Choi Jong Soo, Yun Seong Hyeon, Kim Dongsoo, Park Seung Woo
Department of Information Strategy, Samsung Medical Center, Seoul, Korea. ; Department of Industrial and Information Systems Engineering, Soongsil University, Seoul, Korea.
Department of Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea.
Healthc Inform Res. 2014 Apr;20(2):99-108. doi: 10.4258/hir.2014.20.2.99. Epub 2014 Apr 30.
The drug utilization review (DUR) system, which checks any conflict event of medications, contributes to improve patient safety. One of the important barriers in its adoption is doctors' resistance. This study aimed to analyze the impacts of doctors' resistance on the success of the DUR system.
This study adopted an augmented the DeLone and McLean Information System (D&M IS) Success Model (2003), which used doctors' resistance as a socio-technological measure. This study framework is the same as that of the D&M IS Success Model in that it is based on qualities, such as system, information, and services. The major difference is that this study excluded the variable 'use' because it was not statistically significant for mandatory systems. A survey of doctors who used computers to enter prescriptions was conducted at a Korean tertiary hospital in February 2012.
This study is very meaningful in that it is the first study to explore the success factors of the DUR system associated with doctors' resistance. Doctors' resistance to the DUR system was not statistically associated with user usefulness, whereas it affected user satisfaction.
The results indicate that doctors still complain of discomfort in using the DUR system in the outpatient clinical setting, even though they admit that it contributes to patient safety. To mitigate doctors' resistance and raise user satisfaction, more opinions from doctors regarding the DUR system have to be considered and have to be reflected in the system.
药物利用审查（DUR）系统可检查用药方面的任何冲突事件，有助于提高患者安全。其应用的重要障碍之一是医生的抵触情绪。本研究旨在分析医生抵触情绪对DUR系统成功实施的影响。
本研究采用了扩展的德洛内和麦克林信息系统（D&M IS）成功模型（2003年），该模型将医生的抵触情绪作为一种社会技术指标。本研究框架与D&M IS成功模型相同，因为它基于系统、信息和服务等质量要素。主要区别在于本研究排除了“使用”变量，因为它对强制系统没有统计学意义。2012年2月在韩国一家三级医院对使用电脑录入处方的医生进行了一项调查。
本研究具有重要意义，因为它是首次探索与医生抵触情绪相关的DUR系统成功因素的研究。医生对DUR系统的抵触情绪与用户有用性无统计学关联，但会影响用户满意度。
结果表明，尽管医生承认DUR系统有助于患者安全，但他们仍抱怨在门诊临床环境中使用该系统时感到不适。为了减轻医生的抵触情绪并提高用户满意度，必须考虑医生对DUR系统的更多意见，并将其反映在系统中。
