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Cited by 118Electronic Health Records SystemsTechnology Adoption and User BehaviourERP Systems Implementation and Impact

Electronic Medical Records: Are Physicians Ready?

Dansky, Kathryn H., Gamm, Larry D., Vasey, Joseph J., Barsukiewicz, Camille K.·1999·Journal of Healthcare Management
DOI 10.1097/00115514-199911000-00007
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Abstract

The use of electronic medical records (EMR) in healthcare organizations will require substantial changes in the way physicians and their staff provide patient care. This study is the first part of a larger study assessing factors that influence successful implementation of EMR in ambulatory care settings. The purposes of this study were to identify specific attitudes or factors that should be targeted before implementating an EMR project, and demonstrate empirical support for a model of perceived usefulness of EMR. We found that computer experience, computer anxiety, and perceptions of organizational support predict the degree to which physicians and mid-level practitioners view the EMR effort positively. Strategies for the successful management of EMR implementation include engaging the physicians and practitioners in computer activities prior to implementation and providing strong organizational support before and during the redesign effort. Acceptance of EMR by physicians and their support staff is essential if computerization is to be successful, yet anecdotal reports of resistance and negative attitudes are frequently reported. Empirical studies indicate that physicians have not yet embraced this technology. As part of strategic planning and deployment of a computerized patient record, attitudes of end-users must be assessed. Using an integrative framework from the job design literature and management information sciences, we propose that multiple factors influence attitudes toward EMR, offer a conceptual model of end-user acceptance, and present findings from an empirical test of our model.

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  • Perceived usefulness was influenced by perceived ease of use, eHealth and business process alignment, end user involvement, management commitment and support to change, health care provider-patient relationship, and IT experience and knowledge.

    “whereas their perceived usefulness was influenced by the perceived ease of use, eHealth and business process alignment, end user involvement, management commitment and support to change, health care provider-patient relationship, and IT experience and knowledge [25,28,33,56,77,83,86-88].”

    From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [33]

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Authors
Dansky, K. H., Gamm, L. D., Vasey, J. J., & Barsukiewicz, C. K.
Affiliations
Pennsylvania State University (US)
ORCID
Vasey, Joseph J.
Venue
Journal of Healthcare Management
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1999-11
Volume
44
Issue
6
Pages
440-454
ISSN
1096-9012 (ISSN-L)
DOI
10.1097/00115514-199911000-00007
OpenAlex
W2260810268
Cited by
118
References
24
Citations by year
2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 2 · 2015: 7 · 2014: 6 · 2013: 6 · 2012: 5
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Healthcare Management (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
  • Social Sciences › Business, Management and Accounting › Management Information Systems › ERP Systems Implementation and Impact
Keywords
electronic health records, physician attitudes, technology acceptance, perceived usefulness, computer anxiety, computer experience, organizational support, outpatient care, EMR implementation, end-user acceptance, job design, mid-level practitioners
MeSH terms
Age Factors, Ambulatory Care Information Systems, Anxiety, Attitude of Health Personnel, Attitude to Computers, Data Collection, Diffusion of Innovation, Humans, Job Satisfaction, Pennsylvania, Physicians, Practice Management, Medical, United States, Medical Records Systems, Computerized

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