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Cited by 263Technology Adoption and User BehaviourElectronic Health Records SystemsInformation Systems Theories and Implementation

Beyond TAM and UTAUT: Future directions for HIT implementation research

Open access
Shachak, Aviv, Kuziemsky, Craig, Petersen, Carolyn·2019·Journal of Biomedical Informatics
DOI 10.1016/j.jbi.2019.103315
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Abstract

The Technology Acceptance Model (TAM) and Unified Theory of Acceptance and Use of Technology (UTAUT) have been used widely in studies of health information technology (HIT) implementation. However, TAM and UTAUT have also been criticized for being overly simplistic (TAM) and for taking a narrow perspective, which focuses only on individual adopters' beliefs, perceptions and usage intention. Furthermore, with thousands of studies using these theories, their contribution to knowledge has reached a plateau. In this commentary, we discuss some of the criticism of TAM and UTAUT, and argue that biomedical informatics research would benefit from shifting attention from these theories to multi-dimensional approaches that can better capture the complexity of issues surrounding implementation and use of HIT. We propose a number of future undertakings which, in our opinion, are more likely to move the field forward.

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Authors
Shachak, A., Kuziemsky, C., & Petersen, C.
Affiliations
  • University of Toronto (CA)
  • MacEwan University (CA)
  • Mayo Clinic (US)
Corresponding author
Shachak, Aviv
ORCID
Venue
Journal of Biomedical Informatics
Publisher
Elsevier BV
Published
2019-12
Volume
100
Pages
103315
ISSN
1532-0464 (ISSN-L)
DOI
10.1016/j.jbi.2019.103315
OpenAlex
W2980710130
Cited by
263
References
11
Citations by year
2026: 41 · 2025: 54 · 2024: 52 · 2023: 50 · 2022: 33 · 2021: 27 · 2020: 6
FWCI
19.52
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Biomedical Informatics (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health
Topics
  • Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
Keywords
technology acceptance model, UTAUT, health information technology implementation, technology adoption, multidimensional approach, user acceptance
MeSH terms
Attitude to Computers, Computer Simulation, Humans, Medical Informatics, Surveys and Questionnaires

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