The effects of creating psychological ownership on physicians’ acceptance of clinical information systems
Open accessAbstract
OBJECTIVE: Motivated by the need to push further our understanding of physicians' acceptance of clinical information systems, we propose a relatively new construct, namely, psychological ownership. We situated the construct within a nomological net using a prevailing and dominant information technology adoption behavior model as a logical starting point. DESIGN: A mail survey was sent to the population of users of a regional physician order entry (POE) system aimed at speeding up the transmission of clinical data, mainly laboratory tests and radiology examinations, within a community health network. MEASUREMENTS: All scales, but one, were measured using previously validated instruments. For its part, the psychological ownership scale was developed using a multistage iterative procedure. RESULTS: Ninety-one questionnaires were returned to the researchers, for a response rate of 72.8%. Our findings reveal that, in order to foster physicians' adoption of a clinical information system, it is important to encourage and cultivate a positive attitude toward using the new system. In this connection, positive perception of the technology's usefulness is crucial. Second, results demonstrate that psychological ownership of a POE system is positively associated with physicians' perceptions of system utility and system user friendliness. Last, through their active involvement and participation, physicians feel they have greater influence on the development process, thereby developing feelings of ownership toward the clinical system. CONCLUSION: Psychological ownership's highly significant associations with user participation and crucial beliefs driving technology acceptance behaviors among physicians affirm the value of this construct in extending our understanding of POE adoption.
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The relationship between perceived ease of use and attitude was significant in one of two tests.
“PEOU-ATT was significant in one of two tests [101]”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [101]
The relationship between perceived usefulness and attitude was significant in three of three tests.
“PU-ATT was significant in three of three [32,101,105]”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [101]
There were cases of measurement misspecification in the reviewed studies, such as using a single-item measure or a heightened enjoyment scale for attitude.
“There were, however, cases of measurement misspecification, for example the use of a single-item measure in one study [105], or the measure of the attitude construct using a “heightened enjoyment” scale in another [101], reflecting a common misunderstanding of attitude theory [122].”
From The Technology Acceptance Model: Its past and its future in health care (2010) · cites this paper as [101]
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- Authors
- Pare, G., Sicotte, C., & Jacques, H.
- Affiliations
- HEC Montréal (CA)
- ORCID
- Sicotte, C.
- Venue
- Journal of the American Medical Informatics Association
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-03-01
- Volume
- 13
- Issue
- 2
- Pages
- 197-205
- ISSN
- 1067-5027 (ISSN-L)
- 1527-974X
- PMC
- PMC1447539
- OpenAlex
- W90011144
- Cited by
- 222
- References
- 60
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 9 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 13 · 2019: 12 · 2018: 16 · 2017: 16 · 2016: 16 · 2015: 14 · 2014: 12 · 2013: 19 · 2012: 14
- FWCI
- 12.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Medical Informatics Association (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- psychological ownership, clinical information systems, physician acceptance, technology acceptance, perceived usefulness, perceived ease of use, user participation, user involvement in system development, nomological network, scale development
- MeSH terms
- Attitude of Health Personnel, Attitude to Computers, Data Collection, Humans, Information Systems, Physicians, Surveys and Questionnaires, Medical Order Entry Systems
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