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Kelkay JM, Negatu AA, Molla RA, Beri HM, Tefera AM, Wubneh HD. Intention to use picture archiving and communication system and its predictors among physicians and nurses at specialized teaching hospitals in Amhara region, Northwest Ethiopia. SAGE Open Med 2024; 12:20503121241259615. [PMID: 38855002 PMCID: PMC11162139 DOI: 10.1177/20503121241259615] [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: 01/15/2024] [Accepted: 05/19/2024] [Indexed: 06/11/2024] Open
Abstract
Background Picture archiving and communication system is an innovation system in the health information that reduces costs, facilitates access to medical image, and improves workflow in radiology department. However, studies indicated that intention and usage of picture archiving and communication system is limited in middle-income and developing countries. Objective This study aimed to assess the intention to use picture archiving and communication system and its predictors among physicians and nurses at specialized teaching hospitals in Amhara region, Northwest Ethiopia. Method Institution-based cross-sectional study design was conducted from October 11 to November 12, 2023. Proportional allocation and a simple random sampling were used to select participants of the study. A self-administered structured English questionnaire was used, and a 5% pretest was performed. Data were entered into Epi data 4.6 and exported to SPSS 26 and AMOS 23. Descriptive and structural equation modeling analysis was performed. The hypothesis was tested using a path coefficient and a p-value <0.05. Results About 54.7% (95%: CI: 50.9-58.4) of the participant intended to use picture archive and communication system with a 90.38% of response rate. Performance expectancy (β = 0.146, p-value <0.05), perceived enjoyment (β = 0.397, p-value <0.001), and computer literacy (β = 0.191, p-value <0.001) had positive influence on intention to use picture archiving and communication system. Conclusions Overall, more than half of physicians' and nurses' intention to use picture archiving and communication system were at hopeful stage for future. Performance expectancy, perceived enjoyment and computer literacy had direct positive effect on intention to use picture archiving and communication system among physicians and nurses. The designers, developers, and managers of the picture archiving and communication system should consider these variables. Furthermore, using this system can improve quality of health service through change workflow in to digital image, clinicians evaluate image more quickly and saving resources.
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Affiliation(s)
- Jenberu Mekurianew Kelkay
- Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
| | - Addisu Alem Negatu
- School of Medicine, College of Medicine and Health Sciences, Jimma University, Jimma, Ethiopia
| | - Rediet Abebe Molla
- School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Henok Molla Beri
- School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Abel Melaku Tefera
- School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Henok Dessie Wubneh
- School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Lepri G, Oddi F, Gulino RA, Giansanti D. Beyond the Clinic Walls: Examining Radiology Technicians' Experiences in Home-Based Radiography. Healthcare (Basel) 2024; 12:732. [PMID: 38610154 PMCID: PMC11011261 DOI: 10.3390/healthcare12070732] [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: 02/10/2024] [Revised: 03/14/2024] [Accepted: 03/22/2024] [Indexed: 04/14/2024] Open
Abstract
In recent years, the landscape of diagnostic imaging has undergone a significant transformation with the emergence of home radiology, challenging the traditional paradigm. This shift, bringing diagnostic imaging directly to patients, has gained momentum and has been further accelerated by the global COVID-19 pandemic, highlighting the increasing importance and convenience of decentralized healthcare services. This study aims to offer a nuanced understanding of the attitudes and experiences influencing the integration of in-home radiography into contemporary healthcare practices. The research methodology involves a survey administered through Computer-Aided Web Interviewing (CAWI) tools, enabling real-time engagement with a diverse cohort of medical radiology technicians in the health domain. A second CAWI tool is submitted to experts to assess their feedback on the methodology. The survey explores key themes, including perceived advantages and challenges associated with domiciliary imaging, its impact on patient care, and the technological intricacies specific to conducting radiologic procedures outside the conventional clinical environment. Findings from a sample of 26 medical radiology technicians (drawn from a larger pool of 186 respondents) highlight a spectrum of opinions and constructive feedback. Enthusiasm is evident for the potential of domiciliary imaging to enhance patient convenience and provide a more patient-centric approach to healthcare. Simultaneously, this study suggests areas of intervention to improve the diffusion of home-based radiology. The methodology based on CAWI tools proves instrumental in the efficiency and depth of data collection, as evaluated by 16 experts from diverse professional backgrounds. The dynamic and responsive nature of this approach allows for a more allocated exploration of technicians' opinions, contributing to a comprehensive understanding of the evolving landscape of medical imaging services. Emphasis is placed on the need for national and international initiatives in the field, supported by scientific societies, to further explore the evolving landscape of teleradiology and the integration of artificial intelligence in radiology. This study encourages expansion involving other key figures in this practice, including, naturally, medical radiologists, general practitioners, medical physicists, and other stakeholders.
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Affiliation(s)
- Graziano Lepri
- Azienda Unità Sanitaria Locale Umbria 1, Via Guerriero Guerra 21, 06127 Perugia, Italy;
| | - Francesco Oddi
- Facoltà di Ingegneria, Università di Tor Vergata, Via del Politecnico, 1, 00133 Rome, Italy; (F.O.); (R.A.G.)
| | - Rosario Alfio Gulino
- Facoltà di Ingegneria, Università di Tor Vergata, Via del Politecnico, 1, 00133 Rome, Italy; (F.O.); (R.A.G.)
| | - Daniele Giansanti
- Centro Nazionale TISP, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy
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Dogan Y, Sirin Y. Do Cone Beam CT Picture Archiving and Communication Systems Viewer Interfaces Meet the Expectations of Dental Professionals From a Usability Perspective? Cureus 2024; 16:e54288. [PMID: 38500918 PMCID: PMC10945284 DOI: 10.7759/cureus.54288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2024] [Indexed: 03/20/2024] Open
Abstract
Background Cone beam computed tomography (CBCT) has revolutionized dental and maxillofacial imaging by providing high-resolution 3D visualizations, essential for accurate diagnosis and treatment planning. Despite its clinical advancements, the usability of CBCT viewer interfaces, which play a crucial role in the effective interpretation of imaging data, remains a critical concern. Objective This study aims to evaluate the usability of a CBCT viewer interface in clinical settings, focusing on the effectiveness, efficiency, and satisfaction perspectives, to identify potential areas for improvement. Methods Twenty-two participants (N=22) were assigned the task of locating the mental foramen in a mandible dataset, selected randomly, using the multiplanar reconstruction (MPR) mode of a CBCT viewer interface on a local network. The task's effectiveness was gauged by the completion rate, while efficiency was measured through the duration of the task, the number of mouse clicks, and the cursor's path in both pixels and meters. Satisfaction or perceived usability was evaluated using the system usability scale (SUS-TR), and computer system usability questionnaire (T-CSUQ), among other scales, with participants also providing open-ended feedback. Demographic characteristics served as classification variables. Results All participants completed the given task. No demography-related differences in efficiency were observed. Perceived usability (SUS-TR: 60.68±19.58, T-CSUQ: 43.63±16.34) was below the industry standards, categorizing the system as a detractor. Commonly reported issues included accessing the MPR window, cursor behavior, and unclear error messages. The mean SUS-TR score negatively correlated with efficiency-related variables (p<0.05 for each). Conclusions The study's findings indicate that the CBCT viewer interface does not fully meet dental professionals' usability expectations, as evidenced by the task's completion rate, efficiency metrics, and below-average usability scores. Despite the successful task completion by all participants, the identified issues in interface design, such as difficulties in accessing the MPR window and unclear error messages, highlight significant areas for improvement. To enhance user satisfaction and efficiency, future developments of CBCT viewer interfaces should incorporate feedback from end-users and prioritize user-friendly design principles.
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Affiliation(s)
- Yaren Dogan
- Department of Oral and Maxillofacial Surgery, Istanbul University Institute of Health Sciences, Istanbul, TUR
| | - Yigit Sirin
- Department of Oral and Maxillofacial Surgery, Istanbul University Faculty of Dentistry, Istanbul, TUR
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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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Choi W, Chang SH, Yang YS, Jung S, Lee SJ, Chun JW, Kim DJ, Lee W, Choi IY. Study of the factors influencing the use of MyData platform based on personal health record data sharing system. BMC Med Inform Decis Mak 2022; 22:182. [PMID: 35840936 PMCID: PMC9283557 DOI: 10.1186/s12911-022-01929-z] [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: 10/03/2021] [Accepted: 07/04/2022] [Indexed: 11/22/2022] Open
Abstract
Background The application of telemedicine and electronic health (eHealth) technology has grown in importance during the COVID-19 pandemic, and a new approach in personal data management and processing MyData, has emerged. Data portability and informational self-determination are fundamental concepts of MyData. This study analysed the factors that influence acceptance of the MyData platform, which, reflects the right to self-determine personal data. Methods The study involved participants having experience using the MyData platform, and the key factors of the unified theory of acceptance and use of technology were used in the research model (performance expectancy, effort expectancy, social influence, facilitation condition and behavioural intention to use). The questionnaire comprided 27 items, and system usage log data were used to confirm that behavioural intention to use affected actual use behaviour through structural equation modeling. Results In total, 1153 participants completed the survey. The goodness of fit in the structural equation model indices indicates that the data fit the research model well. Performance expectancy, social influence, and facilitating conditions had direct effects on behavioural intention to use. We used system usage log data to confirm that behavioural intention to use positively affected actual use behaviour. The impact of the main factors in the unified theory of acceptance and use of technology was not moderated by age or gender, except for performance expectancy. Conclusions This study is the first to examine the factors influencing the use of the MyData platform based on the personal health record data sharing system in Korea. In addition, the study confirmed the use behaviour of the MyData platform utilising the system’s actual usage log for each function and analysing the effect of the intention of use on actual use. Our study serves as a significant foundation for the acceptance of data portability and sharing concepts. It also lays the foundation for expanding the data economy and ecosystem in the pandemic era. Supplementary Information The online version contains supplementary material available at 10.1186/s12911-022-01929-z.
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Affiliation(s)
- Wona Choi
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Se-Hyun Chang
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Yoon-Sik Yang
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Surin Jung
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Seo-Joon Lee
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Ji-Won Chun
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Dai-Jin Kim
- Department of Psychiatry, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea
| | - Woonjeong Lee
- Department of Emergency Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Republic of Korea
| | - In Young Choi
- Department of Medical Informatics, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
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Giansanti D. Comment on Patel, B.; Makaryus, A.N. Artificial Intelligence Advances in the World of Cardiovascular Imaging. Healthcare 2022, 10, 154. Healthcare (Basel) 2022; 10:727. [PMID: 35455904 PMCID: PMC9032641 DOI: 10.3390/healthcare10040727] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 04/01/2022] [Accepted: 04/07/2022] [Indexed: 02/05/2023] Open
Abstract
Regarding Dr. Makaryus's interesting review study [...].
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Affiliation(s)
- Daniele Giansanti
- Centro Nazionale Tecnologie Innovative in Sanità Pubblica, Istituto Superiore di Sanità, 00161 Rome, Italy
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Giansanti D, Di Basilio F. The Artificial Intelligence in Digital Radiology: Part 1: The Challenges, Acceptance and Consensus. Healthcare (Basel) 2022; 10:509. [PMID: 35326987 PMCID: PMC8949694 DOI: 10.3390/healthcare10030509] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 03/03/2022] [Accepted: 03/08/2022] [Indexed: 12/27/2022] Open
Abstract
Artificial intelligence is having important developments in the world of digital radiology also thanks to the boost given to the research sector by the COVID-19 pandemic. In the last two years, there was an important development of studies focused on both challenges and acceptance and consensus in the field of Artificial Intelligence. The challenges and acceptance and consensus are two strategic aspects in the development and integration of technologies in the health domain. The study conducted two narrative reviews by means of two parallel points of view to take stock both on the ongoing challenges and on initiatives conducted to face the acceptance and consensus in this area. The methodology of the review was based on: (I) search of PubMed and Scopus and (II) an eligibility assessment, using parameters with 5 levels of score. The results have: (a) highlighted and categorized the important challenges in place. (b) Illustrated the different types of studies conducted through original questionnaires. The study suggests for future research based on questionnaires a better calibration and inclusion of the challenges in place together with validation and administration paths at an international level.
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Montazeri M, Khajouei R. Determining the Effect of the Picture Archiving and Communication System (PACS) on Different Dimensions of Users' Work. Radiol Res Pract 2022; 2022:4306714. [PMID: 35265375 PMCID: PMC8901356 DOI: 10.1155/2022/4306714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 01/22/2022] [Accepted: 02/04/2022] [Indexed: 11/17/2022] Open
Abstract
The impact of the picture archiving and communication system (PACS) on healthcare costs, information access, image quality, and user workflow has been well studied. However, there is insufficient evidence on the effect of this system on different dimensions of the users' work. The objective of this study was to evaluate the impact of the PACS on different dimensions of users' work (external communication, service quality, user intention to use the PACS, daily routine, and complaints on users) and to compare the opinions of different groups of users about the PACS. This study was performed on the PACS users (n = 72) at Kerman University of Medical Sciences, including radiologists, radiology staff, ward heads, and physicians. Data were collected using a questionnaire consisting of two parts: demographic information of the participants and 5-point Likert scale questions concerning the five dimensions of users' work. Data were analyzed using descriptive statistics, ANOVA, and Pearson's correlation coefficient statistical tests. The mean of scores given by the PACS users was 4.31 ± 0.86 for external communication, 4.18 ± 0.96 for user intention to use the PACS, 3.91 ± 0.7 for service quality, 3.16 ± 0.56 for daily routine, and 3.08 ± 1.05 for complaints on users. Radiologists and radiology staff had a more positive opinion about the PACS than other clinicians such as physicians (P < 0.01, CI = 95%). Factors such as user age (P < 0.01, CI = 95%), job (P < 0.001, CI = 95%), work experience (P < 0.001, CI = 95%), and PACS training method (P=0.037, CI = 95%) were related to the impact of the PACS on different dimensions of users' work. This study showed that the PACS has a positive effect on different dimensions of users' work, especially on external communication, user intention to use the system, and service quality. It is recommended to implement PACSs in medical centers to support users' work and to maintain and strengthen the capabilities and functions of radiology departments.
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Affiliation(s)
- Mahdieh Montazeri
- Department of Health Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | - Reza Khajouei
- Department of Health Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
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Di Basilio F, Esposisto G, Monoscalco L, Giansanti D. The Artificial Intelligence in Digital Radiology: Part 2: Towards an Investigation of acceptance and consensus on the Insiders. Healthcare (Basel) 2022; 10:153. [PMID: 35052316 PMCID: PMC8775988 DOI: 10.3390/healthcare10010153] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/19/2021] [Accepted: 01/10/2022] [Indexed: 02/04/2023] Open
Abstract
Background. The study deals with the introduction of the artificial intelligence in digital radiology. There is a growing interest in this area of scientific research in acceptance and consensus studies involving both insiders and the public, based on surveys focused mainly on single professionals. Purpose. The goal of the study is to perform a contemporary investigation on the acceptance and the consensus of the three key professional figures approaching in this field of application: (1) Medical specialists in image diagnostics: the medical specialists (MS)s; (2) experts in physical imaging processes: the medical physicists (MP)s; (3) AI designers: specialists of applied sciences (SAS)s. Methods. Participants (MSs = 92: 48 males/44 females, averaged age 37.9; MPs = 91: 43 males/48 females, averaged age 36.1; SAS = 90: 47 males/43 females, averaged age 37.3) were properly recruited based on specific training. An electronic survey was designed and submitted to the participants with a wide range questions starting from the training and background up to the different applications of the AI and the environment of application. Results. The results show that generally, the three professionals show (a) a high degree of encouraging agreement on the introduction of AI both in imaging and in non-imaging applications using both standalone applications and/or mHealth/eHealth, and (b) a different consent on AI use depending on the training background. Conclusions. The study highlights the usefulness of focusing on both the three key professionals and the usefulness of the investigation schemes facing a wide range of issues. The study also suggests the importance of different methods of administration to improve the adhesion and the need to continue these investigations both with federated and specific initiatives.
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Affiliation(s)
- Francesco Di Basilio
- Facoltà di Medicina e Psicologia, Sapienza University, Piazzale Aldo Moro, 00185 Rome, Italy; (F.D.B.); (G.E.)
| | - Gianluca Esposisto
- Facoltà di Medicina e Psicologia, Sapienza University, Piazzale Aldo Moro, 00185 Rome, Italy; (F.D.B.); (G.E.)
| | - Lisa Monoscalco
- Faculty of Engineering, Tor Vergata University, 00133 Rome, Italy;
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Binkheder S, Aldekhyyel R, Almulhem J. Health informatics publication trends in Saudi Arabia: a bibliometric analysis over the last twenty-four years. J Med Libr Assoc 2021; 109:219-239. [PMID: 34285665 PMCID: PMC8270356 DOI: 10.5195/jmla.2021.1072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Understanding health informatics (HI) publication trends in Saudi Arabia may serve as a framework for future research efforts and contribute toward meeting national "e-Health" goals. The authors' intention was to understand the state of the HI field in Saudi Arabia by exploring publication trends and their alignment with national goals. METHODS A scoping review was performed to identify HI publications from Saudi Arabia in PubMed, Embase, and Web of Science. We analyzed publication trends based on topics, keywords, and how they align with the Ministry of Health's (MOH's) "digital health journey" framework. RESULTS The total number of publications included was 242. We found 1 (0.4%) publication in 1995-1999, 11 (4.5%) publications in 2000-2009, and 230 (95.0%) publications in 2010-2019. We categorized publications into 3 main HI fields and 4 subfields: 73.1% (n=177) of publications were in clinical informatics (85.1%, n=151 medical informatics; 5.6%, n=10 pharmacy informatics; 6.8%, n=12 nursing informatics; 2.3%, n=4 dental informatics); 22.3% (n=54) were in consumer health informatics; and 4.5% (n=11) were in public health informatics. The most common keyword was "medical informatics" (21.5%, n=52). MOH framework-based analysis showed that most publications were categorized as "digitally enabled care" and "digital health foundations." CONCLUSIONS The years of 2000-2009 may be seen as an infancy stage of the HI field in Saudi Arabia. Exploring how the Saudi Arabian MOH's e-Health initiatives may influence research is valuable for advancing the field. Data exchange and interoperability, artificial intelligence, and intelligent health enterprises might be future research directions in Saudi Arabia.
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Affiliation(s)
- Samar Binkheder
- , Assistant Professor of Biomedical and Health Informatics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Raniah Aldekhyyel
- , Assistant Professor of Biomedical and Health Informatics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Jwaher Almulhem
- , Assistant Professor of Biomedical and Health Informatics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia
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Al-Kahtani N, Al-Dhaif E, Alsaihtati N, Farid K, AlKhater S. Clinicians' Perceptions of Picture Archiving and Communication System (PACS) Use in Patient Care in Eastern Province Hospitals in Saudi Arabia. J Multidiscip Healthc 2021; 14:743-750. [PMID: 33833519 PMCID: PMC8020125 DOI: 10.2147/jmdh.s296828] [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: 12/19/2020] [Accepted: 03/09/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose The picture archiving and communication system (PACS) is one of the most important tools used in patient care in many hospitals worldwide. It allows clinicians to remotely communicate and consult with other clinicians on patient cases and view diagnostic images from different angles, thus facilitating patient diagnosis and treatment. Several studies have been conducted in Saudi Arabia to evaluate different aspects of PACS use; however, no comprehensive study has been conducted in its Eastern Province. This study aimed to investigate clinicians’ perceptions of the advantages and disadvantages of the use of PACS in Eastern Province hospitals in Saudi Arabia and identify the factors that affect their perceptions and its use. In addition, it aimed to gather recommendations of clinicians for improving the system and its implementation. Methods A qualitative approach with grounded theory method was employed. A sample of 18 residents, radiologists, and consultants from three Eastern Province hospitals in Saudi Arabia participated in the study. Data were collected using semi-structured interviews over a period of 7 months. Results The perceived advantages of PACS included providing quality images and the ability to manipulate their resolution, whereas the perceived barriers included low-speed internet connections and technical problems. Participants recommended providing clinicians remote access to the system and implementing a mobile PACS application. The theory that emerged from the analysis revealed that demographic, system-related, and hospital-related factors affected participants’ perspectives of PACS and its use. Conclusion The results of this study and its theoretical model can help identify areas of improvement and inform policy and strategic planning for the effective implementation of PACS in patient care in Saudi Arabia.
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Affiliation(s)
- Nouf Al-Kahtani
- Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Esra Al-Dhaif
- Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Noor Alsaihtati
- Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Khalid Farid
- Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Suzan AlKhater
- Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Farzandipour M, Sadeqi Jabali M, Nickfarjam AM, Tadayon H. Usability evaluation of selected picture archiving and communication systems at the national level: Analysis of users' viewpoints. Int J Med Inform 2020; 147:104372. [PMID: 33421687 DOI: 10.1016/j.ijmedinf.2020.104372] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 11/02/2020] [Accepted: 12/27/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND AND OBJECTIVES Picture Archiving and Communication System (PACS) can be considered as one of the most important information systems used in healthcare facilities and its usability problems can lead to delays in the acceptance of information systems, increased medical errors and also user dissatisfaction. The primary purpose of this study was to evaluate the usability of PACS from the perspective of its main users. METHODS This study used a combination of qualitative and quantitative methods and was carried out in 2019 where the research community consisted of PACS in five selected companies in Iran. The statistical sample included 200 individuals using the PACS in several hospitals across the country. Moreover, the sample was selected using the multistage random method. The data were then collected using the standard Computer System Usability Questionnaire (CSUQ) consisting of 5 sections and 19 items. Finally, the data were analyzed by SPSS software, version 18 using both descriptive and inferential methods. Content analysis was done for the qualitative data sets. RESULTS It was indicated that ease of use, as a category, was not significantly different from the perspective of various PACS users. However, the ANOVA test revealed that there were significant differences in terms of information quality, user interface quality, overall user satisfaction and usability of PACS from the users' perspectives. Furthermore, content analysis of users' comments showed that speeding up the image processing and frequent system failures were amongst the most positive and negative aspects of the PACS, respectively. CONCLUSIONS According to the perspective of the users of the investigated PACS in Iran, the usability of these PACS had a favorable status regarding ease of use while provided lower information quality. Generally, based on the users' viewpoints, the PACS from Company B were the most usable while the PACS provided by Company D were the least usable. It is suggested that the information quality and user interface of systems be improved by using appropriate analysis and needs assessment of the end users.
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Affiliation(s)
- Mehrdad Farzandipour
- Research Centre for Health Information Management, Kashan University of Medical Sciences, Kashan, Iran; Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran
| | - Monireh Sadeqi Jabali
- Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran
| | - Ali Mohammad Nickfarjam
- Research Centre for Health Information Management, Kashan University of Medical Sciences, Kashan, Iran
| | - Hamidreza Tadayon
- Department of Health Information Management and Technology, Kashan University of Medical Sciences, Kashan, Iran; Department of Health Information Technology, Neyshabur University of Medical Sciences, Neyshabur, Iran.
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Abbasi R, Sadeqi Jabali M, Khajouei R, Tadayon H. Investigating the satisfaction level of physicians in regards to implementing medical Picture Archiving and Communication System (PACS). BMC Med Inform Decis Mak 2020; 20:180. [PMID: 32758220 PMCID: PMC7405331 DOI: 10.1186/s12911-020-01203-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Accepted: 07/28/2020] [Indexed: 11/17/2022] Open
Abstract
Background User satisfaction with PACS is considered as one of the important criteria for assessing success in using PACS. The objective of this study was to determine the level of user satisfaction with PACS and to compare its functional features with traditional film-based systems. Methods This study was conducted in 2017. Residents at three large university hospitals in Kerman filled-out a self-administered questionnaire consisting of three parts: demographic information of participants, user satisfaction with PACS, comparing features of the two digital and traditional imaging systems. The validity of this questionnaire was approved by five medical informatics, radiology, and health information management specialists and its reliability was confirmed by Cronbach’s alpha (86%). Data were analyzed using descriptive statistics and the Spearman, Mann Whitney U and Kruskal-Wallis statistical tests. Results The mean of the participants’ ages was 31.4 (±4.4) years and 59% of the participants were females. The mean of physicians’ satisfaction with PACS’ had no significant relationship with their age (P = 0.611), experience of using PACS (P = 0.301), specialty (P = 0.093), and percent of interpretation of images with PACS (P = 0.762). It had a significant relationship with the participants’ computer skills (P = 0.022). Conclusions The mean of physicians’ satisfaction with PACS was at a moderate to a high level, yet there are still problems in the successful implementation of these systems and establishing interoperability between them. PACS has not fully met all the demands of physicians and has not achieved its predetermined objectives, such as all-access from different locations.
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Affiliation(s)
- Reza Abbasi
- Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
| | - Monireh Sadeqi Jabali
- Research Centre for Health Information Management, Kashan University of Medical Sciences, Kashan, Iran
| | - Reza Khajouei
- Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamidreza Tadayon
- Research Centre for Health Information Management, Kashan University of Medical Sciences, Kashan, Iran. .,Faculty Member of Health Information Technology Department, Neyshabur University of Medical Sciences, Neyshabur, Iran.
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Park HS, Kim KI, Soh JY, Hyun YH, Jang SK, Lee S, Hwang GY, Kim HS. Factors Influencing Acceptance of Personal Health Record Apps for Workplace Health Promotion: Cross-Sectional Questionnaire Study. JMIR Mhealth Uhealth 2020; 8:e16723. [PMID: 32496202 PMCID: PMC7303838 DOI: 10.2196/16723] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 03/16/2020] [Accepted: 03/30/2020] [Indexed: 02/06/2023] Open
Abstract
Background Health care technologies can help improve workers’ health and productivity by supporting workplace health promotion. A personal health record app is used to manage medical data such as results from medical checkups, which facilitates decision making for medical personnel. However, an analysis of users’ technology acceptance is required to provide appropriate services based on personal health record apps. Objective The purpose of this study was to analyze the factors influencing the behavioral intention of health experts and workers to use an app in workers’ health centers and to examine differences in their perception of the main variables. Methods The study involved health experts and workers who visited 21 workers’ health centers in Korea to verify a research model in which perceived risk was added to the unified theory of acceptance and use of technology, a representative theory of information technology acceptance. After receiving ethical approval from the Korea National Institute for Bioethics Policy, 1050 questionnaires were distributed over 7 weeks with cooperation of the Korea Occupational Safety and Health Agency. A multiple linear regression analysis and multigroup path analysis were performed to verify the hypotheses, and independent samples t tests were performed to analyze differences between workers’ and health experts’ perception of the main variables. Results The analysis included data from 866 respondents (687 workers and 179 health experts). Effort expectancy (beta=.08, P=.03), social influence (beta=.43, P<.001), performance expectancy (beta=.07, P=.008), and facilitating conditions (beta=.13, P<.001) exerted significant positive effects on behavioral intention, whereas perceived risk (beta=–.29, P<.001) exerted a significant negative effect on behavioral intention. Performance expectancy had a significant effect on path differences depending on gender (critical ratio=–3.38) and age (critical ratio=1.97). Workers’ mean scores for the main variables were higher relative to those of health experts for all remaining variables except perceived risk, and significant differences were observed for all remaining variables except facilitating condition. Conclusions Social influence exerted the strongest effect on behavioral intention to use the personal health record app. Consequently, it is necessary to coordinate health promotion activities in the workplace as well as the operational direction of community institutions such as in workers’ health centers to allow workers to manage their own health via continuous use of the app. In addition, the app should be developed based on a requirement analysis of the balance between both interest groups in consideration of differences in perspective between consumers and service providers.
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Affiliation(s)
- Hyun Sang Park
- Digital Healthcare Department, BIT Computer Co Ltd, Seoul, Republic of Korea.,Department of Medical Informatics, Kyungpook National University, Daegu, Republic of Korea
| | - Kwang Il Kim
- Finance Programs Department, Korea Occupational Safety & Health Agency, Ulsan, Republic of Korea
| | - Jae Young Soh
- Digital Healthcare Department, BIT Computer Co Ltd, Seoul, Republic of Korea
| | - Young Ho Hyun
- Digital Healthcare Department, BIT Computer Co Ltd, Seoul, Republic of Korea
| | - Sae Kyun Jang
- Research Institute, HealthConnect Co Ltd, Seoul, Republic of Korea
| | - Sol Lee
- Research Institute, HealthConnect Co Ltd, Seoul, Republic of Korea
| | - Ga Young Hwang
- Research Institute, HealthConnect Co Ltd, Seoul, Republic of Korea
| | - Hwa Sun Kim
- Elecmarvels Co Ltd, Daegu, Republic of Korea
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Abbas R, Singh Y. PACS Implementation Challenges in a Public Healthcare Institution: A South African Vendor Perspective. Healthc Inform Res 2019; 25:324-331. [PMID: 31777676 PMCID: PMC6859271 DOI: 10.4258/hir.2019.25.4.324] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 10/23/2019] [Accepted: 10/23/2019] [Indexed: 11/23/2022] Open
Abstract
Objectives Conventional radiological processes have been replaced by digital images and information technology systems within South Africa and other developing countries. Picture Archiving and Communication Systems (PACS) technology offers many benefits to institutions, medical personnel and patients; however, the implementation of such systems can be a challenging task. It has been documented that South Africa has been using PACS for more than a decade in public hospitals with moderate success. The aim of this study was to identify and describe the PACS challenges endured by PACS vendors during implementation in the South African public healthcare sector. Methods This was achieved by engaging in a methodological approach that was qualitative in nature collecting data through semi structured interviews from 10 PACS experts/participants which were later analysed qualitatively. Results The findings show that PACS vendors have countless challenges, some of which include space, insufficient infrastructure, image storage capacity, system maturity and vendor related concerns. It was clear that the PACS experts readily offered contextually appropriate descriptions of their encounters during PACS implementations in South African public healthcare institutions. Conclusions PACS vendors anticipate these challenges when facing a public healthcare institution and it is recommended that the hospital management and potential PACS stakeholders be made aware of these challenges to mitigate their effects and aid in a successful implementation.
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Affiliation(s)
- Romain Abbas
- Department of Telehealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
| | - Yashik Singh
- Department of Telehealth, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
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Characterizing Consumer Behavior in Leveraging Social Media for E-Patient and Health-Related Activities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183348. [PMID: 31514276 PMCID: PMC6765822 DOI: 10.3390/ijerph16183348] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 09/06/2019] [Accepted: 09/07/2019] [Indexed: 11/17/2022]
Abstract
The emergence of e-patients has encouraged consumers, people who are non-medical experts, to be more engaged in healthcare needs by utilizing online sources via social media. However, the nature of social media and regulation issues have caused concerns for the reliability and validity of the shared information. These phenomena shape consumers behavior in leveraging social media for e-patient activities. This study investigates consumer behavior using an integrated model based on the Unified Theory of Acceptance and Use of Technology (UTAUT) and the Protection Motivation Theory (PMT). The data collected from the participants (N = 312) was analyzed using partial least square structural equation modelling. The results showed that behavioral intention to use social media for e-patient activities was significantly affected by performance expectancy, effort expectancy, perceived severity, perceived susceptibility, and response efficacy; and that behavioral intention corresponded positively to usage intention. In addition, the results also indicate that the intention to use social media for health-related purposes is driven by awareness of preventing health problems and attempts to reduce the risk of developing an illness. Based on findings, this study recommends strategies and initiatives to optimize social media for promoting a healthy lifestyle and educating society about public health and healthcare management.
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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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Barzekar H, Ebrahimzadeh F, Luo J, Karami M, Robati Z, Goodarzi P. Adoption of Hospital Information System Among Nurses: a Technology Acceptance Model Approach. Acta Inform Med 2019; 27:305-310. [PMID: 32210497 PMCID: PMC7085343 DOI: 10.5455/aim.2019.27.305-310] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Introduction: The successful implementation of Hospital Information Systems (HIS) depends on user acceptance. Nurses are the largest group of HIS users in hospitals. This study aims to evaluate some factors may affect the utilization of the Hospital Information System. Aim: To explore factors that contribute to using of Hospital Information System. Methods: In this cross-sectional study, 325 nurses from training Hospitals affiliated with Lorestan University of Medical Sciences (LUMS) were chosen. A valid and reliable structured questionnaire based on Technology Acceptance Model 1&2 and Unified Theory of Acceptance and Use of Technology was used as the data collection tool. Descriptive statistics, Correlations analysis, multiple regression analysis, path analysis technique, Structure Equation Model using AMOS software was used to examine factors that influenced the Adoption of Hospital Information System. Results: The findings indicate a significant direct relationship between Management Support and Perceived Usefulness of HIS. Perceived Usefulness has a significant effect on attitudes. While there was no significant effect of perceived ease of use on attitude. Attitude has a significant effect on behavioral intention. Conclusion: This research provides a tool to realize what factors undertake the behavioral intention of healthcare professionals to use hospital information system and how this may affect future use.
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Affiliation(s)
- Hosein Barzekar
- Department of Computer Sciences, Biomedical and Health Informatics, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
| | - Farzad Ebrahimzadeh
- Department of Biostatistics and Epidemiology, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Lorestan, Iran
| | - Jake Luo
- Department of Health Informatics and Administration, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
| | - Mahtab Karami
- Department of Health Information Technology and Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Zahra Robati
- Department of Health Information Technology, Lorestan University of Medical Sciences, Lorestan, Iran
| | - Parvin Goodarzi
- Department of Health Information Technology, Lorestan University of Medical Sciences, Lorestan, Iran
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Modeling predictors of acceptance and use of electronic medical record system in a resource limited setting: Using modified UTAUT model. INFORMATICS IN MEDICINE UNLOCKED 2019. [DOI: 10.1016/j.imu.2019.100182] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
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Jahanbakhsh M, Nazemi Z, Mohammadi F, Hasanzadeh A. A study of picture archiving and communication system adoption in one hospital: Applying the unified theory of acceptance and use of technology model. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2018; 7:103. [PMID: 30159349 PMCID: PMC6089021 DOI: 10.4103/jehp.jehp_149_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 01/09/2018] [Indexed: 06/08/2023]
Abstract
CONTEXT The advent of picture archiving and communication system (PACS) as medical image information system represent a major change of work pattern for radiologists and physicians and has proved to be a substantial challenge to the organization. AIMS The study aimed to investigate the factors affecting the use of PACS through the unified theory of acceptance and use of technology model. SETTINGS AND DESIGN It was an applied and analytical study. SUBJECTS AND METHODS Ninety questionnaires were distributed in Kashani hospital of Esfahan which implemented web-based PACS, and 45 usable questionnaires were returned. The questionnaire consists of scales for performance expectancy (PE), effort expectancy, facility condition, social influences, and behavioral intention (BI) and was developed by the author comparing the similar studies in which validity was confirmed by a committee of experts and the reliability was calculated using a Cronbach's α (α = 0.946). STATISTICAL ANALYSIS USED Data were analyzed using SPSS version 20. The statistical tests for data analysis were Pearson's correlation and multiple regression analysis. RESULTS The findings suggested a direct correlation between BI and factors of PE (P < 0.001, r = 0.788), effort expectancy (P < 0.001, r = 0.564), social influences (P = 0.001, r = 0.472), and facility condition (P < 0.001, r = 0.477). CONCLUSIONS According to the findings, only the PE is sufficient for predict and evaluation of user behavior toward PACS. The results could be useful in terms of designing new systems and understanding users' need.
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Affiliation(s)
- Maryam Jahanbakhsh
- Health Information Technology Research Center, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zahra Nazemi
- Department of Management and Health Information Technology, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Farakhlaghah Mohammadi
- Department of Management and Health Information Technology, Al Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Akbar Hasanzadeh
- Medical Records Department, School of Health Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
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Rahimi B, Nadri H, Lotfnezhad Afshar H, Timpka T. A Systematic Review of the Technology Acceptance Model in Health Informatics. Appl Clin Inform 2018; 9:604-634. [PMID: 30112741 PMCID: PMC6094026 DOI: 10.1055/s-0038-1668091] [Citation(s) in RCA: 202] [Impact Index Per Article: 33.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Accepted: 06/24/2018] [Indexed: 10/28/2022] Open
Abstract
BACKGROUND One common model utilized to understand clinical staff and patients' technology adoption is the technology acceptance model (TAM). OBJECTIVE This article reviews published research on TAM use in health information systems development and implementation with regard to application areas and model extensions after its initial introduction. METHOD An electronic literature search supplemented by citation searching was conducted on February 2017 of the Web of Science, PubMed, and Scopus databases, yielding a total of 492 references. Upon eliminating duplicates and applying inclusion and exclusion criteria, 134 articles were retained. These articles were appraised and divided into three categories according to research topic: studies using the original TAM, studies using an extended TAM, and acceptance model comparisons including the TAM. RESULTS The review identified three main information and communication technology (ICT) application areas for the TAM in health services: telemedicine, electronic health records, and mobile applications. The original TAM was found to have been extended to fit dynamic health service environments by integration of components from theoretical frameworks such as the theory of planned behavior and unified theory of acceptance and use of technology, as well as by adding variables in specific contextual settings. These variables frequently reflected the concepts subjective norm and self-efficacy, but also compatibility, experience, training, anxiety, habit, and facilitators were considered. CONCLUSION Telemedicine applications were between 1999 and 2017, the ICT application area most frequently studied using the TAM, implying that acceptance of this technology was a major challenge when exploiting ICT to develop health service organizations during this period. A majority of the reviewed articles reported extensions of the original TAM, suggesting that no optimal TAM version for use in health services has been established. Although the review results indicate a continuous progress, there are still areas that can be expanded and improved to increase the predictive performance of the TAM.
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Affiliation(s)
- Bahlol Rahimi
- Department of Health Information Technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran
| | - Hamed Nadri
- Department of Health Information Technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran
- Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran
| | - Hadi Lotfnezhad Afshar
- Department of Health Information Technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran
| | - Toomas Timpka
- Department of Computer and Information Sciences, Linköping University, Linköping, Sweden
- Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
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Aldosari H, Saddik B, Al Kadi K. Impact of picture archiving and communication system (PACS) on radiology staff. INFORMATICS IN MEDICINE UNLOCKED 2018. [DOI: 10.1016/j.imu.2017.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Aldosari B, Al-Mansour S, Aldosari H, Alanazi A. Assessment of factors influencing nurses acceptance of electronic medical record in a Saudi Arabia hospital. INFORMATICS IN MEDICINE UNLOCKED 2018. [DOI: 10.1016/j.imu.2017.12.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Dias CR, Pereira MR, Freire AP. Qualitative review of usability problems in health information systems for radiology. J Biomed Inform 2017; 76:19-33. [DOI: 10.1016/j.jbi.2017.10.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 09/20/2017] [Accepted: 10/09/2017] [Indexed: 10/18/2022]
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Bawack RE, Kala Kamdjoug JR. Adequacy of UTAUT in clinician adoption of health information systems in developing countries: The case of Cameroon. Int J Med Inform 2017; 109:15-22. [PMID: 29195701 DOI: 10.1016/j.ijmedinf.2017.10.016] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Revised: 10/16/2017] [Accepted: 10/21/2017] [Indexed: 11/27/2022]
Abstract
PURPOSE Despite the great potential Health Information Systems (HIS) have in improving the quality of healthcare delivery services, very few studies have been carried out on the adoption of such systems in developing countries. This article is concerned with investigating the adequacy of UTAUT1 in determining factors that influence the adoption of HIS by clinicians in developing countries, based on the case of Cameroon. METHODS A paper-based questionnaire was distributed to clinicians in 4 out of 7 major public hospitals in Cameroon. A modified UTAUT was tested using structural equation modeling (SEM) method to identify the determinants of clinicians' intention to use HIS. Self-efficacy and cost-effectiveness were determinants used to extend the original UTAUT. RESULTS 228 out of 286 questionnaires were validated for this study. The original UTAUT performed poorly, explaining 12% of the variance in clinicians' intention to use HIS. Age was the only significant moderating factor, improving the model to 46%. Self-efficacy and cost effectiveness has no direct significant effect on HIS adoption in the context of this study. CONCLUSIONS The original UTAUT is not adequate in identifying factors that influence the adoption of HIS by clinicians in developing countries. Simplifying the model by using age as the only moderating factor significantly increases the model's ability to predict HIS adoption in this context. Thus, the younger clinicians are more likely and ready to adopt HIS than the older ones. Context-specific should also be used to increase the explanatory power of UTAUT in any given context.
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Affiliation(s)
- Ransome Epie Bawack
- Catholic University of Central Africa, GRIAGES, B.P: 11628, Yaoundé 237, Cameroon.
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Ahmadi M, Mehrabi N, Sheikhtaheri A, Sadeghi M. Acceptability of picture archiving and communication system (PACS) among hospital healthcare personnel based on a unified theory of acceptance and use of technology. Electron Physician 2017; 9:5325-5330. [PMID: 29038717 PMCID: PMC5633233 DOI: 10.19082/5325] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Accepted: 06/12/2017] [Indexed: 11/26/2022] Open
Abstract
Background and aim The picture archiving and communication system (PACS) is a healthcare system technology which manages medical images and integrates equipment through a network. There are some theories about the use and acceptance of technology by people to describe the behavior and attitudes of end users towards information technologies. We investigated the influential factors on users’ acceptance of PACS in the military hospitals of Tehran. Methods In this applied analytical and cross-sectional study, 151 healthcare employees of military hospitals who had experience in using the PACS system were investigated. Participants were selected by census. The following variables were considered: performance expectancy, efforts expectancy, social influence, facilitating conditions and behavioral intention. Data were gathered using a questionnaire. Its validity and reliability were approved by a panel of experts and was piloted with 30 hospital healthcare staff (Cronbach’s alpha =0.91). Spearman correlation coefficient and multiple linear regression analysis were used in analyzing the data. Results Expected performance, efforts expectancy, social impact and facilitating conditions had a significant relationship with behavioral intention. The multiple regression analysis indicated that only performance expectancy can predict the user’s behavioral intentions to use PACS technology. Conclusion Performance and effort expectancies are quite influential in accepting the use of PACS in hospitals. All healthcare personnel should become aware that using such technology is necessary in a hospital. Knowing the influencing factors that affect the acceptance of using new technology can help in improving its use, especially in a healthcare system. This can improve the offered healthcare services’ quality.
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Affiliation(s)
- Maryam Ahmadi
- Ph.D. of Health Information Management, Professor, Department of Health Information Management, School of Heath Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Nahid Mehrabi
- Ph.D. Candidate of Health Information Management, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Abbas Sheikhtaheri
- Ph.D. of Health Information Management, Assistant Professor, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Mojtaba Sadeghi
- M.Sc. Of Medical Record Education, Faculty Member, Department of Health Information Technology, School of Paramedical Sciences, Aja University of Medical Sciences, Tehran, Iran
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Abdekhoda M, Salih KM. Determinant Factors in Applying Picture Archiving and Communication Systems (PACS) in Healthcare. PERSPECTIVES IN HEALTH INFORMATION MANAGEMENT 2017; 14:1c. [PMID: 28855856 PMCID: PMC5559691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVES Meaningful use of picture archiving and communication systems (PACS) can change the workflow for accessing digital images, lead to faster turnaround time, reduce tests and examinations, and increase patient throughput. This study was carried out to identify determinant factors that affect the adoption of PACS by physicians. METHODS This was a cross-sectional study in which 190 physicians working in a teaching hospital affiliated with Tehran University of Medical Sciences were randomly selected. Physicians' perceptions concerning the adoption of PACS were assessed by the conceptual path model of the Unified Theory of Acceptance and Use of Technology (UTAUT). Collected data were analyzed with regression analysis. Structural equation modeling was applied to test the final model that was developed. RESULTS The results show that the UTAUT model can explain about 61 percent of the variance on in the adoption of PACS (R2 = 0.61). The findings also showed that performance expectancy, effort expectancy, social influences, and behavior intention have a direct and significant effect on the adoption of PACS. However, facility condition showed to have no significant effect on physicians' behavior intentions. CONCLUSIONS Implementation of new technology such as PACS in the healthcare sector is unavoidable. Our study clearly identified significant and nonsignificant factors that may affect the adoption of PACS. Also, this study acknowledged that physicians' perception is a key factor to manage the implementation of PACS optimally, and this fact should be considered by healthcare managers and policy makers.
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Affiliation(s)
- Mohammadhiwa Abdekhoda
- Iranian Center of Excellence in Health Management, at Tabriz University of Medical Sciences in Tabriz, Iran
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Song JW, Mango MC, Museru LM, Kesselman A, Foryoung K, Kiloloma O, Goodman TR, Minja FJ. Successful Implementation of a PACS in Tanzania. J Am Coll Radiol 2017; 14:710-713. [DOI: 10.1016/j.jacr.2017.01.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2016] [Revised: 01/04/2017] [Accepted: 01/09/2017] [Indexed: 11/27/2022]
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Alhajeri M, Aldosari H, Aldosari B. Evaluating latest developments in PACS and their impact on radiology practices: A systematic literature review. INFORMATICS IN MEDICINE UNLOCKED 2017. [DOI: 10.1016/j.imu.2017.08.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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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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Buabbas AJ, Al-Shamali DA, Sharma P, Haidar S, Al-Shawaf H. Users' Perspectives on a Picture Archiving and Communication System (PACS): An In-Depth Study in a Teaching Hospital in Kuwait. JMIR Med Inform 2016; 4:e21. [PMID: 27307046 PMCID: PMC4927806 DOI: 10.2196/medinform.5703] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2016] [Revised: 04/30/2016] [Accepted: 05/19/2016] [Indexed: 11/24/2022] Open
Abstract
Background Picture archiving and communication system (PACS) is a well-known imaging informatics application in health care organizations, specifically designed for the radiology department. Health care providers have exhibited willingness toward evaluating PACS in hospitals to ascertain the critical success and failure of the technology, considering that evaluation is a basic requirement. Objective This study aimed at evaluating the success of a PACS in a regional teaching hospital of Kuwait, from users’ perspectives, using information systems success criteria. Methods An in-depth study was conducted by using quantitative and qualitative methods. This mixed-method study was based on: (1) questionnaires, distributed to all radiologists and technologists and (2) interviews, conducted with PACS administrators. Results In all, 60 questionnaires were received from the respondents. These included 39 radiologists (75% response rate) and 21 technologists (62% response rate), with the results showing almost three-quarters (74%, 44 of 59) of the respondents rating PACS positively and as user friendly. This study’s findings revealed that the demographic data, including computer experience, was an insignificant factor, having no influence on the users’ responses. The findings were further substantiated by the administrators’ interview responses, which supported the benefits of PACS, indicating the need for developing a unified policy aimed at streamlining and improving the departmental workflow. Conclusions The PACS had a positive and productive impact on the radiologists’ and technologists’ work performance. They were endeavoring to resolve current problems while keeping abreast of advances in PACS technology, including teleradiology and mobile image viewer, which is steadily increasing in usage in the Kuwaiti health system.
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Affiliation(s)
- Ali Jassem Buabbas
- Faculty of Medicine, Community Medicine and Behavioral Sciences, Kuwait University, Hawally, Kuwait.
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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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Hsiao JL, Chen RF. Critical factors influencing physicians' intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model. BMC Med Inform Decis Mak 2016; 16:3. [PMID: 26772169 PMCID: PMC4715302 DOI: 10.1186/s12911-016-0241-3] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2015] [Accepted: 01/08/2016] [Indexed: 01/22/2023] Open
Abstract
Background With the widespread use of information communication technologies, computerized clinical practice guidelines are developed and considered as effective decision supporting tools in assisting the processes of clinical activities. However, the development of computerized clinical practice guidelines in Taiwan is still at the early stage and acceptance level among major users (physicians) of computerized clinical practice guidelines is not satisfactory. This study aims to investigate critical factors influencing physicians’ intention to computerized clinical practice guideline use through an integrative model of activity theory and the technology acceptance model. Methods The survey methodology was employed to collect data from physicians of the investigated hospitals that have implemented computerized clinical practice guidelines. A total of 505 questionnaires were sent out, with 238 completed copies returned, indicating a valid response rate of 47.1 %. The collected data was then analyzed by structural equation modeling technique. Results The results showed that attitudes toward using computerized clinical practice guidelines (γ = 0.451, p < 0.001), organizational support (γ = 0.285, p < 0.001), perceived usefulness of computerized clinical practice guidelines (γ = 0.219, p < 0.05), and social influence (γ = 0.213, p < 0.05) were critical factors influencing physicians’ intention to use computerized clinical practice guidelines, and these factors can explain 68.6 % of the variance in intention to use computerized clinical practice guidelines. Conclusions This study confirmed that some subject (human) factors, environment (organization) factors, tool (technology) factors mentioned in the activity theory should be carefully considered when introducing computerized clinical practice guidelines. Managers should pay much attention on those identified factors and provide adequate resources and incentives to help the promotion and use of computerized clinical practice guidelines. Through the appropriate use of computerized clinical practice guidelines, the clinical benefits, particularly in improving quality of care and facilitating the clinical processes, will be realized.
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Affiliation(s)
- Ju-Ling Hsiao
- Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, Tainan City, Taiwan R.O.C..
| | - Rai-Fu Chen
- Department of Information Management, Chia-Nan University of Pharmacy and Science, No.60, Sec. 1, Erren Rd., Rende Dist., Tainan City, 71710, Taiwan R.O.C..
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Aldosari B. Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. Int J Med Inform 2014; 83:330-42. [PMID: 24560609 DOI: 10.1016/j.ijmedinf.2014.01.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Revised: 01/01/2014] [Accepted: 01/10/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE Outside a small number of OECD countries, little information exists regarding the rates, levels, and determinants of hospital electronic health record (EHR) system adoption. This study examines EHR system adoption in Riyadh, Saudi Arabia. MATERIALS AND METHODS Respondents from 22 hospitals were surveyed regarding the implementation, maintenance, and improvement phases of EHR system adoption. Thirty-seven items were graded on a three-point scale of preparedness/completion. Measured determinants included hospital size, level of care, ownership, and EHR system development team composition. RESULTS Eleven of the hospitals had implemented fully functioning EHR systems, eight had systems in progress, and three had not adopted a system. Sixteen different systems were being used across the 19 adopting hospitals. Differential adoption levels were positively related to hospital size and negatively to the level of care (secondary versus tertiary). Hospital ownership (nonprofit versus private) and development team composition showed mixed effects depending on the particular adoption phase being considered. DISCUSSION Adoption rates compare favourably with those reported from other countries and other districts in Saudi Arabia, but wide variations exist among hospitals in the levels of adoption of individual items. General weaknesses in the implementation phase concern the legacy of paper data systems, including document scanning and data conversion; in the maintenance phase concern updating/maintaining software; and in the improvement phase concern the communication and exchange of health information. CONCLUSION This study is the first to investigate the level and determinants of EHR system adoption for public, other nonprofit, and private hospitals in Saudi Arabia. Wide interhospital variations in adoption bear implications for policy-making and funding intervention. Identified areas of weakness require action to increase the degree of adoption and usefulness of EHR systems.
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Affiliation(s)
- Bakheet Aldosari
- Department of Health Informatics, King Saud Bin AbdulAziz University, Mail Code: 2350, PO Box 22490, Riyadh 11426, Saudi Arabia.
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Tzeng WS, Kuo KM, Lin HW, Chen TY. A socio-technical assessment of the success of Picture Archiving and Communication Systems: the radiology technologist's perspective. BMC Med Inform Decis Mak 2013; 13:109. [PMID: 24053458 PMCID: PMC3849362 DOI: 10.1186/1472-6947-13-109] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2013] [Accepted: 09/18/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND With the increasing prevalence of Picture Archiving and Communication Systems (PACS) in healthcare institutions, there is a growing need to measure their success. However, there is a lack of published literature emphasizing the technical and social factors underlying a successful PACS. METHODS An updated Information Systems Success Model was utilized by radiology technologists (RTs) to evaluate the success of PACS at a large medical center in Taiwan. A survey, consisting of 109 questionnaires, was analyzed by Structural Equation Modeling. RESULTS Socio-technical factors (including system quality, information quality, service quality, perceived usefulness, user satisfaction, and PACS dependence) were proven to be effective measures of PACS success. Although the relationship between service quality and perceived usefulness was not significant, other proposed relationships amongst the six measurement parameters of success were all confirmed. CONCLUSIONS Managers have an obligation to improve the attributes of PACS. At the onset of its deployment, RTs will have formed their own subjective opinions with regards to its quality (system quality, information quality, and service quality). As these personal concepts are either refuted or reinforced based on personal experiences, RTs will become either satisfied or dissatisfied with PACS, based on their perception of its usefulness or lack of usefulness. A satisfied RT may play a pivotal role in the implementation of PACS in the future.
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Affiliation(s)
- Wen-Sheng Tzeng
- Department of Healthcare Administration, I-Shou University, No,8, Yida Rd,, Yanchao District, 82445 Kaohsiung, Taiwan.
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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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Hsiao JL, Wu WC, Chen RF. Factors of accepting pain management decision support systems by nurse anesthetists. BMC Med Inform Decis Mak 2013; 13:16. [PMID: 23360305 PMCID: PMC3563435 DOI: 10.1186/1472-6947-13-16] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2012] [Accepted: 01/25/2013] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Pain management is a critical but complex issue for the relief of acute pain, particularly for postoperative pain and severe pain in cancer patients. It also plays important roles in promoting quality of care. The introduction of pain management decision support systems (PM-DSS) is considered a potential solution for addressing the complex problems encountered in pain management. This study aims to investigate factors affecting acceptance of PM-DSS from a nurse anesthetist perspective. METHODS A questionnaire survey was conducted to collect data from nurse anesthetists in a case hospital. A total of 113 questionnaires were distributed, and 101 complete copies were returned, indicating a valid response rate of 89.3%. Collected data were analyzed by structure equation modeling using the partial least square tool. RESULTS The results show that perceived information quality (γ=.451, p<.001), computer self-efficacy (γ=.315, p<.01), and organizational structure (γ=.210, p<.05), both significantly impact nurse anesthetists' perceived usefulness of PM-DSS. Information quality (γ=.267, p<.05) significantly impacts nurse anesthetists' perceptions of PM-DSS ease of use. Furthermore, both perceived ease of use (β=.436, p<.001, R(2)=.487) and perceived usefulness (β=.443, p<.001, R(2)=.646) significantly affected nurse anesthetists' PM-DSS acceptance (R2=.640). Thus, the critical role of information quality in the development of clinical decision support system is demonstrated. CONCLUSIONS The findings of this study enable hospital managers to understand the important considerations for nurse anesthetists in accepting PM-DSS, particularly for the issues related to the improvement of information quality, perceived usefulness and perceived ease of use of the system. In addition, the results also provide useful suggestions for designers and implementers of PM-DSS in improving system development.
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Affiliation(s)
- Ju-Ling Hsiao
- Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, Tainan, Taiwan, Republic of China
| | - Wen-Chu Wu
- Department of Anesthesiology, Chi-Mei Medical Center, Tainan, Taiwan, Republic of China
| | - Rai-Fu Chen
- Department of Information Management, Chia-Nan University of Pharmacy and Science, No.60, Sec. 1, Erren Rd., Rende Dist, Tainan City, 71710, , Taiwan, Republic of China
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