KMID : 0603720150210030175
|
|
Journal of Korean Society of Medical Informatics 2015 Volume.21 No. 3 p.175 ~ p.183
|
|
Diffusion of Electronic Medical Record Based Public Hospital Information Systems
|
|
Cho Kyoung-Won
Kim Seong-Min An Chang-Ho Chae Young-Moon
|
|
Abstract
|
|
|
Objectives: This study was conducted to evaluate the adoption behavior of a newly developed Electronic Medical Record
(EMR)-based information system (IS) at three public hospitals in Korea with a focus on doctors and nurses.
Methods: User satisfaction scores from four performance layers were analyzed before and two times after the newly develop system was introduced to evaluate the adoption process of the IS with Rogers¡¯ diffusion theory.
Results: The ¡®intention to use¡¯ scores, the most important indicator for determining whether or not to adopt the IS in Rogers¡¯ confirmation stage for doctors, were very high in the third survey (4.21). In addition, the scores for ¡®reduced medication errors¡¯, which is the key indicator for evaluating the success of the IS, increased in the third survey for both doctors and nurses. The factors influencing ¡®intention to use¡¯ with a high odds ratio (>1.5) were the ¡®frequency of attendance of user training sessions¡¯, ¡®mandatory use of system¡¯, ¡®reduced medication errors¡¯, and ¡®reduced medical record documentation time¡¯ for both doctors and nurses.
Conclusions: These findings show that the new EMR-based IS was well accepted by doctors. Both doctors and nurses also positively considered the effects of the new IS on their clinical environments.
|
|
KEYWORD
|
|
Electronic Medical Records, Information Systems, Evaluation Studies, Diffusion of Innovation, Adoption
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|