Howe School of Technology Management, Stevens Institute of Technology, Hoboken, NJ, USA
Portland Patient Safety Center of Inquiry, Portland Oregon Veterans Affairs Medical Center; Oregon Health Sciences University, Portland, OR, USA.
J Am Med Inform Assoc. 2015 May;22(3):718-29. doi: 10.1093/jamia/ocu043. Epub 2015 Mar 15.
To develop and test a parsimonious and actionable model of effective technology use (ETU).
Cross-sectional survey of primary care providers (n = 53) in a large integrated health care organization that recently implemented new medication reconciliation technology.
Surveys assessed 5 technology-related perceptions (compatibility with work values, implementation climate, compatibility with work processes, perceived usefulness, and ease of use) and 1 outcome variable, ETU. ETU was measured as both consistency and quality of technology use.
Compatibility with work values and implementation climate were found to have differential effects on consistency and quality of use. When implementation climate was strong, consistency of technology use was high. However, quality of technology use was high only when implementation climate was strong and values compatibility was high. This is an important finding and highlights the importance of users' workplace values as a key determinant of quality of use.
To extend our effectiveness in implementing new health care information technology, we need parsimonious models that include actionable determinants of ETU and account for the differential effects of these determinants on the multiple dimensions of ETU.
开发和检验一种简洁且可操作的有效技术使用模型（ETU）。
对一家大型综合医疗保健组织中的初级保健提供者（n=53）进行横断面调查，该组织最近实施了新的药物重整技术。
调查评估了 5 个与技术相关的感知因素（与工作价值观的兼容性、实施氛围、与工作流程的兼容性、感知有用性和易用性）和 1 个结果变量，即 ETU。ETU 被衡量为技术使用的一致性和质量。
与工作价值观和实施氛围的兼容性对使用的一致性和质量有不同的影响。当实施氛围很强时，技术使用的一致性很高。然而，只有当实施氛围很强且价值观兼容性很高时，技术使用的质量才会很高。这是一个重要的发现，强调了用户工作场所价值观作为使用质量的关键决定因素的重要性。
为了提高我们在实施新的医疗保健信息技术方面的效果，我们需要简洁的模型，这些模型包括 ETU 的可操作决定因素，并考虑这些决定因素对 ETU 的多个维度的差异化影响。
