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Investigating factors influencing the physicians' adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study

机译:孟加拉国医疗系统中影响医生采用电子健康记录(EHR)的调查因素:一项实证研究

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Electronic Health Record (EHR) can promote awareness or knowledge about healthcare among patients and healthcare professionals to improve collaboration between different governmental bodies, and enhance healthcare quality. The aim of the study is to identify the critical farctors affecting the physicians' adoption of EHR in healthcare system of Bangladesh by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) to include Personal Innovativeness in Information Technology and Resistance to Change. A cross-sectional survey questionnaire was used to collect data from 300 participants in different private and public hospitals in Dhaka, the capital city of Bangladesh. The study used partial least square (PLS) method, a statistical analysis technique based on the structural equation modeling (SEM), to analyze the collected data. The results of the study determined that Social Influence (beta = 0.19, P 0.05), Facilitating Conditions (beta = 0.19, P 0.05), and Personal Innovativeness in Information Technology (beta= 0.19, P 0.05) had a significant influence on physicians' Behavioral Intention to adopt the EHR system, whereas Performance Expectancy (beta = 0.08, P 0.05), Effort Expectancy (beta = -0.02, P 0.05), and Resistance to Change (beta = 0.05) had no significant influence. The findings suggest that policymakers should increase the adoption of the EHR system by developing social strategies to encourage physicians to stimulate each other to use the EHR system and ensuring technical sufficiency, training to facilitate the use of the EHR system. In addition, the policymakers should identify physicians who possess a propensity to experiment with new information technologies as well as reduce existing challenges and barriers such as computers crush, poor infrastructure with erratic power supply etc. Moreover, we identify future research areas that provide scholars opportunities to push theoretical and empirical boundaries and offer further insights into the study of the EHR system.
机译:电子健康记录(EHR)可以提高患者和医疗保健专业人员对医疗保健的认识或知识,以改善不同政府机构之间的协作并提高医疗保健质量。该研究的目的是通过扩大对技术的接受和使用的统一理论(UTAUT)来涵盖影响信息技术的个人创新和抵制变革的影响因素,从而确定影响孟加拉国医生在医疗保健系统中采用EHR的关键因素。使用横断面调查问卷从孟加拉国首都达卡的不同私立和公立医院的300名参与者中收集数据。该研究使用偏最小二乘(PLS)方法(一种基于结构方程模型(SEM)的统计分析技术)来分析收集的数据。研究结果确定,社会影响力(β= 0.19,P <0.05),便利条件(β= 0.19,P <0.05)和信息技术中的个人创新(β= 0.19,P <0.05)具有显着影响对医生采用电子病历系统的行为意图的影响,而绩效预期(β= 0.08,P> 0.05),预期工作量(β= -0.02,P> 0.05)和抗变化能力(β= 0.05)没有显着影响。研究结果表明,政策制定者应通过制定社会策略来鼓励医生互相鼓励使用EHR系统并确保技术上的充分性,并通过培训来促进EHR系统的使用,从而增加EHR系统的采用。此外,政策制定者应确定有能力尝试新信息技术并减少现有挑战和障碍(例如计算机崩溃,基础设施差且供电不稳定等)的医师。此外,我们还应确定未来的研究领域,这些领域将为学者提供机会突破理论和经验的界限,并为电子病历系统的研究提供进一步的见解。

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