Acceptance and Use of Hospital Information System: A Study on Medical Records Users Based on Unified Theory of Acceptance and Use of Technology

The importance of users’ role in success or failure of hospital information system and effective factors in successful implementation of these systems is obvious. This study aimed to identify acceptance and use of hospital information systems among medical record department employees at Isfahan teaching hospitals.
This was an applied and analytic study. Research population was staff of medical record departments of 11 teaching hospitals in Isfahan/ Iran. One available user from each medical record unit (admission, statistics, coding and filing) was selected and since in some of the hospitals, the filling unit is not active, totally, 39 users were included in the study. Data were collected through a questionnaire. The validity of the questionnaire was confirmed by 10 academic members and its reliability was determined by Cronbach's alpha (89%). Data were analyzed using Pearson correlation coefficient, one-way analysis of variance, corresponding non-parametric and Kruskal Wallis Test and through SPSS21.
The results showed a strong and positive correlation of behavioral intention with performance expectation (r=0.488), Social effects (r=0.607) and effort expectation (r=0.304). In contrast, there was weak correlation between behavioral intention and facilitating conditions (r=0.197).
The results showed that from the point of views of medical record department’s staff of Isfahan teaching hospitals, use of hospital information system improves job performance and it seems that for improvement of the present systems, users’ expectations and needs are important factors and cause successful implementation of information systems in health sector.