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首页> 外文期刊>BMC Medical Informatics and Decision Making >Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study
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Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study

机译：在发展中国家采用临床决策支持制度的意图：医师感知专业自治，参与和信仰的影响：横断面研究

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Background Computer-based clinical decision support systems (CDSS) are regarded as a key element to enhance decision-making in a healthcare environment to improve the quality of medical care delivery. The concern of having new CDSS unused is still one of the biggest issues in developing countries for the developers and implementers of clinical IT systems. The main objectives of this study are to determine whether (1) the physician’s perceived professional autonomy, (2) involvement in the decision to implement CDSS and (3) the belief that CDSS will improve job performance increase the intention to adopt CDSS. Four hypotheses were formulated and tested. Methods A questionnaire-based survey conducted between July 2010 and December 2010. The study was conducted in seven public and five private hospitals in Kuala Lumpur, Malaysia. Before contacting the hospitals, necessary permission was obtained from the Ministry of Health, Malaysia and the questionnaire was vetted by the ethics committee of the ministry. Physicians working in 12 hospitals from 10 different specialties participated in the study. The sampling method used was stratified random sampling and the physicians were stratified based on the specialty. A total of 450 physicians were selected using a random number generator. Each of these physicians was given a questionnaire and out of 450 questionnaires, 335 (response rate – 74%) were returned and 309 (69%) were deemed usable. Results The hypotheses were tested using Structural Equation Modeling (SEM). Salient results are: (1) Physicians’ perceived threat to professional autonomy lowers the intention to use CDSS (p Conclusion The proposed model with the three main constructs (physician’s professional characteristic, involvement and belief) explains 47% of the variance in the intention to use CDSS. This is significantly higher than the models addressed so far. The results will have a major impact in implementing CDSS in developing countries.
机译：背景技术基于计算机的临床决策支持系统（CDSS）被视为加强医疗环境中决策，以提高医疗递送的质量的关键要素。让新的CDSS未使用的关注仍然是发展中国家为临床IT系统开发者和实施者的最大问题之一。本研究的主要目标是确定（1）医生的感知专业自主权，（2）参与执行CDSS的决定和（3）认为CDSS将改善工作绩效的信念增加采用CDS的意图。配制并测试了四个假设。方法对2010年7月至2010年12月进行的问卷调查。该研究在七个公共和五家吉隆坡，马来西亚私营医院进行。在联系医院之前，从卫生部，马来西亚和调查问卷获得了必要的许可。由该部的道德委员会审查。在10家不同专业的12家医院工作的医生参加了这项研究。所用的采样方法是分层随机抽样，医生基于专业分层。使用随机数发生器选择共450个医生。这些医生中的每一个都有一个调查问卷，其中450个问卷，返回335名（反应率 - 74％），并认为309（69％）可用。结果使用结构方程建模（SEM）测试假设。突出结果是：（1）医生对专业自治的感知威胁降低了使用CDS的意图（P结论拟议模型与三个主要建筑（医生的专业特征，参与和信仰）解释了意图方差的47％的差异使用CDSS。这显着高于到目前为止所解决的模型。结果将对发展中国家的CDS进行重大影响。

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