Morton Mary E, Wiedenbeck Susan
University of Mississippi Medical Center, School of Health Related Professions, Jackson, MS, USA.
Perspect Health Inf Manag. 2009 Sep 16;6(Fall):1a.
With a focus on improving the quality of patient care, the President George W. Bush called for electronic health records (EHRs) for all Americans by the year 2014; however, recent estimates for EHR adoption in the ambulatory care environment are just over 10 percent. The objective of this study was to determine the individual characteristics and the social and technical factors that may contribute to physician acceptance of EHRs. This first paper of a two-part study presents a framework grounded in Diffusion of Innovations theory and the Technology Acceptance Model, which was developed using case study and survey methods, and tested using structural equation modeling (SEM). Model variables explained over 73 percent of the variance in attitude toward EHRs, and acceptable model fit was achieved. Lack of user acceptance continues to impede diffusion of EHRs, and this analysis supports the impact that leadership and other organizational changes have on user adoption.
为了专注于提高患者护理质量，乔治·W·布什总统呼吁到2014年为所有美国人建立电子健康记录（EHR）；然而，近期对门诊护理环境中电子健康记录采用情况的估计仅略高于10%。本研究的目的是确定可能有助于医生接受电子健康记录的个体特征以及社会和技术因素。这项分为两部分的研究的第一篇论文提出了一个基于创新扩散理论和技术接受模型的框架，该框架是通过案例研究和调查方法开发的，并使用结构方程模型（SEM）进行了测试。模型变量解释了对电子健康记录态度差异的73%以上，并实现了可接受的模型拟合。用户接受度的缺乏继续阻碍电子健康记录的推广，并且该分析支持了领导力和其他组织变革对用户采用的影响。
