Sawalha Raya, Ahmad Fayez, Al Zabadi Hamzeh, Khayyat Abdulsalam, Jallad Samar Thabet, Amro Tareq, Zagha Rami
Department of Public Health, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Public Health Management Program, Faculty of Graduate Studies, An-Najah National University, Nablus, Palestine.
Front Health Serv. 2024 Sep 30;4:1458096. doi: 10.3389/frhs.2024.1458096. eCollection 2024.
The Avicenna unified Health Information System (HIS) was implemented by the Palestinian Ministry of Health in 2010 across government hospitals. Despite its potential, the acceptance of Avicenna HIS by healthcare providers remains unclear after 14 years of application. Understanding the factors that influence healthcare provider acceptance is essential for optimizing the system's success. We investigated factors affecting acceptance of Avicenna HIS among healthcare providers in Palestinian healthcare institutions, focusing on perceived usefulness, ease of use, human factors, technological factors, and organizational support.
A cross-sectional study was conducted at the Palestine Medical Complex (PMC) in Ramallah, West Bank, where the Avicenna HIS has been fully implemented since 2010. A systematic random sampling was used to select participants, resulting in 300 completed questionnaires. The study utilized a self-administered questionnaire adapted from a structured tool based on the Technology Acceptance Model (TAM). The questionnaire was validated through expert review and pilot testing, achieving a Cronbach's alpha of 0.86. Each selected healthcare provider was contacted face-to-face, and written informed consent was obtained before administering the questionnaire.
A total of 300 questionnaires were completed and returned. The study sample included 178 males (59.3%) and 122 females (40.7%). The majority of participants was aged 20-39 years (270 participants, 90%) and held a bachelor's degree (250 participants, 83.3%). Nurses comprised the largest professional group (153 participants, 51.0%). High levels of perceived usefulness and ease of use were reported, both with mean scores of 4.511 (S.D. = 0.295). Technological factors had a mean score of 4.004 (S.D. = 0.228), while organizational factors scored 2.858 (S.D. = 0.304). Overall acceptance of the HIS was moderately high, with a mean score of 4.218 (S.D. = 0.387). Significant differences in perceived usefulness and ease of use were noted based on gender, age, and experience.
This study concludes that both technological and human factors significantly influence the acceptance of HIS among healthcare providers in Palestine. To improve HIS adoption, it is recommended to enhance system functionality, ensure reliable data quality, and provide comprehensive training programs for healthcare providers.
阿维森纳统一健康信息系统（HIS）于2010年由巴勒斯坦卫生部在各政府医院实施。尽管其具有潜力，但在应用14年后，医疗服务提供者对阿维森纳HIS的接受情况仍不明确。了解影响医疗服务提供者接受度的因素对于优化该系统的成功至关重要。我们调查了巴勒斯坦医疗机构中影响医疗服务提供者对阿维森纳HIS接受度的因素，重点关注感知有用性、易用性、人为因素、技术因素和组织支持。
在约旦河西岸拉马拉的巴勒斯坦医疗中心（PMC）进行了一项横断面研究，自2010年以来阿维森纳HIS已在该中心全面实施。采用系统随机抽样方法选择参与者，共获得300份完整问卷。该研究使用了一份根据基于技术接受模型（TAM）的结构化工具改编的自填式问卷。该问卷经专家评审和预测试验证，Cronbach's α系数为0.86。在发放问卷前，与每位选定的医疗服务提供者进行面对面接触并获得书面知情同意。
共完成并返回300份问卷。研究样本包括178名男性（59.3%）和122名女性（40.7%）。大多数参与者年龄在20 - 39岁之间（270名参与者，90%），拥有学士学位（250名参与者，83.3%）。护士是最大的专业群体（153名参与者，51.0%）。报告显示感知有用性和易用性水平较高，平均得分均为4.511（标准差 = 0.295）。技术因素平均得分为4.004（标准差 = 0.228），而组织因素得分为2.858（标准差 = 0.304）。HIS的总体接受度中等偏高，平均得分为4.218（标准差 = 0.387）。在感知有用性和易用性方面，根据性别、年龄和经验存在显著差异。
本研究得出结论，技术和人为因素均显著影响巴勒斯坦医疗服务提供者对HIS的接受度。为提高HIS的采用率，建议增强系统功能、确保可靠的数据质量，并为医疗服务提供者提供全面的培训计划。
