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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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“PEOU-ATT was significant in one of two tests [101]”
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“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].”
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Metadata
- 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 › Business, Management and Accounting › Management Information Systems › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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