Abstract
Background & Object: In recent years, US and some European countries has implemented the Electronic Medical Record (EMR) Exchange system to enhance the quality of care, reduce medical errors and costs of healthcare. Although Taiwan followed advanced countries’ steps to promote EMR exchange by government policies, hospital had different approaches and completions individually due to their strategies and resources. Hence, the factors affecting hospitals’ EMR exchange intention was an important issue for us to explore. Methods: A cross-sectional study conducted which was used structured questionnaire based on the technology-organization-environment theory. The subjects included the in charge physicians and information officers of electronic medical records exchange from 343 hospitals implemented EMR exchange system. 155 hospital physicians and 168 information officers were responded and the response rate was 45.2% and 49% respectively. SPSS 21.0 statistical software was used for subsequent analysis. Results: According to the bivariate analysis, hospital physicians and information officers had significant difference in the variable of ＂laws and regulations＂ (t=-2.656，p value＜0.01). We also found from multiple regression analysis, the factors which influenced the physicians' intention of EMR exchange were ＂perceived benefits＂(β=0.208, p＜0.05), ＂compatibility＂(β=0.231, p＜0.05), and ＂laws and regulations＂(β=0.180, p＜0.05). in contrast to the information officers, the factors influenced the intention of EMR exchange were ＂perceived benefits＂(β=0.270, p＜0.01), ＂management support＂(β=0.265, p＜0.001), and ＂laws and regulations＂(β=0.215, p＜0.01). Conclusion: For the intention of EMR exchange, both the ＂perceived benefits＂ and ＂laws and regulations＂ were significant factors for hospital physicians and information officers. However, hospital physicians were more concerned about EMR’s ＂compatibility＂ and information officers demanded for ＂management support＂ from hospital executives. We suggest that hospital should get IT capability and executives support to build up EMR exchange system. Also government should establish policies and provide incentives for hospitals to increase the EMR adoption intention and behaviors.
| Translated title of the contribution | The factors affecting hospital physicians and information officers’ electronic health records exchange intention |
|---|---|
| Original language | Chinese (Traditional) |
| Pages (from-to) | 13-26 |
| Number of pages | 14 |
| Journal | 醫療資訊雜誌 |
| Volume | 24 |
| Issue number | 4 |
| Publication status | Published - 2015 |