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对基层医疗保健中心综合卫生系统接受度和使用情况的影响因素调查。

An investigation into the effective factors on the acceptance and use of integrated health system in the primary health-care centers.

作者信息

Jahanbakhsh Maryam, Peikari Hamid Reza, Hazhir Farzaneh, Saghaeiannejad-Isfahani Sakineh

机构信息

Department of Management and Health Information Technology, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Management, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

出版信息

J Educ Health Promot. 2018 Oct 29;7:128. doi: 10.4103/jehp.jehp_32_18. eCollection 2018.

Abstract

BACKGROUND

The successful application of the information systems in the health-care domain requires a reasonable recognition of the factors affecting the acceptance and use of such systems. The study aimed to investigate the factors affecting the acceptance and use of an integrated health system (IHS) in Isfahan primary health centers.

MATERIALS AND METHODS

It was an applied and descriptive-analytical survey conducted in Isfahan, Iran. Research population included all IHS's users in the health centers no. 1 and 2 of Isfahan city from which a sample of 320 individuals were selected in total. Data were collected using a questionnaire developed based on the Unified Theory of Acceptance and Use of Technology model. Data were analyzed using partial least squares (PLS) method and SmartPLS software.

RESULTS

The users' behavioral intention to use the IHS system was influenced by performance expectancy, effort expectancy, and social influence, but it was not significantly related to facilitating conditions. Behavioral intention to use the IHS also had a significant relationship with the use of system. Furthermore, performance expectancy was the most important predictor.

CONCLUSIONS

According to the findings, if the system users perceive the positive role of system in performance improvement, its convenience to use, and positive attitude of others toward it, their willingness to accept and use system will increase. Furthermore, it was important for the users that the system helps them in resolving their daily work-related problems and making rational decisions.

摘要

背景

信息系统在医疗保健领域的成功应用需要合理认识影响此类系统接受和使用的因素。本研究旨在调查影响伊斯法罕初级卫生中心综合卫生系统(IHS)接受和使用的因素。

材料与方法

这是一项在伊朗伊斯法罕进行的应用型描述性分析调查。研究人群包括伊斯法罕市第1和第2卫生中心的所有IHS用户,总共从中选取了320名个体作为样本。数据通过基于技术接受与使用统一理论模型开发的问卷收集。数据使用偏最小二乘法(PLS)和SmartPLS软件进行分析。

结果

用户使用IHS系统的行为意向受绩效期望、努力期望和社会影响的影响,但与促进条件无显著关联。使用IHS的行为意向与系统使用也存在显著关系。此外,绩效期望是最重要的预测因素。

结论

根据研究结果,如果系统用户察觉到系统在提高绩效方面的积极作用、其使用便利性以及他人对其的积极态度,他们接受和使用系统的意愿将会增加。此外,对用户而言,系统帮助他们解决日常工作相关问题并做出合理决策很重要。

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