Liu Chung-Feng, Cheng Tain-Junn, Chen Chin-Tung
a Chia Nan University of Pharmacy and Science , Department of Information Management , Tainan , Taiwan.
b Chi Mei Medical Center , Departments of Neurology and Occupational Medicine , Tainan , Taiwan.
Inform Health Soc Care. 2019 Jan;44(1):92-104. doi: 10.1080/17538157.2017.1364250. Epub 2017 Oct 25.
This paper proposes an integrated model for investigating how physicians' perceived individual and technology characteristics affect their technological stress (technostress) that is derived from using mobile electronic medical records (MEMRs). Individual characteristics comprise constructs of mobile self-efficacy and technology dependence, whereas perceived technology characteristics comprise constructs of perceived usefulness, complexity, and reliability. We employed the survey method to collect 158 valid questionnaires from physicians working at three branch hospitals to determine perceptions regarding MEMRs, yielding a response rate of 33.62%. Partial least squares, a structural equation modeling technique, was used for model examination and hypothesis testing. The results show that physicians have a low perception of MEMR dependence and technostress. Furthermore, physicians' perceived MEMR technology dependency, mobile self-efficacy, and complexity were proven to significantly affect physician technostress when using MEMRs, whereas perceived usefulness and reliability were not. The explanatory power of the research model reached 67.8%. The results of this study provide valuable insights and significant knowledge for technostress in health care, particularly from academic and practical perspectives.
本文提出了一个综合模型，用于研究医生所感知的个人特征和技术特征如何影响他们因使用移动电子病历（MEMR）而产生的技术压力（技术应激）。个人特征包括移动自我效能感和技术依赖的构念，而感知到的技术特征包括感知有用性、复杂性和可靠性的构念。我们采用调查方法，从三家分院的医生那里收集了158份有效问卷，以确定他们对移动电子病历的看法，回复率为33.62%。偏最小二乘法是一种结构方程建模技术，用于模型检验和假设检验。结果表明，医生对移动电子病历的依赖性和技术压力的感知较低。此外，医生对移动电子病历技术依赖性、移动自我效能感和复杂性被证明在使用移动电子病历时有显著影响医生的技术压力，而感知有用性和可靠性则没有。研究模型的解释力达到了67.8%。本研究结果为医疗保健中的技术压力提供了有价值的见解和重要知识，特别是从学术和实践的角度。
