Perceived system performance: a test of an extended technology acceptance model
Abstract
In this study, we introduce the notion of perceived system performance (PSP) to extend the technology acceptance model (TAM). We found that PSP explained 46% of the variation in ease of use, a 50% improvement over our current understanding of ease of use while using only one predictor. We also found that, when PSP is absent, TAM was validated as usual. However, when PSP is present, the relationship between ease of use and technology acceptance became insignificant, a phenomenon called conditional independence . We provide a causal reasoning-based explanation for our findings.
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Only one set of reviewed studies focused on electronic medical records, and it evaluated only a trial system temporarily.
“Surprisingly, only one set of studies focused on EMR [107], although it was only a trial system that was temporarily evaluated by study participants.”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [107]
Five reviewed studies collected data from a mix of physicians, nurses, pharmacists, and medical technicians.
“Five studies collected data from a mix of physicians, nurses, pharmacists, and medical technicians [106-110].”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [107]
The added variables in reviewed studies included perceived IT system characteristics, personal characteristics of users, organizational characteristics, and psychological variables such as ownership and trust.
“The list of added variables includes various perceived IT system characteristics such as how well the system performs [96, 107, 112] and how relevant it is to one’s job [106], personal characteristics of users [98, 105, 106], characteristics of the organization such as readiness for IT or technical support [98, 105, 106, 109], and psychological variables such as ownership [101] and trust [103].”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [107]
Some reviewed studies aggregated data across professions, making comparisons possible but not carried out.
“Although individual or profession-specific differences may not have been possible to study in homogeneous samples, such as those comprised of only young physicians [99, 109], all-females [103], or all-males [96], there were studies in which comparisons were possible but not carried out, such as the study aggregating data from physicians, nurses, and information systems department staff [110], one”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [107]
Reviewed studies varied in the stage of health IT studied, including prototypes, trial systems, to-be-implemented systems, and implemented systems of different ages.
“Another is the stage of the health IT; some studies reviewed here studied prototypes [96], trial systems [107], or to-be-implemented systems [108], whereas others studied implemented systems that had been around for different lengths of times.”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [107]
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Enterprise Resource Planning Acceptance Model (ERPAM)
Sternad, S., & Bobek, S. (2013) · IGI Global eBooks · doi:10.4018/978-1-4666-4153-2.ch023
Nasır, S., & Yurder, Y. (2025) · IGI Global eBooks · doi:10.4018/979-8-3373-1514-0.ch014
- Authors
- Liu, L., & Ma, Q.
- Affiliations
- University of Akron (US)
- University of Central Missouri (US)
- ORCID
- Liu, Liping
- Venue
- ACM SIGMIS Database: the DATABASE for Advances in Information Systems
- Published
- 2006-09-19
- Volume
- 37
- Issue
- 2-3
- Pages
- 51-59
- ISSN
- 0095-0033 (ISSN-L)
- 1532-0936
- OpenAlex
- W2059997740
- Cited by
- 80
- References
- 38
- Citations by year
- 2025: 3 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 3 · 2016: 11 · 2015: 3 · 2014: 2 · 2013: 10 · 2012: 5
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- ACM SIGMIS Database the DATABASE for Advances in Information Systems (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Physical Sciences › Computer Science › Human-Computer Interaction › Usability and User Interface Design
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- technology acceptance model, perceived ease of use, technology acceptance, conditional independence, causal reasoning, model extension
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