The Effects of Organizational Contextual Factors on Physician's Attitude toward Adoption of Electronic Medical Records, Based on Technology Acceptance Model
Background And AimInclusive implementation of Electronic Medical Records (EMR) is more serious because of physicians perception. This study was carried out to identify the effects of organizational contextual factors on physicians perception regarding EMRs adoption in 2013 (The merger of Tehran University and Iran).
Materials And MethodsThis was a descriptive, analytical and cross- sectional study in which a sample of 270 physicians working in hospitals affiliated to Tehran University of Medical Sciences was selected. Physicians perception toward adoption of EMR has been assessed by Technology Acceptance Model or TAM questionnaire and organizational context variables. Collected data were analyzed by SPSS. The study model was tested by Structural Equation Modeling (SEM) and represented by AMOS.
ResultsThe findings showed that perceived usefulness (PU), perceived ease of use (PEOU), management support, physicians involvement, physicians autonomy, and physician- patient relationship have direct and significant effect on physicians attitudes toward EMR adoption. However, training has no significant effect on TAM variables. Moreover, the results showed authorizing proposed conceptual path model explained about 56 percent of the variance of EMR adoption.
ConclusionThe present study revealed that organizational context factors had significant effect on physicians attitude toward EMRs adoption. The study clearly identified six relevant factors that affected physicians perception regarding EMR adoption. These factors should be considered when comprehensive implementation is pursued.
Payavard Salamat, Volume:10 Issue:2, 2016
181 - 193
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