Handayani P W, Hidayanto A N, Pinem A A, Hapsari I C, Sandhyaduhita P I, Budi I
Faculty of Computer Science, Universitas Indonesia, Indonesia.
Int J Med Inform. 2017 Mar;99:11-28. doi: 10.1016/j.ijmedinf.2016.12.004. Epub 2016 Dec 16.
The purpose of this study is to develop a model of Hospital Information System (HIS) user acceptance focusing on human, technological, and organizational characteristics for supporting government eHealth programs. This model was then tested to see which hospital type in Indonesia would benefit from the model to resolve problems related to HIS user acceptance.
This study used qualitative and quantitative approaches with case studies at four privately owned hospitals and three government-owned hospitals, which are general hospitals in Indonesia. The respondents involved in this study are low-level and mid-level hospital management officers, doctors, nurses, and administrative staff who work at medical record, inpatient, outpatient, emergency, pharmacy, and information technology units. Data was processed using Structural Equation Modeling (SEM) and AMOS 21.0.
The study concludes that non-technological factors, such as human characteristics (i.e. compatibility, information security expectancy, and self-efficacy), and organizational characteristics (i.e. management support, facilitating conditions, and user involvement) which have level of significance of p<0.05, significantly influenced users' opinions of both the ease of use and the benefits of the HIS. This study found that different factors may affect the acceptance of each user in each type of hospital regarding the use of HIS. Finally, this model is best suited for government-owned hospitals.
Based on the results of this study, hospital management and IT developers should have more understanding on the non-technological factors to better plan for HIS implementation. Support from management is critical to the sustainability of HIS implementation to ensure HIS is easy to use and provides benefits to the users as well as hospitals. Finally, this study could assist hospital management and IT developers, as well as researchers, to understand the obstacles faced by hospitals in implementing HIS.
本研究旨在开发一个医院信息系统（HIS）用户接受度模型，该模型聚焦于人力、技术和组织特征，以支持政府的电子健康计划。然后对该模型进行测试，以确定印度尼西亚的哪种医院类型将从该模型中受益，从而解决与HIS用户接受度相关的问题。
本研究采用定性和定量方法，并在印度尼西亚的四家私立医院和三家公立医院进行案例研究，这些医院均为综合医院。参与本研究的受访者包括医院的低层和中层管理人员、医生、护士以及在病历、住院、门诊、急诊、药房和信息技术部门工作的行政人员。数据使用结构方程模型（SEM）和AMOS 21.0进行处理。
研究得出结论，非技术因素，如人力特征（即兼容性、信息安全预期和自我效能感）以及组织特征（即管理支持、便利条件和用户参与），其显著性水平p<0.05，对用户对HIS易用性和益处的看法有显著影响。本研究发现，不同因素可能会影响每种类型医院中每个用户对HIS使用的接受度。最后，该模型最适合公立医院。
基于本研究结果，医院管理层和IT开发人员应更多地了解非技术因素，以便更好地规划HIS的实施。管理层的支持对于HIS实施的可持续性至关重要，以确保HIS易于使用，并为用户和医院带来益处。最后，本研究可以帮助医院管理层和IT开发人员以及研究人员了解医院在实施HIS时面临的障碍。
