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Nabelsi V, Lévesque-Chouinard A. Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians' and Specialists' Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study. JMIR Form Res 2024; 8:e52921. [PMID: 38814689 PMCID: PMC11176886 DOI: 10.2196/52921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 04/10/2024] [Accepted: 04/25/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND Electronic consultation (eConsult) is an eHealth service that allows primary care providers (PCPs) to electronically consult specialists regarding their patients' medical issues. Many studies have demonstrated that eConsult services improve timely access to specialist care; prevent unnecessary referrals; improve PCPs', specialists', and patients' satisfaction; and therefore have a large impact on costs. However, no studies have evaluated PCPs' and specialists' acceptance of eConsult services in Quebec, Canada, and worldwide. OBJECTIVE This exploratory study aims to identify factors affecting eConsult service acceptance by PCPs and specialists in urban and rural primary care clinics across 3 regions in the province of Quebec, Canada, by integrating the Unified Theory of Acceptance and Use of Technology and Task-Technology Fit (TTF) models and user satisfaction. This research was designed to broaden and assist in scaling up this effective eHealth service innovation across the province. METHODS A cross-sectional web-based survey was sent to all PCPs (n=263) and specialists (n=62) who used the eConsult Quebec Service between July 2017 and May 2021. We proposed a unified model integrating the Unified Theory of Acceptance and Use of Technology model and TTF model and user satisfaction by endorsing 11 hypotheses. The partial least squares was used to investigate factors influencing the acceptance of the eConsult Quebec Service. RESULTS Of the 325 end users, 136 (41.8%) users responded (PCPs: 101/263, 38.4%; specialists: 35/62, 57%). The results of the analysis with partial least squares method indicate that 9 of our 11 hypotheses are supported. The direct relationships uniting the various constructs of the model highlighted the importance of several key constructs and predominant correlations. The results suggest that satisfaction is the key driver behind the use of the eConsult Quebec Service. Performance expectancy (P<.001) and effort expectancy (P=.03) can have a positive impact on behavioral intention (BI), and BI (P<.001) can impact adoption. TTF has an influence on performance expectancy (P<.001), adoption (P=.02), and satisfaction (P<.001). However, the results show that there is no direct effect between social influence (P=.38) and BI or between facilitating conditions (P=.17) and adoption. CONCLUSIONS This study provides a better understanding of the factors influencing PCPs' and specialists' intention to adopt the eConsult Quebec Service. Furthermore, this study tests a research model and a technology that have never been explored in Quebec until now. On the basis of the results, the service is a good fit to meet the users' need to improve access to specialized medical advice. Therefore, the results of our study have made a valuable contribution to the implementation of the service by policy makers in order to maximize acceptance, use, adoption, and success across the province of Quebec. Moreover, after 4 successful years, the eConsult Quebec pilot project is now the Conseil Numérique digital consultation service.
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Affiliation(s)
- Véronique Nabelsi
- Department of Administrative Sciences, Université du Québec en Outaouais, Gatineau, QC, Canada
| | - Annabelle Lévesque-Chouinard
- GMF-U de la Haute-Ville du Centre intégré universitaire de santé et des services sociaux de la Capitale-Nationale, Sainte-Foy, QC, Canada
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Yagahara A, Tanikawa T, Fukuda A, Ando D, Suzuki T, Karata S, Uesugi M. Identification of problems in picture archiving and communication systems management using text mining. HEALTH AND TECHNOLOGY 2023. [DOI: 10.1007/s12553-022-00721-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Peng X, Li Z, Zhang C, Wu Q, Gu J, You H. Assessing Determinants of Online Medical Services Adoption Willingness of General Hospital Physicians Using the Information-Motivation-Behavioral Skills Model: A Multi-Group Structural Equation Modeling Approach. J Multidiscip Healthc 2022; 14:3453-3462. [PMID: 34992374 PMCID: PMC8710087 DOI: 10.2147/jmdh.s346675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 12/10/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose Physician adoption of online medical services (OMS) has been hastened by the COVID-19 pandemic, but their adoption willingness still requires to be improved. This study aims to construct a physician’s OMS adoption willingness model based on the information-motivation-behavioral skill (IMB) theory, explore the determinants affecting adoption willingness and its influencing pathways, and evaluate the moderating effects of OMS use experience on willingness through multi-group analysis. Participants and Methods A cross-sectional survey was conducted among physicians in three public hospitals of Jiangsu province, China, from June to July 2020, using a multi-stage sampling method. Structural equation modeling was applied to analyze the valid data from 531 respondents. Results Physicians’ willingness to adopt OMS was at a moderate level, with an average score of 14.27±3.34 (range: 4–20). The behavior model for physician’s OMS adoption willingness fitted well. Information (In), motivation (Mo), and behavioral skill (BS) explained 69% of the variance in adoption willingness (AW). Information could only exert completely indirect effect on willingness via behavioral skills (b = 0.202, 95% CI[0.122, 0.314]); motivation could both generate direct effect (β=0.368, p < 0.001) and partial indirect effect on willingness via behavioral skills (b = 0.160, 95% CI[0.092, 0.248]); and behavioral skills had a positive effect on willingness (β=0.424, p < 0.001). Furthermore, OMS use experience showed a significant moderating effect on the Mo → AW pathway, with inexperienced physicians’ willingness being significantly stronger influenced by motivation compared to experienced ones. Conclusion Findings from this study revealed the role of IMB model in interpreting and predicting physicians’ willingness to adopt OMS and the moderating effect of uptake experience, providing practitioners with a theoretical foundation and intervention framework for supporting OMS development efforts.
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Affiliation(s)
- Xueqing Peng
- School of Public Health, Nanjing Medical University, Nanjing, 211166, People's Republic of China
| | - Zhiguang Li
- The First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, People's Republic of China
| | - Chi Zhang
- School of Nursing, Nanjing Medical University, Nanjing, 211166, People's Republic of China
| | - Qifeng Wu
- School of Public Health, Nanjing Medical University, Nanjing, 211166, People's Republic of China
| | - Jinghong Gu
- College of Art and Sciences, University of Washington, Seattle, WA, 98195, USA
| | - Hua You
- School of Public Health, Nanjing Medical University, Nanjing, 211166, People's Republic of China.,School of Nursing, Nanjing Medical University, Nanjing, 211166, People's Republic of China.,Institute of Healthy Jiangsu Development, Nanjing Medical University, Nanjing, 211166, People's Republic of China
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Tanikawa T, Yagahara A, Fukuda A, Suzuki T, Ando D, Harada K, Karata S, Uesugi M. [Variation of the Implementation of PACS Functions and Image Data Management: Questionnaire Survey in Hokkaido Prefecture]. Nihon Hoshasen Gijutsu Gakkai Zasshi 2022; 78:270-279. [PMID: 35314536 DOI: 10.6009/jjrt.780301] [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] [Indexed: 06/14/2023]
Abstract
The image management function of picture archiving and communication system (PACS) plays a very important role while electronically preserving medical records. However, details of these mechanisms vary from manufacturer to manufacturer, which could be a problem if system specifications or image management functions are not confirmed by a user during system installation or operation. The purpose of this research was to record the differences in PACS settings and image data management in hospitals. A questionnaire survey was conducted in 261 hospitals having the PACS system in Hokkaido prefecture, Japan. Questionnaire contents consisted of a face sheet and the following two items: 1) PACS image deletion method, 2) rules regarding the PACS receiving an image of data that was already registered. Results of the questionnaire survey showed that the image deletion method in the PACS server, and the overwriting rule in case of existent images being re-transmitted to the server were different between different hospitals. Furthermore, these variations were not dependent on the vendors or manufacturers, but on the settings of each hospital. Since the image management method of PACS is not standardized, we were considered to be needed more attention and appropriate regulation for safe management of electronic medical records as per the national guideline.
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Affiliation(s)
| | - Ayako Yagahara
- Faculty of Health Sciences, Hokkaido University of Science
| | - Akihisa Fukuda
- Department of Radiology, Hokkaido Medical Center (Current address: Department of Radiology, Hokkaido Cancer Center)
| | - Tatsuya Suzuki
- Department of Radiological Technology, Asahikawa Medical University Hospital
| | - Daisuke Ando
- Department of Radiological Technology, Hokkaido University Hospital
| | - Kouhei Harada
- Department of Radiological Technology, Sapporo Medical University Hospital
| | | | - Masahito Uesugi
- Department of Medical Management and Informatics, Hokkaido Information University
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Acceptance of clinical decision support systems in Saudi healthcare organisations. INFORMATION DEVELOPMENT 2021. [DOI: 10.1177/02666669211025076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Applications of clinical decision support systems (CDSS) have become essential for physicians seeking to make appropriate decisions. The implementation of CDSS, however, is complicated if the factors affecting physician’s acceptance are not recognised. This study aims to explore the various factors that may influence the acceptance of CDSS in Saudi Arabia. A qualitative method was used to collect data from interviews with 54 GPs, with interviews conducted in three stages. The study then integrated the Unified Theory of Acceptance and Use of Technology (UTAUT) and Task-Technology Fit (TTF) models to communicate the findings. It is suggested that all factors of both UTAUT and TTF influence acceptance of CDSS by GPs, with the sole exception of the social influence factor. Some additional factors were also discovered by means of in-depth interviews, including accessibility, patient satisfaction, informativeness (increased knowledge), connectedness (informing patients), communication and shared knowledge, privacy and security, and perceived risk (functional performance risk and time risk). The study thus offers a new insight of the factors influencing GPs’ acceptance of CDSS.
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Sun SL, Hwang HG, Dutta B, Peng MH. Exploring critical factors influencing nurses' intention to use tablet PC in Patients' care using an integrated theoretical model. Libyan J Med 2020; 14:1648963. [PMID: 31357919 PMCID: PMC6713951 DOI: 10.1080/19932820.2019.1648963] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
The use of health information technology (HIT) is expected to deliver benefits for patients, nurses, physicians, and organizations, but the benefits of HIT can only be attained if nurses accept and intend to use it as they are the leading user-group. The use of the tablet is becoming commonplace in healthcare organizations to improve patient care. The current study incorporates Technology Acceptance Model2 (TAM2) with two antecedents, facilitating condition and personal, to identify and understand the factors that influence nurses' intention to use the Tablet PC. The survey methodology was used to collect data from the nurses working in a regional healthcare center in Taiwan. The structural equation modeling (SEM) technique was employed to analyze the research framework. A total of 110 valid responses for analysis. The results suggest that the modified proposed research framework explains about 41.7% of the variance of nurses' behavioral intention. The partial least squares (PLS) regression indicated that perceived usefulness, subjective norm, and personal a positive and significant influence on nurses' intention to use the Tablet PC. But concerning the perceived ease of use, the insignificant path coefficient was reported. The finding also indicated that personal on the research model is much stronger than the subjective norm on Tablet PC performance. The proposed research framework contributes to the conclusive explanation for understanding nurses' intention to use. The current study brings perspectives from the technological and attitudinal differences that have largely been missing in the existing literature of the nurses' intention to use HIT. Thus, health care providers must take these factors into consideration as the findings of the current study advance theory and contribute to the basis for future study intended for enhancing our understanding of nurses' adoption behavior regarding HIT.
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Affiliation(s)
- Shu-Lung Sun
- a Institute of Information Management, National Chiao Tung University (NCTU) , Hsinchu , Taiwan
| | - Hsin-Ginn Hwang
- a Institute of Information Management, National Chiao Tung University (NCTU) , Hsinchu , Taiwan
| | - Bireswar Dutta
- a Institute of Information Management, National Chiao Tung University (NCTU) , Hsinchu , Taiwan
| | - Mei-Hui Peng
- a Institute of Information Management, National Chiao Tung University (NCTU) , Hsinchu , Taiwan.,b Information Management, Minghsin University of Science and Technology , Hsinchu , Taiwan
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Advanced Technology Use by Care Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17030742. [PMID: 31979307 PMCID: PMC7036776 DOI: 10.3390/ijerph17030742] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Revised: 01/19/2020] [Accepted: 01/21/2020] [Indexed: 11/23/2022]
Abstract
Advanced technology is a primary solution for the shortage of care professionals and increasing demand for care, and thus acceptance of such technology is paramount. This study investigates factors that increase use of advanced technology during elderly care, focusing on current use of advanced technology, factors that influence its use, and care professionals’ experiences with the use. This study uses a mixed-method design. Logfiles were used (longitudinal design) to determine current use of advanced technology, questionnaires assessed which factors increase such use, and in-depth interviews were administered to retrieve care professionals’ experiences. Findings suggest that 73% of care professionals use advanced technology, such as camera monitoring, and consult clients’ records electronically. Six of nine hypotheses tested in this study were supported, with correlations strongest between performance expectancy and attitudes toward use, attitudes toward use and satisfaction, and effort expectancy and performance expectancy. Suggested improvements for advanced technology include expanding client information, adding report functionality, solving log-in problems, and increasing speed. Moreover, the quickest way to increase acceptance is by improving performance expectancy. Care professionals scored performance expectancy of advanced technology lowest, though it had the strongest effect on attitudes toward the technology.
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Preference elicitation: Obtaining gestural guidelines for PACS in neurosurgery. Int J Med Inform 2019; 130:103934. [PMID: 31437619 DOI: 10.1016/j.ijmedinf.2019.07.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 05/14/2019] [Accepted: 07/19/2019] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Accessing medical records is an integral part of neurosurgical procedures in the Operating Room (OR). Gestural interfaces can help reduce the risks for infections by allowing the surgical staff to browse Picture Archiving and Communication Systems (PACS) without touch. The main objectives of this work are to: a) Elicit gestures from neurosurgeons to analyze their preferences, b) Develop heuristics for gestural interfaces, and c) Produce a lexicon that maximizes surgeons' preferences. MATERIALS AND METHODS A gesture elicitation study was conducted with nine neurosurgeons. Initially, subjects were asked to outline the gestures on a drawing board for each of the PACS commands. Next, the subjects performed one of three imaging tasks using gestures instead of the keyboard and mouse. Each gesture was annotated with respect to the presence/absence of gesture descriptors. Next, K-nearest neighbor approach was used to obtain the final lexicon that complies with the preferred/popular descriptors. RESULTS The elicitation study resulted in nine gesture lexicons, each comprised of 28 gestures. A paired t-test between the popularity of the overall gesture and the top three descriptors showed that the latter is significantly higher than the former (89.5%-59.7% vs 19.4%, p < 0.001), meaning more than half of the subjects agreed on these descriptors. Next, the gesture heuristics were generated for each command using the popular descriptors. Lastly, we developed a lexicon that complies with surgeons' preferences. CONCLUSIONS Neurosurgeons do agree on fundamental characteristics of gestures to perform image manipulation tasks. The proposed heuristics could potentially guide the development of future gesture-based interaction of PACS for the OR.
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Onan A, Simsek N. Interprofessional education and social interaction: The use of automated external defibrillators in team-based basic life support. Health Informatics J 2019; 25:139-148. [DOI: 10.1177/1460458217704252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Automated external defibrillators are pervasive computing devices designed for the treatment and management of acute sudden cardiac arrest. This study aims to explain users’ actual use behavior in teams formed by different professions taken after a short time span of interaction with automated external defibrillator. Before the intervention, all the participants were certified with the American Heart Association Basic Life Support for healthcare providers. A statistically significant difference was revealed in mean individual automated external defibrillator technical skills between uniprofessional and interprofessional groups. The technical automated external defibrillator team scores were greater for groups with interprofessional than for those with uniprofessional education. The nontechnical automated external defibrillator skills of interprofessional and uniprofessional teams revealed differences in advantage of interprofessional teams. Students positively accept automated external defibrillators if well-defined and validated training opportunities to use them expertly are available. Uniprofessional teams were successfully supported by their members and, thereby, used automated external defibrillator effectively. Furthermore, the interprofessional approach resulted in as much effective teamwork as the uniprofessional approach.
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Park MS, Eo MY, Myoung H, Kim SM, Lee JH. Early diagnosis of jaw osteomyelitis by easy digitalized panoramic analysis. Maxillofac Plast Reconstr Surg 2019; 41:6. [PMID: 30800645 PMCID: PMC6358629 DOI: 10.1186/s40902-019-0188-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Accepted: 01/06/2019] [Indexed: 11/18/2022] Open
Abstract
Background Osteomyelitis is an intraosseous inflammatory disease characterized by progressive inflammatory osteoclasia and ossification. The use of quantitative analysis to assist interpretation of osteomyelitis is increasingly being considered. The objective of this study was to perform early diagnosis of osteomyelitis on digital panoramic radiographs using basic functions provided by picture archiving and communication system (PACS), a program used to show radiographic images. Methods This study targeted a total of 95 patients whose symptoms were confirmed as osteomyelitis under clinical, radiologic, pathological diagnosis over 11 years from 2008 to 2017. Five categorized patients were osteoradionecrosis, bisphosphonate-related osteonecrosis of jaw (BRONJ, suppurative and sclerosing type), and bacterial osteomyelitis (suppurative and sclerosing type), and the control group was 117 randomly sampled. The photographic density in a certain area of the digital panoramic radiograph was determined and compared using the “measure area rectangle,” one of the basic PACS functions in INFINITT PACS® (INFINITT Healthcare, Seoul, South Korea). A conditional inference tree, one type of decision making tree, was generated with the program R for statistical analysis with SPSS®. Results In the conditional inference tree generated from the obtained data, cases where the difference in average value exceeded 54.49 and the difference in minimum value was less than 54.49 and greater than 12.81 and the difference in minimum value exceeded 39 were considered suspicious of osteomyelitis. From these results, the disease could be correctly classified with a probability of 88.1%. There was no difference in photographic density value of BRONJ and bacterial osteomyelitis; therefore, it was not possible to classify BRONJ and bacterial osteomyelitis by quantitative analysis of panoramic radiographs based on existing research. Conclusions This study demonstrates that it is feasible to measure photographic density using a basic function in PACS and apply the data to assist in the diagnosis of osteomyelitis. Electronic supplementary material The online version of this article (10.1186/s40902-019-0188-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Moo Soung Park
- 1Department of Dentistry, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea
| | - Mi Young Eo
- 1Department of Dentistry, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea.,2Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101, Daehak-ro, Jongno-gu, Seoul, 110-768 South Korea
| | - Hoon Myoung
- 1Department of Dentistry, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea.,2Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101, Daehak-ro, Jongno-gu, Seoul, 110-768 South Korea
| | - Soung Min Kim
- 1Department of Dentistry, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea.,2Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101, Daehak-ro, Jongno-gu, Seoul, 110-768 South Korea
| | - Jong Ho Lee
- 1Department of Dentistry, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, South Korea.,2Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101, Daehak-ro, Jongno-gu, Seoul, 110-768 South Korea
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Chiu EC, Yu MY, Wu WC, Chou CX, Hung JW, Chen PC. Validation of the Test of Visual Perceptual Skills-Third Edition in patients with stroke. Disabil Rehabil 2017; 41:104-109. [DOI: 10.1080/09638288.2017.1378389] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- En-Chi Chiu
- Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Min-Yuan Yu
- Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
| | - Wen-Chi Wu
- Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
| | - Chiung-Xia Chou
- Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
| | - Jen-Wen Hung
- Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
| | - Po-Chih Chen
- Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
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Handayani PW, Hidayanto AN, Budi I. User acceptance factors of hospital information systems and related technologies: Systematic review. Inform Health Soc Care 2017; 43:401-426. [PMID: 28829650 DOI: 10.1080/17538157.2017.1353999] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study reviews the literature on the most important acceptance factors associated with Hospital Information Systems (HIS) and related technologies based on user groups' perspectives (medical staff, hospital management, administrative personnel, patient, medical student, and IT staff), which can assist researchers and hospital management to develop suitable acceptance models to improve the quality of HIS. We conducted searches in online databases with large repositories of academic studies, written in English and fully accessible by the authors. The articles being reviewed are related to health information technology (HIT), clinical information systems (CIS), HIS, electronic medical records (EMR), telemedicine or telehealth, picture archiving and communication systems (PACS), radio frequency identification (RFID), and computerized physician order entry (CPOE), where the use of most of those applications and technologies is highly integrated. A predefined string was used to extract 1,005 articles, and the results were reviewed and checked. The results of this study found 15 user acceptance factors related to HIS and related technologies that were frequently identified by a minimum of five previous studies. These factors were related to individual, technological, and organizational factors. In addition, HIS and related technologies' user acceptance factors in each user group describe different results.
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Affiliation(s)
- Putu Wuri Handayani
- a Faculty of Computer Science , Universitas Indonesia , West Java , Indonesia
| | | | - Indra Budi
- a Faculty of Computer Science , Universitas Indonesia , West Java , Indonesia
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Jung HY, Gichoya JW, Vest JR. Providers’ Access of Imaging Versus Only Reports: A System Log File Analysis. J Am Coll Radiol 2017; 14:217-223. [DOI: 10.1016/j.jacr.2016.06.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Accepted: 06/01/2016] [Indexed: 12/17/2022]
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Sezgin E, Özkan-Yildirim S, Yildirim S. Understanding the perception towards using mHealth applications in practice. INFORMATION DEVELOPMENT 2016. [DOI: 10.1177/0266666916684180] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The objective of this study was to investigate physicians’ perceptions to use mobile health applications in practice, and to identify influencing factors to use the technology. An mHealth technology acceptance model was proposed (M-TAM), and a cross-sectional survey was implemented using structured questionnaire to collect data. Online tools were used for inviting participants (physicians) and data collection from Turkey. The data was analyzed using Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM). A total of 128 physicians participated in the survey. The model explained the perception of physicians towards mHealth application use by 51% of total variance. The influential factors were identified as Effort Expectancy, Mobile Anxiety, Perceived Service Availability and Technical Training and Support. The study provided a new model to the literature of health information technology. Findings of the research contributed by unveiling latent constructs and their influence on physicians’ perceptions towards a new healthcare technology: mHealth applications.
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Hsieh PJ. An empirical investigation of patients’ acceptance and resistance toward the health cloud: The dual factor perspective. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2016.06.029] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Alalawi ZM, Eid MM, Albarrak AI. Assessment of picture archiving and communication system (PACS) at three of ministry of health hospitals in Riyadh region - Content analysis. J Infect Public Health 2016; 9:713-724. [PMID: 27659113 DOI: 10.1016/j.jiph.2016.09.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Revised: 07/30/2016] [Accepted: 09/01/2016] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Picture archiving and communication system (PACS) are management information systems used for distributing, viewing and archiving digital images by integrating different types of modalities through communication networks. PACS have many advantages that can lead to improving health care quality. PACS has been widely used in hospitals in Saudi Arabia for the past 10 years. However, an extensive review of literature in the field of PACS, among physicians and radiologists in Saudi Arabia, showed lack of local studies of this costly and newly implemented technology. Therefore, this assessment is very important to provide an insightful study of PACS in Saudi Arabia to provide proper recommendations for the PACS projects implementation nationwide. OBJECTIVES The objectives of this study are to, firstly, assess the perceived benefits of PACS among physicians and radiologists specifically in quality of care, secondly, assess the perceived challenges of PACS implementation and adoption inside and outside the radiology department, and thirdly, to compare between physicians' and radiologists' perceptions toward PACS. METHODS A cross-sectional descriptive study at three of Ministry of Health (MOH) Hospitals in the Riyadh region, Saudi Arabia. The researchers used two separate surveys questionnaires, for administration to the physicians and radiologists at the three hospitals. Apart from the questionnaire, included is feedback as responses to open-ended questions. Content analysis was used to analyze the feedback under two themes: benefits or challenges. RESULTS The response rate was 46% (84/183) physicians and 88% (15/17) radiologists have participated in this study. The result showed that 70% physicians' views affirms that PACS improved physicians' efficiency. On the other hand, all radiologists who responded affirmed that PACS improved efficiency. For questions on the ability to make decisions, 69% of views have affirmed that PACS improved physician's abilities to make decisions regarding patient care. Using PACS has led to a reduction in patients' length of stay in hospital (LOS) question, 79% of total views were positive. In contrast, only 18% of physicians talked about PACS positively in summary views and 82% talked about the challenges of PACS whereas 20% of radiologists talked about PACS positively. CONCLUSIONS The results in the present study conclude that PACS was well perceived due to its numerous benefits among physicians and radiologists. However, radiologists showed more focus on the benefits of PACS than physicians. The main disadvantages are that PACS has resulted in difficulty in finding images, recurrent downtime and insufficient training.
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Affiliation(s)
- Zainab M Alalawi
- Master of Public Health (Health Informatics Track), King Saud University, Riyadh, Saudi Arabia
| | | | - Ahmed I Albarrak
- Master of Public Health (Health Informatics Track), King Saud University, Riyadh, Saudi Arabia; The Research Chair of Health Informatics and Promotion, Saudi Arabia
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Goodarzi H, Khatami SM, Javadzadeh H, Mahmoudi S, Khajehpour H, Heidari S, Khodaparast M, Ebrahimi A, Rasouli H, Ghane M, Faraji M, Hassanpour K. User Acceptance of Picture Archiving and Communication System in the Emergency Department. IRANIAN JOURNAL OF RADIOLOGY 2016; 13:e20102. [PMID: 27679692 PMCID: PMC5036459 DOI: 10.5812/iranjradiol.20102] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2014] [Revised: 11/11/2014] [Accepted: 12/22/2014] [Indexed: 11/16/2022]
Abstract
BACKGROUND Picture archiving and communication system (PACS) has allowed the medical images to be transmitted, stored, retrieved, and displayed in different locations of a hospital or health system. Using PACS in the emergency department will eventually result in improved efficiency and patient care. In spite of the abundant benefits of employing PACS, there are some challenges in implementing this technology like users' resistance to accept the technology, which has a critical role in PACS success. OBJECTIVES In this study, we will assess and compare user acceptance of PACS in the emergency departments of three different hospitals and investigate the effect of socio-demographic factors on this acceptance. MATERIALS AND METHODS A variant of technology acceptance model (TAM) has been used in order to measure the acceptance level of PACS in the emergency department of three educational hospitals in Iran. A previously used questionnaire was validated and utilized to collect the study data. A stepwise multiple regression model was used to predict factors influencing acceptance score as the dependent variable. RESULTS Mean age of participants was 32.9 years (standard deviation [SD] = 6.08). Participants with the specialty degree got a higher acceptance score than the three other groups (Mean ± SD = 4.17 ± 0.20). Age, gender, degree of PACS usage and participant's occupation (profession) did not influence the acceptance score. In our multiple regression model, all three variables of perceived usefulness (PU), perceived ease of use (PEU) and the effect of PACS (change) had a significant effect in the prediction of acceptance. The most influencing factor was change with the beta of 0.22 (P value < 0.001). CONCLUSION PACS is highly accepted in all three emergency departments especially among specialists. PU, PEU and change are factors influencing PACS acceptance. Our study can be used as an evidence of PACS acceptance in emergency wards.
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Affiliation(s)
- Hassan Goodarzi
- Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Seyed-Masoud Khatami
- General Surgery Department, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | | | - Sadrollah Mahmoudi
- Emergency Department, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | | | - Soleiman Heidari
- Emergency Department, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Morteza Khodaparast
- Emergency Department, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ali Ebrahimi
- Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Hamidreza Rasouli
- Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mohammadreza Ghane
- Emergency Department, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mehrdad Faraji
- Emergency Department, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Kasra Hassanpour
- Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Corresponding author: Kasra Hassanpour, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. Tel: +98-2188053766, Fax: +98-2188053766, E-mail:
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Cranfield S, Hendy J, Reeves B, Hutchings A, Collin S, Fulop N. Investigating healthcare IT innovations: a “conceptual blending” approach. J Health Organ Manag 2015; 29:1131-48. [DOI: 10.1108/jhom-08-2015-0121] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
– The purpose of this paper is to better understand how and why adoption and implementation of healthcare IT innovations occur. The authors examine two IT applications, computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) at the meso and micro levels, within the context of the National Programme for IT in the English National Health Service (NHS).
Design/methodology/approach
– To analyse these multi-level dynamics, the authors blend Rogers’ diffusion of innovations theory (DoIT) with Webster’s sociological critique of technological innovation in medicine and healthcare systems to illuminate a wider range of interacting factors. Qualitative data collected between 2004 and 2006 uses semi-structured, in-depth interviews with 72 stakeholders across four English NHS hospital trusts.
Findings
– Overall, PACS was more successfully implemented (fully or partially in three out of four trusts) than CPOE (implemented in one trust only). Factors such as perceived benefit to users and attributes of the application – in particular speed, ease of use, reliability and flexibility and levels of readiness – were highly relevant but their influence was modulated through interaction with complex structural and relational issues.
Practical implications
– Results reveal that combining contextual system level theories with DoIT increases understanding of real-life processes underpinning implementation of IT innovations within healthcare. They also highlight important drivers affecting success of implementation, including socio-political factors, the social body of practice and degree of “co-construction” between designers and end-users.
Originality/value
– The originality of the study partly rests on its methodological innovativeness and its value on critical insights afforded into understanding complex IT implementation programmes.
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Kuo KM, Talley PC, Lee CM, Yen YC. The influence of telemedicine experience on physicians' perceptions regarding adoption. Telemed J E Health 2015; 21:388-94. [PMID: 25764024 DOI: 10.1089/tmj.2014.0091] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The purposes of this study were to explore the factors influencing physicians' intention of adopting telemedicine and to conduct a multigroup analysis comparing the perceptions about telemedicine adoption between experienced and inexperienced physicians. Based on the Theory of Planned Behavior, we conducted a cross-sectional survey to collect data from 15 hospitals in Taiwan. MATERIALS AND METHODS In total, 106 valid questionnaires were returned. We used structural equation modeling to analyze the collected data. RESULTS Attitude (AT), subjective norm (SN), and perceived behavioral control (PBC) were found to be positively related to behavioral intention (BI) for combined data. Moreover, the relationships between AT→BI, SN→BI, and PBC→BI varied significantly between experienced and inexperienced physicians. Experienced physicians held stronger beliefs about the relationship between AT→BI than inexperienced physicians. CONCLUSIONS According to the results, our study suggests that differing strategies for experienced and inexperienced physicians must be formulated to substantially boost the adoption of telemedicine technology.
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Affiliation(s)
- Kuang-Ming Kuo
- 1 Department of Healthcare Administration, I-Shou University , Kaohsiung City, Taiwan, Republic of China
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Maillet É, Mathieu L, Sicotte C. Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT. Int J Med Inform 2014; 84:36-47. [PMID: 25288192 DOI: 10.1016/j.ijmedinf.2014.09.004] [Citation(s) in RCA: 104] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2014] [Revised: 09/04/2014] [Accepted: 09/15/2014] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND PURPOSE End-user acceptance and satisfaction are considered critical factors for successful implementation of an Electronic Patient Record (EPR). The aim of this study was to explain the acceptance and actual use of an EPR and nurses' satisfaction by testing a theoretical model adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT). METHODS A multicenter cross-sectional study was conducted in the medical-surgical wards of four hospitals ranked at different EPR adoption stages. A randomized stratified sampling approach was used to recruit 616 nurses. Structural equation modeling techniques were applied. RESULTS Support was found for 13 of the model's 20 research hypotheses. The strongest effects are those between performance expectancy and actual use of the EPR (r=0.55, p=0.006), facilitating conditions and effort expectancy (r=0.45, p=0.009), compatibility and performance expectancy (r=0.39, p=0.002). The variables explained 33.6% of the variance of actual use, 54.9% of nurses' satisfaction, 50.2% of performance expectancy and 52.9% of effort expectancy. CONCLUSIONS Many results of this study support the conclusions of prior research, but some take exception, such as the non-significant relationship between the effort expectancy construct and actual use of the EPR. The results highlight the importance of the mediating effects of the effort expectancy and performance expectancy constructs. Compatibility of the EPR with preferred work style, existing work practices and the values of nurses were the most important factors explaining nurses' satisfaction. The results reveal the complexity of this change and suggest several avenues for future research and for the implementation of IT in healthcare.
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Affiliation(s)
- Éric Maillet
- University of Montreal Hospital Center, Quebec, Canada.
| | - Luc Mathieu
- Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec, Canada.
| | - Claude Sicotte
- Health Administration Department, School of Public Health, University of Montreal, Quebec, Canada.
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Pynoo B, van Braak J. Predicting teachers’ generative and receptive use of an educational portal by intention, attitude and self-reported use. COMPUTERS IN HUMAN BEHAVIOR 2014. [DOI: 10.1016/j.chb.2013.12.024] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Sezgin E, Yıldırım SÖ. A Literature Review on Attitudes of Health Professionals towards Health Information Systems: From e-Health to m-Health. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/j.protcy.2014.10.148] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kuo KM, Liu CF, Ma CC. An investigation of the effect of nurses' technology readiness on the acceptance of mobile electronic medical record systems. BMC Med Inform Decis Mak 2013; 13:88. [PMID: 23938040 PMCID: PMC3750758 DOI: 10.1186/1472-6947-13-88] [Citation(s) in RCA: 118] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Accepted: 08/08/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Adopting mobile electronic medical record (MEMR) systems is expected to be one of the superior approaches for improving nurses' bedside and point of care services. However, nurses may use the functions for far fewer tasks than the MEMR supports. This may depend on their technological personality associated to MEMR acceptance. The purpose of this study is to investigate nurses' personality traits in regard to technology readiness toward MEMR acceptance. METHODS The study used a self-administered questionnaire to collect 665 valid responses from a large hospital in Taiwan. Structural Equation modeling was utilized to analyze the collected data. RESULTS Of the four personality traits of the technology readiness, the results posit that nurses are optimistic, innovative, secure but uncomfortable about technology. Furthermore, these four personality traits were all proven to have a significant impact on the perceived ease of use of MEMR while the perceived usefulness of MEMR was significantly influenced by the optimism trait only. The results also confirmed the relationships between the perceived components of ease of use, usefulness, and behavioral intention in the Technology Acceptance Model toward MEMR usage. CONCLUSIONS Continuous educational programs can be provided for nurses to enhance their information technology literacy, minimizing their stress and discomfort about information technology. Further, hospital should recruit, either internally or externally, more optimistic nurses as champions of MEMR by leveraging the instrument proposed in this study. Besides, nurses' requirements must be fully understood during the development of MEMR to ensure that MEMR can meet the real needs of nurses. The friendliness of user interfaces of MEMR and the compatibility of nurses' work practices as these will also greatly enhance nurses' willingness to use MEMR. Finally, the effects of technology personality should not be ignored, indicating that hospitals should also include more employees' characteristics beyond socio-demographic profiles in their personnel databases.
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Affiliation(s)
- Kuang-Ming Kuo
- Department of Healthcare Administration, I-Shou University, No.8, Yida Rd. Yanchao District, Kaohsiung City 82445, Taiwan, R.O.C
| | - Chung-Feng Liu
- Department of Information Management, Chia-Nan University of Pharmacy and Science, No.60, Erh-Jen Rd., Sec.1, Jen-Te District, Tainan City 71710, Taiwan, R.O.C
| | - Chen-Chung Ma
- Department of Healthcare Administration, I-Shou University, No.8, Yida Rd. Yanchao District, Kaohsiung City 82445, Taiwan, R.O.C
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Devolder P, Pynoo B, Sijnave B, Voet T, Duyck P. Framework for user acceptance: Clustering for fine-grained results. INFORMATION & MANAGEMENT 2012. [DOI: 10.1016/j.im.2012.05.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Aldosari B. User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. BMC Med Inform Decis Mak 2012; 12:44. [PMID: 22640490 PMCID: PMC3423046 DOI: 10.1186/1472-6947-12-44] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2011] [Accepted: 05/28/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Compared with the increasingly widespread use of picture archiving and communication systems (PACSs), knowledge concerning users' acceptance of such systems is limited. Knowledge of acceptance is needed given the large (and growing) financial investment associated with the implementation of PACSs, and because the level of user acceptance influences the degree to which the benefits of the systems for healthcare can be realized. METHODS A Technology Acceptance Model (TAM) was used to assess the level of acceptance of the host PACS by staff in the radiology department at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. A questionnaire survey of 89 PACS users was employed to obtain data regarding user characteristics, perceived usefulness (PU) (6 items), perceived ease of use (PEU) (4 items), a change construct (4 items), and a behavior (acceptance) construct (9 items). Respondents graded each item in each construct using five-point likert scales. RESULTS Surveyed users reported high levels of PU (4.33/5), PEU (4.15/5), change (4.26/5), and acceptance (3.86/5). The three constructs of PU, PEU, and change explained 41 % of the variation in PACS user acceptance. PU was the most important predictor, explaining 38 % of the variation on its own. The most important single item in the explanatory constructs was that users found PACS to have improved the quality of their work in providing better patient care. Technologists had lower acceptance ratings than did clinicians/radiologists, but no influence on acceptance level was found due to gender, age, or length of experience using the PACS. Although not directly measured, there appeared to be no cultural influence on either the level of acceptance or its determinants. CONCLUSIONS User acceptance must be considered when an organization implements a PACS, in order to enhance its successful adoption. Health organizations should adopt a PACS that offers all required functions and which is likely to generate high PU on the part of its users, rather than a system that is easy to use. Training/familiarization programs should aim at establishing high levels of PU in all users, particularly technologists. Health organizations are advised to measure all the factors that influence the acceptance of a PACS by their staff, in order to optimize the productivity of the system and realize the potential benefits to the greatest extent possible.
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Affiliation(s)
- Bakheet Aldosari
- Department of Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
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Physicians' views and assessments on picture archiving and communication systems (PACS) in two Turkish public hospitals. J Med Syst 2012; 36:3555-62. [PMID: 22392563 DOI: 10.1007/s10916-012-9831-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Accepted: 02/05/2012] [Indexed: 10/28/2022]
Abstract
A picture archiving and communication system (PACS) is a medical imaging technology which provides economical storage of and convenient access to images from multiple modalities (source machine types). PACS have been widely introduced as a credible alternative to the traditional film-based radiological service. This study was planned and conducted to determine the physicians' views and assessments on PACS in two public hospitals in Turkey. A questionnaire was prepared by viewing the literature related to PACS. The questionnaires were distributed several times to a total of 150 physicians two public hospitals in Ankara, Turkey. The overall response rate is 46%. Some questions required a graduated score in response and others an open ended response. The majority of physicians judged PACS to be a major advance for their hospitals with less frustration than using film high quality images and an improvement in their working lives and patient care. They reported that PACS gave them to radiology reports in short time. Also physicians believed that PACS has improved their consultations. Open ended questions were prepared with concerning the benefits and disadvantages of PACS. The assessments of the physicians demonstrated many more benefits than disadvantages of PACS in their hospitals. PACS has been accepted well by a wide percentage of hospital physicians. PACS evolves over time components are frequently replaced and so the users must expect continuous learning about new updates and improved functionality. The implementation of the PACS clearly contributes to an increase in the productivity of health professionals and physicians.
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