Journal of Education and Health Promotion

An investigation into the effective factors on the acceptance and use of integrated health system in the primary health‑care centers

Document Type : Original Article

Authors

. Maryam Jahanbakhsh
. Hamid Reza Peikari 1
. Farzaneh Hazhir 2
. Sakineh Saghaeiannejad‑Isfahani 3

1 Department of Management, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran,

2 Department of Management and Health Information Technology, School of Management and Medical Information, Isfahan University of Medical Sciences,

3 Social Determinants of Health Research Center, Isfahan University of Medical Science, Isfahan, Iran

Abstract
BACKGROUND: The successful application of the information systems in the health‑care domain
requires a reasonable recognition of the factors affecting the acceptance and use of such systems.
The study aimed to investigate the factors affecting the acceptance and use of an integrated health
system (IHS) in Isfahan primary health centers.
MATERIALS AND METHODS: It was an applied and descriptive–analytical survey conducted in
Isfahan, Iran. Research population included all IHS’s users in the health centers no. 1 and 2 of
Isfahan city from which a sample of 320 individuals were selected in total. Data were collected using a
questionnaire developed based on the Unified Theory of Acceptance and Use of Technology model.
Data were analyzed using partial least squares (PLS) method and SmartPLS software.
RESULTS: The users’ behavioral intention to use the IHS system was influenced by performance
expectancy, effort expectancy, and social influence, but it was not significantly related to facilitating
conditions. Behavioral intention to use the IHS also had a significant relationship with the use of
system. Furthermore, performance expectancy was the most important predictor.
CONCLUSIONS: According to the findings, if the system users perceive the positive role of system
in performance improvement, its convenience to use, and positive attitude of others toward it, their
willingness to accept and use system will increase. Furthermore, it was important for the users that
the system helps them in resolving their daily work‑related problems and making rational decisions.

Keywords

Integrated health system
primary health care
Unified Theory of Acceptance and Use of Technology
  1. McGeorge NM, Hegde S, Guarrera TK, Zhou Y, Lin L, Crane PW,
    et al. Studying the impact of interoperable electronic health records
    on workflow in ambulatory care. Int J Ind Ergon 2015;49:144‑55.
    2. Raymond L, Paré G, Marchand M. Extended use of electronic
    health records by primary care physicians: Does the electronic
    health record artefact matter? Health Informatics Journal
    2017;00:1‑12.
    3. News and Information Center of the Ministry of Health and
    Medical Education. Integrated Health System (SIB) as Important
    Plan of Primary Healthcare in 2016; 2016. Available from:
    http://www.behdasht.gov.ir/?siteid=1&pageid=1508&newsvi
    ew=142544. [Last accessed on 2017 Jul 13].
    4. Importance of Electronic Health Record: Discussion with
    Dr. Nasser Kalantari, Consultant of Deputy of Minister of Health.
    Behvars 2016;2: 5‑13.
    5. Regan EA, Wang J. Realizing the value of EHR systems:
    Critical success factors. Trans Int Conf Health Inf Technol Adv
    2015;3: 20‑36.
    6. Kaplan B, Harris‑Salamone KD. Health IT success and failure:
    Recommendations from literature and an AMIA workshop. J Am
    Med Inform Assoc 2009;16:291‑9.
    7. Sharifian R, Askarian F, Nematolahi M, Farhadi P. Factors
    influencing nurses’ acceptance of hospital information systems
    in Iran: Application of the Unified Theory of Acceptance and Use
    of Technology. Health Inf Manag 2014;43:23‑8.
    8. Cannon MD, Edmondson AC. Confronting failure: Antecedents
    and consequences of shared beliefs about failure in organizational
    work groups. J Organ Behav 2001;22:161‑77.
    9. Bajwa NK, Singh H, De KK. Critical success factors in electronic
    health records (EHR) implementation: An exploratory study in
    North India. Int J Healthc Inf Syst Inform 2017;12:1‑17.
    10. Shahbahrami A, Moayed Rezaie S, Hafezi M. Effective factors in
    acceptance of electronic health record from employees point of
    view. J Guilan Univ Med Sci 2016;24:50‑60.
    11. Maghsoudloo M, Abolhassani F, Lotfibakhshaiesh N. Connecting
    primary health care: A comprehensive pilot study. Acta Med Iran
    2016;54:441‑7.
    12. Gagnon MP, Ghandour el K, Talla PK, Simonyan D, Godin G,
    Labrecque M, et al. Electronic health record acceptance by
    physicians: Testing an integrated theoretical model. J Biomed
    Inform 2014;48:17‑27.
    13. Joos D, Chen Q, Jirjis J, Johnson KB. An electronic medical record
    in primary care: Impact on satisfaction, work efficiency and clinic
    processes. AMIA Annu Symp Proc 2006:394‑8.
    14. Venkatesh V, Sykes TA, Zhang X, editors. ‘Just What the Doctor
    Ordered’: A Revised UTAUT for EMR System Adoption and
    Use by Doctors. System Sciences (HICSS), 2011 44th Hawaii
    International Conference on; 2011: IEEE; 2011.
    15. Venkatesh V, Morris MG, Davis GB, Davis FD. User acceptance
    of information technology: Toward a unified view. MIS Q
    2003;27:425‑78.
    16. Ifinedo P, editor. Technology Acceptance by Health Professionals
    in Canada: An Analysis with a Modified UTAUT Model. System
    Science (HICSS), 2012 45th Hawaii International Conference on;
    2012: IEEE; 2012.
    17. Turan A, Tunç AÖ, Zehir C. A theoretical model proposal:
    Personal innovativeness and user involvement as antecedents of
    Unified Theory of Acceptance and Use of Technology. Procedia
    Soc Behav Sci 2015;210:43‑51.
    18. Doll WJ, Torkzadeh G. Developing a multidimensional
    measure of system‑use in an organizational context. Inf Manage
    1998;33:171‑85.
    19. Nikabadi M, Naghipour N. A model for assessing hospital
    information systems. J Health Adm 2015;18:50‑66.
  2. 20. Scholl J, Syed‑Abdul S, Ahmed LA. A case study of an EMR
    system at a large hospital in India: Challenges and strategies for
    successful adoption. J Biomed Inform 2011;44:958‑67.
    21. Hoque R, Sorwar G. Understanding factors influencing the
    adoption of mHealth by the elderly: An extension of the UTAUT
    model. Int J Med Inform 2017;101:75‑84.
    22. Kijsanayotin B, Pannarunothai S, Speedie SM. Factors influencing
    health information technology adoption in Thailand’s community
    health centers: Applying the UTAUT model. Int J Med Inform
    2009;78:404‑16.
    23. Jahanbakhsh M, Nazemi Z. The Study of Factors Affecting
    Adoption and Use of Picture Archiving and Communication
    System at Ayatollah Kashani Hospital Using Unified Theory of
    Acceptance and Use of Technology (Research Project). Isfahan,
    Iran: Faculty of Management and Medical Information, Isfahan
    University of Medical Sciences; 2015.
    24. Goudarzvand Ghegini M, Esmaeili S. The study of organizational
    culture associated with Unified Theory of Acceptance and Use
    of Technology model in hospitals of rasht. J Payavard Salamat
    2015;9:29‑42.
    25. Holtz B, Krein S. Understanding nurse perceptions of a newly
    implemented electronic medical record system. J Technol Hum
    Serv 2011;29:247‑62.
    26. Phichitchaisopa N, Naenna T. Factors affecting the adoption of
    healthcare information technology. EXCLI J 2013;12:413‑36.
    27. Zuiderwijk A, Janssen M, Dwivedi YK. Acceptance and use
    predictors of open data technologies: Drawing upon the Unified
    Theory of Acceptance and Use of Technology. Gov Inf Q
    2015;32:429‑40.
    28. Love VD. Improving Electronic Health Record Adoption among
    Rural Health‑Care Workers: A Correlational Study: Capella
    University; 2015. 
Journal of Education and Health Promotion
Volume 8, Issue 10
October 2018
Pages 1-6

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us