Department of Information Systems, Al Albayt University, Al-Mafraq, Jordan.
Department of Management Information Systems, University of Illinois at Springfield, Springfield, USA.
Inform Health Soc Care. 2020 Jan;45(1):43-56. doi: 10.1080/17538157.2018.1540423. Epub 2018 Nov 20.
Implementing a health information system (HIS) to enhance healthcare services and patients' experience has become a growing trend in developing countries. Yet little is known about acquainted users' attitudes on continuing the use of an HIS after adoption. Healthcare professionals (physicians and nurses in particular) are reluctant to use HISs because they perceive them as an interruption of their interaction with patients, thus negatively influencing their efficiency. In this study, we extend the technology acceptance model (TAM) by integrating habit as an exogenous variable that affects HISs' perceived ease of use (PEOU) and perceived usefulness (PU) to investigate experienced healthcare professionals' attitudes in continuing to use an HIS. The setting of this study is a developing country (Jordan) that implemented a nationwide HIS named Hakeem. The findings show that in the context of healthcare, attitude is the major determinant to continue using HISs. Findings also show that habit significantly increases healthcare professionals' perception of PU and PEOU, which improves their attitudes toward continuing to use HISs. These findings have implications for both research and practice.
在发展中国家，实施健康信息系统（HIS）以增强医疗服务和患者体验已成为一种趋势。然而，对于采用 HIS 后熟悉用户继续使用的态度，人们知之甚少。医疗保健专业人员（特别是医生和护士）不愿意使用 HIS，因为他们认为这会干扰他们与患者的互动，从而降低他们的工作效率。在这项研究中，我们通过将习惯作为影响 HIS 感知易用性（PEOU）和感知有用性（PU）的外生变量来扩展技术接受模型（TAM），以调查有经验的医疗保健专业人员对继续使用 HIS 的态度。本研究的背景是一个发展中国家（约旦），它实施了一个名为 Hakeem 的全国性 HIS。研究结果表明，在医疗保健环境中，态度是继续使用 HIS 的主要决定因素。研究结果还表明，习惯显著增加了医疗保健专业人员对 PU 和 PEOU 的感知，从而改善了他们继续使用 HIS 的态度。这些发现对研究和实践都具有意义。
