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埃塞俄比亚奥罗米亚地区西南部转诊医院医护人员使用个人健康记录的意愿及相关因素:采用改进的技术接受与使用统一理论2模型

Intention to use personal health records and associated factors among healthcare providers in southwest Oromia region referral hospitals, Ethiopia: using the modified unified theory of acceptance and use technology 2 model.

作者信息

Dube Geleta Nenko, Asemahagn Mulusew Andualem, Mulu Yared, Guadie Habtamu Alganeh, Ahmed Mohammedjud Hassen, Walle Agmasie Damtew, Bitacha Getu Kassa, Alameraw Temesgen Ayenew, Meshasha Nega Abebe

机构信息

Department of Health Informatics, College of Health Sciences, Mattu University, Mattu, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Front Digit Health. 2025 Feb 25;7:1368588. doi: 10.3389/fdgth.2025.1368588. eCollection 2025.

Abstract

INTRODUCTION

A well-informed decision needs the collection of accurate and organized data, which is becoming more essential in the healthcare industry due to the increasing integration of various technologies. The literature has revealed that the magnitude of intention to use personal health records among healthcare providers is low. Consequently, this study aimed to assess healthcare providers' intentions to use personal health records and its factors in Ethiopia.

METHODS

A facility-based cross-sectional study was conducted among 781 healthcare providers in referral hospitals in the Southwest Oromia region, Ethiopia. A simple sampling technique was used to select the study participants among healthcare providers. A pretested self-administered questionnaire was used to collect the data. The degree of correlation between exogenous and endogenous variables was described and validated using structural equation modeling using AMOS 26.

RESULTS

The proportion of intention to use personal health records was 57.6%, 95% CI (53.9-61.2). Factors positively associated with intention to use personal health records were performance expectancy (β = 0.325,  < 0.01), effort expectancy (β = 0.289,  < 0.01), social influence (β = 0.216,  < 0.01), and facilitating condition (β = 0.242,  < 0.01). Age (β = 0.269,  = 0.040, β = 0.326,  < 0.001) positively moderated the relationship between performance expectancy, facilitating conditions to intention to use personal health records.

CONCLUSIONS

In general, healthcare providers' intention to use personal health records were promising. Healthcare providers' intentions to use personal health records were significantly influenced by performance expectancy, effort expectancy, social influence, and facilitating conditions. Hence, implementers need to give priority to enhancing the provision of a better system, the knowledge and skills of healthcare providers, and awareness creation among staff by providing continuous training.

摘要

引言

明智的决策需要收集准确且有条理的数据,由于各种技术的日益融合,这在医疗行业变得愈发重要。文献显示,医疗服务提供者使用个人健康记录的意愿程度较低。因此,本研究旨在评估埃塞俄比亚医疗服务提供者使用个人健康记录的意愿及其影响因素。

方法

在埃塞俄比亚奥罗米亚州西南部转诊医院的781名医疗服务提供者中开展了一项基于机构的横断面研究。采用简单抽样技术在医疗服务提供者中选取研究参与者。使用预先测试的自填式问卷收集数据。使用AMOS 26通过结构方程模型描述并验证外生变量和内生变量之间的相关程度。

结果

使用个人健康记录的意愿比例为57.6%,95%置信区间(53.9 - 61.2)。与使用个人健康记录意愿呈正相关的因素有绩效期望(β = 0.325,<0.01)、努力期望(β = 0.289,<0.01)、社会影响(β = 0.216,<0.01)和便利条件(β = 0.242,<0.01)。年龄(β = 0.269,= 0.040,β = 0.326,<0.001)正向调节绩效期望、便利条件与使用个人健康记录意愿之间的关系。

结论

总体而言,医疗服务提供者使用个人健康记录的意愿良好。医疗服务提供者使用个人健康记录的意愿受到绩效期望、努力期望、社会影响和便利条件的显著影响。因此,实施者需要优先加强提供更好的系统、提高医疗服务提供者的知识和技能,并通过提供持续培训提高员工的意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c414/11893608/0f482df1fe9d/fdgth-07-1368588-g001.jpg

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