematical understanding of the methods used to address the issues of data quality is missing. This study analyzes research articles in health information systems/healthcare informatics on data quality to derive a set of dimensions for understanding data quality. Issues related to each dimension are identified and methods used to address them summarized. The issues and methods can inform healthcare professionals of how to improve data practices.
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Affiliation(s)
- Caihua Liu
- Guilin University of Electronic Technology, China
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Liu Y, Lu X, Zhao G, Li C, Shi J. Adoption of mobile health services using the unified theory of acceptance and use of technology model: Self-efficacy and privacy concerns. Front Psychol 2022; 13:944976. [PMID: 36033004 PMCID: PMC9403893 DOI: 10.3389/fpsyg.2022.944976] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 07/15/2022] [Indexed: 11/17/2022] Open
Abstract
Mobile health (mHealth) services have been widely used in medical services and health management through mobile devices and multiple channels, such as smartphones, wearable equipment, healthcare applications (Apps), and medical platforms. However, the number of the users who are currently receiving the mHealth services is small. In China, more than 70% of internet users have never used mHealth services. Such imbalanced situation could be attributed to users’ traditional concept of medical treatment, psychological factors (such as low self-efficacy) and privacy concerns. The purpose of this study is to explore the direct and indirect effects of mHealth users’ self-efficacy and privacy concerns on their intention to adopt mHealth services, providing guidelines for mHealth service providers to enhance users’ intention of adoption. A questionnaire was designed by the research team and 386 valid responses were collected from domestic participants in China. Based on the unified theory of acceptance and use of technology (UTAUT) model, a research model integrated self-efficacy and privacy concerns was constructed to investigate their effects on users’ intention to adopt mobile mHealth services. The results show that self-efficacy could facilitate users’ intention to adopt mHealth services, and had a significantly positive effect on perceived ubiquity, effort expectancy, performance expectancy and subjective norm. This study verifies the direct and indirect effects of self-efficacy and privacy concerns on users’ intention to adopt mHealth services, providing a different perspective for studying mHealth adoption behavior. The findings could provide guidelines for mHealth service providers to improve their service quality and enhance users’ intention of adoption.
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Affiliation(s)
- Yizhi Liu
- College of Management, Guizhou University, Guiyang, China
| | - Xuan Lu
- College of Management, Guizhou University, Guiyang, China
| | - Gang Zhao
- School of Engineering, University of Tasmania, Hobart, TAS, Australia
| | - Chengjiang Li
- College of Management, Guizhou University, Guiyang, China
- School of Engineering, University of Tasmania, Hobart, TAS, Australia
- *Correspondence: Chengjiang Li,
| | - Junyi Shi
- School of Humanities and Social Sciences, Xi’an Jiaotong-Liverpool University, Suzhou, China
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Jedwab RM, Franco M, Owen D, Ingram A, Redley B, Dobroff N. Improving the Quality of Electronic Medical Record Documentation: Development of a Compliance and Quality Program. Appl Clin Inform 2022; 13:836-844. [PMID: 36070801 PMCID: PMC9451950 DOI: 10.1055/s-0042-1756369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 07/14/2022] [Indexed: 11/02/2022] Open
Abstract
BACKGROUND Introducing an electronic medical record (EMR) system into a complex health care environment fundamentally changes clinical workflows and documentation processes and, hence, has implications for patient safety. After a multisite "big-bang" EMR implementation across our large public health care organization, a quality improvement program was developed and implemented to monitor clinician adoption, documentation quality, and compliance with workflows to support high-quality patient care. OBJECTIVE Our objective was to report the development of an iterative quality improvement program for nursing, midwifery, and medical EMR documentation. METHODS The Model for Improvement quality improvement framework guided cycles of "Plan, Do, Study, Act." Steps included design, pre- and pilot testing of an audit tool to reflect expected practices for EMR documentation that examined quality and completeness of documentation 1-year post-EMR implementation. Analysis of initial audit results was then performed to (1) provide a baseline to benchmark comparison of ongoing improvement and (2) develop targeted intervention activities to address identified gaps. RESULTS Analysis of 1,349 EMR record audits as a baseline for the first cycle of EMR quality improvement revealed five out of nine nursing and midwifery documentation components, and four out of ten medical documentation components' completion and quality were classified as good (>80%). Outputs from this work also included a framework for strategies to improve EMR documentation quality, as well as an EMR data dashboard to monitor compliance. CONCLUSION This work provides the foundation for the development of quality monitoring frameworks to inform both clinician and EMR optimization interventions using audits and feedback. Discipline-specific differences in performance can inform targeted interventions to maximize the effective use of resources and support longitudinal monitoring of EMR documentation and workflows. Future work will include repeat EMR auditing.
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Affiliation(s)
- Rebecca M. Jedwab
- Department of Nursing and Midwifery Informatics, Monash Health, Melbourne, Victoria, Australia
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Melbourne, Victoria, Australia
| | - Michael Franco
- Department of EMR and Informatics, Monash Health, Melbourne, Victoria, Australia
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
| | - Denise Owen
- Department of Digital Health Training and Adoption, Monash Health, Melbourne, Victoria, Australia
| | - Anna Ingram
- Department of Medical Informatics, Monash Health, Melbourne, Victoria, Australia
| | - Bernice Redley
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research-Monash Health Partnership, Institute for Health Transformation, Deakin University, Melbourne, Victoria, Australia
- Department of Nursing and Midwifery, Monash Health, Melbourne, Victoria, Australia
| | - Naomi Dobroff
- Department of EMR and Informatics, Monash Health, Melbourne, Victoria, Australia
- School of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia
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Yehualashet DE, Seboka BT, Tesfa GA, Demeke AD, Amede ES. Barriers to the Adoption of Electronic Medical Record System in Ethiopia: A Systematic Review. J Multidiscip Healthc 2021; 14:2597-2603. [PMID: 34556994 PMCID: PMC8455291 DOI: 10.2147/jmdh.s327539] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 09/09/2021] [Indexed: 11/23/2022] Open
Abstract
Background Electronic medical records (EMRs) can improve the quality of health care and patient safety. Various countries have gone through the local application of EMRs to various health care organizations in national implementation and integration of EMRs. Ethiopia lags far in the back in this regard, as solely some hospitals have implemented EMR. Objective This study aimed to identify barriers to the adoption of EMRs in Ethiopia through a systematic review of the literature. Methods PubMed, Semantic Scholar, and Google Scholar have been searched for applicable articles. The search method focuses on peer-reviewed, empirical research conducted in Ethiopia. The ultimate set that met the inclusion standards was 9 studies. The authors extracted, analyzed, and summarized empirical results associated with EMR barriers in these studies. Results This systematic review identified the following 17 barriers to EMR adoption: absence of EMR training, limited access to computers, insufficient computer literacy, deficiency of EMR knowledge, inadequate technical help, absence of EMR manual, negative attitude to EMR, limited internet access, lack of management support, electric power interruption, absence of perceived system quality, absence of perceived information quality, lack of willingness, the complexity of the system, performance expectancy, effort expectancy, and lack of IT qualification. Conclusion The most common barriers for EMR adoption are absence of EMR training, limited access to a computer, poor computer literacy, poor EMR knowledge, lack of technical support, and absence of an EMR manual. As this study summarizes the available evidence regarding barriers to adopting EMR in Ethiopia, future research will rest on this evidence and specialize in building a proper framework for EMR implementation in Ethiopia.
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Thomas D, Yao Y. Supporting Mobile Innovation in the Middle: Hospital IT Manager Attitudes. JOURNAL OF COMPUTER INFORMATION SYSTEMS 2020. [DOI: 10.1080/08874417.2020.1812132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Dominic Thomas
- Coles College of Business, Kennesaw State University, Kennesaw, Georgia, USA
| | - Yurong Yao
- Suffolk University, Boston, Massachusetts, USA
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Enaizan O, Eneizan B, Almaaitah M, Al-Radaideh AT, Saleh AM. Effects of privacy and security on the acceptance and usage of EMR: The mediating role of trust on the basis of multiple perspectives. INFORMATICS IN MEDICINE UNLOCKED 2020. [DOI: 10.1016/j.imu.2020.100450] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study. INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2019. [DOI: 10.1016/j.ijinfomgt.2018.09.016] [Citation(s) in RCA: 100] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Kennedy G, Gallego B. Clinical prediction rules: A systematic review of healthcare provider opinions and preferences. Int J Med Inform 2018; 123:1-10. [PMID: 30654898 DOI: 10.1016/j.ijmedinf.2018.12.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Revised: 10/29/2018] [Accepted: 12/11/2018] [Indexed: 12/23/2022]
Abstract
OBJECTIVE The act of predicting clinical endpoints and patient trajectories based on past and current states is on the precipice of a technological revolution. This systematic review summarises the available evidence describing healthcare provider opinions and preferences with respect to the use of clinical prediction rules. The primary goal of this work is to inform the design and implementation of future systems, and secondarily to identify gaps for the development of clinician education programs. METHODS Five databases were systematically searched in May 2016 for studies collecting empirical opinions of healthcare providers regarding clinical prediction rule usage. Reference lists were scanned for additional eligible materials and an update search was made in August 2017. Data was extracted on high-level study features, before in-depth thematic analysis was performed. RESULTS 45 articles were identified from 9 countries. Most studies utilised surveys (28) or interviews (14). Fewer employed focus groups (9) or formal usability testing (4). Three high-level themes were identified, which form the basis of healthcare provider opinions of clinical prediction rules and their implementation - utility, credibility and usability. CONCLUSIONS Some of the objections and preferences stated by healthcare providers are inherent to the nature of the clinical problem addressed, which may or may not be within the designer's capacity to change; however, others (in particular - actionability, validation, integration and provision of high quality education materials) should be considered by prediction rule designers and implementation teams, in order to increase user acceptance and improve uptake of these tools. We summarise these findings across the clinical prediction rule lifecycle and pose questions for the rule developers, in order to produce tools that are more likely to successfully translate into clinical practice.
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Affiliation(s)
- Georgina Kennedy
- Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, Sydney 2113, Australia.
| | - Blanca Gallego
- Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, Sydney 2113, Australia
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Enaizan O, Zaidan AA, Alwi NHM, Zaidan BB, Alsalem MA, Albahri OS, Albahri AS. Electronic medical record systems: decision support examination framework for individual, security and privacy concerns using multi-perspective analysis. HEALTH AND TECHNOLOGY 2018. [DOI: 10.1007/s12553-018-0278-7] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Zadvinskis IM, Garvey Smith J, Yen PY. Nurses’ Experience With Health Information Technology: Longitudinal Qualitative Study. JMIR Med Inform 2018; 6:e38. [PMID: 29945862 PMCID: PMC6043728 DOI: 10.2196/medinform.8734] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Revised: 02/08/2018] [Accepted: 04/07/2018] [Indexed: 11/13/2022] Open
Abstract
Background Nurses are the largest group of health information technology (HIT) users. As such, nurses’ adaptations are critical for HIT implementation success. However, longitudinal approaches to understanding nurses’ perceptions of HIT remain underexplored. Previous studies of nurses’ perceptions demonstrate that the progress and timing for acceptance of and adaptation to HIT varies. Objective This study aimed to explore nurses’ experience regarding implementation of HIT over time. Methods A phenomenological approach was used for this longitudinal qualitative study to explore nurses’ perceptions of HIT implementation over time, focusing on three time points (rounds) at 3, 9, and 18 months after implementation of electronic health records and bar code medication administration. The purposive sample was comprised of clinical nurses who worked on a medical-surgical unit in an academic center. Results Major findings were categorized into 7 main themes with 54 subthemes. Nurses reported personal-level and organizational-level factors that facilitated HIT adaptation. We also generated network graphs to illustrate the occurrence of themes. Thematic interconnectivity differed due to nurses’ concerns and satisfaction at different time points. Equipment and workflow were the most frequent themes across all three rounds. Nurses were the most dissatisfied approximately 9 months after HIT implementation. Eighteen months after HIT implementation, nurses’ perceptions appeared more balanced. Conclusions It is recommended that organizations invest in equipment (ie, wireless barcode scanners), refine policies to reflect nursing practice, and improve systems to focus on patient safety. Future research is necessary to confirm patterns of nurses’ adaptation to HIT in other samples.
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Affiliation(s)
- Inga M Zadvinskis
- Riverside Methodist Hospital, OhioHealth, Columbus, OH, United States
- Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, College of Nursing, The Ohio State University, Columbus, OH, United States
| | - Jessica Garvey Smith
- Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, United States
| | - Po-Yin Yen
- Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, United States
- Institute for Informatics, Department of Medicine, Washington University, St Louis, MO, United States
- Goldfarb School of Nursing, Barnes Jewish College, BJC Healthcare, St. Louis, MO, United States
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Sidek YH, Martins JT. Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective. Int J Med Inform 2017; 107:88-100. [DOI: 10.1016/j.ijmedinf.2017.08.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 08/24/2017] [Accepted: 08/28/2017] [Indexed: 11/17/2022]
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Assadi V, Hassanein K. Consumer Adoption of Personal Health Record Systems: A Self-Determination Theory Perspective. J Med Internet Res 2017; 19:e270. [PMID: 28751301 PMCID: PMC5553007 DOI: 10.2196/jmir.7721] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 06/02/2017] [Accepted: 06/19/2017] [Indexed: 01/07/2023] Open
Abstract
Background Personal Health Records (PHR) systems provide individuals with access and control over their health information and consequently can support individuals in becoming active participants, rather than passive recipients, in their own care process. In spite of numerous benefits suggested for consumers’ utilizing PHR systems, research has shown that such systems are not yet widely adopted or well known to consumers. Bearing in mind the potential benefits of PHRs to consumers and their potential interest in these systems—and that similar to any other type of information system, adoption is a prerequisite for realizing the potential benefits of PHR systems—research is needed to understand how to enhance the adoption rates for PHR systems. Objective This research seeks to understand how individuals’ intentions to adopt PHR systems are affected by their self-determination in managing their own health—the extent of their ability to take an active role in managing their own health. As such, this research aims to develop and empirically validate a theoretical model that explains PHR systems adoption by the general public through the integration of theories from the information systems and psychology literatures. Methods This research employs a cross-sectional survey method targeted at the Canadian general public without any prior experience in using PHR systems. A partial least squares approach to structural equation modeling was used to validate the proposed research model of this study (N=159). Results Individuals with higher levels of ability to manage their own health (self-determination) are more likely to adopt PHR systems since they have more positive perceptions regarding the use of such systems. Further, such self-determination is fueled by autonomy support from consumers’ physicians as well as the consumers’ personality trait of autonomy orientation. Conclusions This study advances our theoretical understanding of PHR systems adoption. It also contributes to practice by providing insightful implications for designing, promoting, and facilitating the use of PHR systems among consumers.
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Affiliation(s)
- Vahid Assadi
- McMaster Digital Transformation Research Centre, DeGroote School of Business, McMaster University, Hamilton, ON, Canada
| | - Khaled Hassanein
- McMaster Digital Transformation Research Centre, DeGroote School of Business, McMaster University, Hamilton, ON, Canada
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Burmeister O. Further considerations in EMR adoption. J Assoc Inf Sci Technol 2017. [DOI: 10.1002/asi.23789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Oliver Burmeister
- School of Computing and Mathematics; Charles Sturt University; Bathurst NSW Australia
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O'Brien HL, Dickinson R, Askin N. A scoping review of individual differences in information seeking behavior and retrieval research between 2000 and 2015. LIBRARY & INFORMATION SCIENCE RESEARCH 2017. [DOI: 10.1016/j.lisr.2017.07.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Gagnon MP, Simonyan D, Ghandour EK, Godin G, Labrecque M, Ouimet M, Rousseau M. Factors influencing electronic health record adoption by physicians: A multilevel analysis. INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2016. [DOI: 10.1016/j.ijinfomgt.2015.12.002] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Cimperman M, Makovec Brenčič M, Trkman P. Analyzing older users' home telehealth services acceptance behavior-applying an Extended UTAUT model. Int J Med Inform 2016; 90:22-31. [PMID: 27103194 DOI: 10.1016/j.ijmedinf.2016.03.002] [Citation(s) in RCA: 161] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Revised: 02/29/2016] [Accepted: 03/01/2016] [Indexed: 12/18/2022]
Abstract
BACKGROUND Although telehealth offers an improved approach to providing healthcare services, its adoption by end users remains slow. With an older population as the main target, these traditionally conservative users pose a big challenge to the successful implementation of innovative telehealth services. OBJECTIVES The objective of this study was to develop and empirically test a model for predicting the factors affecting older users' acceptance of Home Telehealth Services (HTS). METHODS A survey instrument was administered to 400 participants aged 50 years and above from both rural and urban environments in Slovenia. Structural equation modeling was applied to analyze the causal effect of seven hypothesized predicting factors. HTS were introduced as a bundle of functionalities, representing future services that currently do not exist. This enabled users' perceptions to be measured on the conceptual level, rather than attitudes to a specific technical solution. RESULTS Six relevant predictors were confirmed in older users' HTS acceptance behavior, with Performance Expectancy (r=0.30), Effort Expectancy (r=0.49), Facilitating Conditions (r=0.12), and Perceived Security (r=0.16) having a direct impact on behavioral intention to use HTS. In addition, Computer Anxiety is positioned as an antecedent of Effort Expectancy with a strong negative influence (r=-0.61), and Doctor's Opinion influence showed a strong impact on Performance Expectancy (r=0.31). The results also indicate Social Influence as an irrelevant predictor of acceptance behavior. The model of six predictors yielded 77% of the total variance explained in the final measured Behavioral Intention to Use HTS by older adults. CONCLUSION The level at which HTS are perceived as easy to use and manage is the leading acceptance predictor in older users' HTS acceptance. Together with Perceived Usefulness and Perceived Security, these three factors represent the key influence on older people's HTS acceptance behavior. When promoting HTS, interventions should focus to portray it as secure. Marketing interventions should focus also on promoting HTS among health professionals, using them as social agents to frame the services as useful and beneficial. The important role of computer anxiety may result in a need to use different equipment such as a tablet computer to access HTS. Finally, this paper introduces important methodological guidelines for measuring perceptions on a conceptual level of future services that currently do not exist.
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Affiliation(s)
- Miha Cimperman
- University of Ljubljana, Faculty of Economics, Department for Marketing, Slovenia
| | - Maja Makovec Brenčič
- University of Ljubljana, Faculty of Economics, Department of International Economics and Business, Slovenia
| | - Peter Trkman
- University of Ljubljana, Faculty of Economics, Department for Information Systems and Logistics Management, Slovenia.
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Khosravi P, Ghapanchi AH. Investigating the effectiveness of technologies applied to assist seniors: A systematic literature review. Int J Med Inform 2015. [PMID: 26216463 DOI: 10.1016/j.ijmedinf.2015.05.014] [Citation(s) in RCA: 136] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Recently, a number of Information and Communication Technologies have emerged with the aim to provide innovative and efficient ways to help seniors in their daily life and to reduce the cost of healthcare. Studies have been conducted to introduce an assistive technology to support seniors and to investigate the acceptance of these assistive technologies; however, research illustrating the effectiveness of assistive technologies is scant. METHOD This study undertakes a systematic literature review of ScienceDirect, PubMed, ProQuest and IEEE Explore databases to investigate current empirical studies on the assistive technologies applied in aged care. Our systematic review of an initial set of 2035 studies published from 2000 to 2014 examines the role of assistive technologies in seniors' daily lives, from enhancements in their mobility to improvements in the social connectedness and decreases in readmission to hospitals. RESULTS This study found eight key issues in aged care that have been targeted by researchers from different disciplines (e.g., ICT, health and social science), namely, dependent living, fall risk, chronic disease, dementia, social isolation, depression, poor well-being, and poor medication management. This paper also identified the assistive technologies that have been proposed to overcome those problems, and we categorised these assistive technologies into six clusters, namely, general ICT, robotics, telemedicine, sensor technology, medication management applications, and video games. In addition, we analyzed the effectiveness of the identified technologies and noted that some technologies can change and enhance seniors' daily lives and relieve their problems. Our analysis showed a significant growth in the number of publications in this area in the past few years. It also showed that most of the studies in this area have been conducted in North America. CONCLUSION Assistive technologies are a reality and can be applied to improve quality of life, especially among older age groups. This study identified various assistive technologies proposed by ICT researchers to assist the elderly. We also identified the effectiveness of the proposed technologies. This review shows that, although assistive technologies have been positively evaluated, more studies are needed regarding the outcome and effectiveness of these technologies.
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Affiliation(s)
- Pouria Khosravi
- School of Information and Communication Technology, Griffith University, Gold Coast, Queensland 4222, Australia.
| | - Amir Hossein Ghapanchi
- School of Information and Communication Technology, Griffith University, Gold Coast, Queensland 4222, Australia; Institute for Integrated and Intelligent Systems, Gold Coast, Queensland 4222, Australia.
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