Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2(UTAUT2) model.

Background: Electronic Medical Records (EMRs) are systems to store patient information like medical histories, test results, and medications electronically. It helps to give quality service by improving data handling and communication in healthcare setting. EMR implementation in developing countries...

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Publicado en:BMC Medical Informatics & Decision Making Vol. 20; no. 1
Autores principales: Ahmed, Mohammedjud Hassen, Bogale, Adina Demissie, Tilahun, Binyam, Kalayou, Mulugeta Hayelom, Klein, Jorn, Mengiste, Shegaw Anagaw, Endehabtu, Berhanu Fikadie
Formato: research Journal Article
Publicado: BioMed Central 9/3/2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2(UTAUT2) model.
      aug:
        au:
          Ahmed, Mohammedjud Hassen
          Bogale, Adina Demissie
          Tilahun, Binyam
          Kalayou, Mulugeta Hayelom
          Klein, Jorn
          Mengiste, Shegaw Anagaw
          Endehabtu, Berhanu Fikadie
        affil: Department of Health Informatics, Institute of Public Health, Mettu University, P.o.box: 196, Metu Zuria, Ethiopia
      sug:
        subj:
          Intention
          Referral and Consultation
          Health Personnel
          Technology
          Human
          Hospitals
          Ethiopia
          Female
          Adult
          Male
          Cross Sectional Studies
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Ferrans and Powers Quality of Life Index
          Social Readjustment Rating Scale
          Adult: 19-44 years
          Female
          Male
      ab: Background: Electronic Medical Records (EMRs) are systems to store patient information like medical histories, test results, and medications electronically. It helps to give quality service by improving data handling and communication in healthcare setting. EMR implementation in developing countries is increasing exponentially. But, only few of them are successfully implemented. Intention to use EMRs by health care provider is crucial for successful implementation and adoption of EMRs. However, intention of health care providers to use EMR in Ethiopia is unknown.Objective: The aim of this study was to assess health care provider's intention to use and its predictors towards Electronic Medical Record systems at three referral hospitals in north-west, Ethiopia, 2019.Methods: Institutional based cross-sectional explanatory study design was conducted from March to September among 420 health care providers working at three referral hospitals in north-west Ethiopia. Data were analyzed using structural equation model (SEM). Simple and multiple SEM were used to assess the determinants of health care providers intention to use EMRs. Critical ratio and standardized coefficients were used to measure the association of dependent and independent variables, 95% confidence intervals and P-value were calculated to evaluate statistical significance. Qualitative data was analyzed using thematic analysis.Result: The mean age of the study subjects was 32.4 years ±8.3 SD. More than two-third 293(69.8%) of the participants were male. Among 420 health care providers, only 167 (39.8%) were scored above the mean of intention to use EMRs. Factors positively associated with intention to use EMRs were performance expectancy (β = 0.39, p < 0.001), effort expectancy (β = 0.24,p < 0.001),social influence (β = 0.18,p < 0.001),facilitating condition (β = 0.23,p < 0.001), and computer literacy (β = 0.08,p < 0.001). Performance expectancy was highly associated with intention to use EMRs.Conclusion: Generally, about 40 % of health care providers were scored above the mean of intention to use EMRs. Performance expectancy played a major role in determining health care providers' intention to use EMRs. The intention of health care providers to use EMRs was attributed by social influence, facilitating condition in the organization, effort expectancy, performance expectancy and computer literacy. Therefore, identifying necessary prerequisites before the actual implementation of EMRs will help to improve the implementation status.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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