Ernstmann Nicole, Ommen Oliver, Neumann Melanie, Hammer Antje, Voltz Raymond, Pfaff Holger
Center for Health Services Research Cologne, University of Cologne, Cologne, Germany.
J Med Syst. 2009 Jun;33(3):181-8. doi: 10.1007/s10916-008-9178-0.
In Germany e-health cards will be distributed nationwide to over 80 million patients. Given the impending mandatory introduction of the e-health technology, the objective of this study was to examine the determinants of primary care physicians' acceptance of the technological innovation. The study was conducted prior to the introduction of the e-health cards. A questionnaire survey was carried out addressing primary care physicians from different fields. The reduction of medication error rates and the improvement of communication between medical caregivers are central aspects of the perceived usefulness. Primary care physicians rate their involvement in the process of the development of the technology and their own IT expertise concerning the technological innovation as rather low. User involvement and IT expertise can explain 46 % of the variance of perceived usefulness of the e-health card. User involvement plays a crucial role in the adoption of the German e-health card. Primary care physician's perspective should be represented in the process of developing and designing the technology.
在德国，电子健康卡将在全国范围内发放给超过8000万患者。鉴于即将强制引入电子健康技术，本研究的目的是考察基层医疗医生对这项技术创新接受程度的决定因素。该研究在电子健康卡引入之前进行。针对不同领域的基层医疗医生开展了问卷调查。降低用药错误率以及改善医护人员之间的沟通是感知有用性的核心方面。基层医疗医生认为他们在技术开发过程中的参与度以及自身关于该技术创新的信息技术专业知识水平较低。用户参与度和信息技术专业知识能够解释电子健康卡感知有用性差异的46%。用户参与度在德国电子健康卡的采用过程中起着关键作用。在技术开发和设计过程中应体现基层医疗医生的观点。
