首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Determinant factors in applying electronic medical records in healthcare
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Determinant factors in applying electronic medical records in healthcare

机译:在医疗保健中应用电子病历的决定性因素

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Background : Electronic Medical Record (EMR) offers remarkable facilities such as reducing medical errors, decreasing healthcare costs and promoting quality of healthcare services by collecting, storing and displaying information at the point of care. Aims : This study was carried out to identify the determinants of electronic medical record (EMR) adoption by presenting a comprehensive model. Methods : This was a cross-sectional study in which 330 healthcare personnel working in hospitals affiliated to Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran, were selected as the study sample. A proposed conceptual path model of technology, organization and environment (TOE), and technology acceptance model (TAM) was developed to identify the determinants of EMR adoption. The model was authorized by structural equation modeling (SEM) and represented by Analysis of Moment Structures (AMOS). Results : The results of the study showed that the integrated model of TOE–TAM explained 68 percent (R2 = 0.68) of the variance of EMR adoption. The findings also evidenced that perceived ease of use, perceived usefulness, technological context, organization context and environmental context have significant effect on EMR adoption. Conclusions : The study findings suggest that the proposed conceptual integrated model of TOE–TAM is a favourable model for identifying the relevant factors of EMR adoption. The present study clearly recognized nine significant determinants that affect end-users’ intention when comprehensive implementation of ERMs is considered.
机译:背景:电子病历(EMR)提供了卓越的功能,例如通过在护理点收集,存储和显示信息来减少医疗错误,降低医疗费用并提高医疗服务质量。目的:本研究旨在通过提出一个综合模型来确定采用电子病历(EMR)的决定因素。方法:这是一项横断面研究,其中选择了330名在伊朗伊斯兰共和国德黑兰德黑兰医科大学附属医院工作的医护人员作为研究样本。提出了技术,组织与环境(TOE)和技术接受模型(TAM)的概念路径模型,以识别采用EMR的决定因素。该模型由结构方程模型(SEM)授权,并由矩量结构分析(AMOS)表示。结果:研究结果表明,TOE-TAM的集成模型解释了EMR采用率的68%(R2 = 0.68)。研究结果还证明,易用性,实用性,技术环境,组织环境和环境环境对采用EMR具有重要影响。结论:研究结果表明,拟议的TOE–TAM概念整合模型是确定采用EMR的相关因素的有利模型。在考虑全面实施企业风险管理时,本研究清楚地认识到影响最终用户意图的九个重要决定因素。

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