Department of Health Management, Faculty of Health Sciences, Marmara University, 34722 Istanbul, Turkey; Department of Health Management, Istanbul Gelisim University, 34310 Istanbul, Turkey.
Department of Health Informatics and Technologies, Faculty of Health Sciences, Marmara University, 34722 Istanbul, Turkey.
Int J Med Inform. 2024 Oct;190:105556. doi: 10.1016/j.ijmedinf.2024.105556. Epub 2024 Jul 20.
In the rapidly evolving landscape of information technologies, individuals and organizations must adapt to the digital age. Given the diversity in users' knowledge and experience with technology, their acceptance levels also vary. Over the past 30 years, various theoretical models have been introduced to provide a framework for understanding user acceptance of technology. Among these, the Technology Acceptance Model (TAM) stands out as a key theoretical framework, offering insights into why new technologies are either accepted or rejected. Analyzing user acceptance of technology has thus become a critical area of study. Healthcare organizations aim to assess the perceived efficacy and user-friendliness of a given technology. This will help health organisations design and implement HIS that meet users' needs and preferences. In this context, how does the TAM clarify the acceptance and use of Health Information Systems (HIS)? To address this inquiry, a comprehensive literature review will be carried out. The systematic review involved 29 studies issued between 2018 and 2023 and searched the databases Pubmed, Scopus, Wos and Ulakbim TR Index. The PRISMA flowchart was used to identify the included studies. According to the results, some variables stand out in the acceptance and utilisation of HIS. Among the users of HIS, it can be said that the results relating to nurses stand out. In particular, there are studies which emphasise that 'gender' is a crucial factor in explaining the models. Another crucial finding of the current systematic review is the need to train users in the acceptance and use of HIS.
在信息技术飞速发展的时代,个人和组织必须适应数字化时代。鉴于用户对技术的知识和经验存在差异,他们的接受程度也各不相同。在过去的 30 年中,已经引入了各种理论模型来为理解用户对技术的接受程度提供框架。在这些模型中,技术接受模型 (TAM) 是一个重要的理论框架,它深入分析了为什么新技术会被接受或拒绝。因此,分析用户对技术的接受程度已成为一个关键的研究领域。医疗保健组织旨在评估特定技术的感知效果和用户友好性。这将有助于卫生组织设计和实施符合用户需求和偏好的 HIS。在这种情况下,TAM 如何阐明对健康信息系统 (HIS) 的接受和使用?为了解决这个问题,将进行全面的文献综述。系统评价涉及 2018 年至 2023 年间发表的 29 项研究,并在 Pubmed、Scopus、Wos 和 Ulakbim TR Index 数据库中进行了搜索。使用 PRISMA 流程图来确定纳入的研究。根据结果,一些变量在 HIS 的接受和利用中显得尤为突出。在 HIS 的用户中,可以说与护士相关的结果尤为突出。特别是,有一些研究强调“性别”是解释模型的关键因素。当前系统评价的另一个重要发现是需要对用户进行接受和使用 HIS 的培训。