Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study
<p>Abstract</p> <p>Background</p> <p>Computer-based clinical decision support systems (CDSS) are regarded as a key element to enhance decision-making in a healthcare environment to improve the quality of medical care delivery. The concern of having new CDSS unused is st...
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| Format: | Article |
| Language: | English |
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BMC
2012-12-01
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| Series: | BMC Medical Informatics and Decision Making |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1472-6947/12/142 |
| _version_ | 1831540304975495168 |
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| author | Sambasivan Murali Esmaeilzadeh Pouyan Kumar Naresh Nezakati Hossein |
| author_facet | Sambasivan Murali Esmaeilzadeh Pouyan Kumar Naresh Nezakati Hossein |
| author_sort | Sambasivan Murali |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Computer-based clinical decision support systems (CDSS) are regarded as a key element to enhance decision-making in a healthcare environment to improve the quality of medical care delivery. The concern of having new CDSS unused is still one of the biggest issues in developing countries for the developers and implementers of clinical IT systems. The main objectives of this study are to determine whether (1) the physician’s perceived professional autonomy, (2) involvement in the decision to implement CDSS and (3) the belief that CDSS will improve job performance increase the intention to adopt CDSS. Four hypotheses were formulated and tested.</p> <p>Methods</p> <p>A questionnaire-based survey conducted between July 2010 and December 2010. The study was conducted in seven public and five private hospitals in Kuala Lumpur, Malaysia. Before contacting the hospitals, necessary permission was obtained from the Ministry of Health, Malaysia and the questionnaire was vetted by the ethics committee of the ministry. Physicians working in 12 hospitals from 10 different specialties participated in the study. The sampling method used was stratified random sampling and the physicians were stratified based on the specialty. A total of 450 physicians were selected using a random number generator. Each of these physicians was given a questionnaire and out of 450 questionnaires, 335 (response rate – 74%) were returned and 309 (69%) were deemed usable.</p> <p>Results</p> <p>The hypotheses were tested using Structural Equation Modeling (SEM). Salient results are: (1) Physicians’ perceived threat to professional autonomy lowers the intention to use CDSS (p < 0.01); (2) Physicians involvement in the planning, design and implementation increases their intention to use CDSS (p < 0.01); (3) Physicians belief that the new CDSS will improve his/her job performance increases their intention to use CDSS (p < 0.01).</p> <p>Conclusion</p> <p>The proposed model with the three main constructs (physician’s professional characteristic, involvement and belief) explains 47% of the variance in the intention to use CDSS. This is significantly higher than the models addressed so far. The results will have a major impact in implementing CDSS in developing countries.</p> |
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| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-16T23:56:36Z |
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| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-42e7d167d41a4cd99953bd11a23936782022-12-21T22:11:11ZengBMCBMC Medical Informatics and Decision Making1472-69472012-12-0112114210.1186/1472-6947-12-142Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional studySambasivan MuraliEsmaeilzadeh PouyanKumar NareshNezakati Hossein<p>Abstract</p> <p>Background</p> <p>Computer-based clinical decision support systems (CDSS) are regarded as a key element to enhance decision-making in a healthcare environment to improve the quality of medical care delivery. The concern of having new CDSS unused is still one of the biggest issues in developing countries for the developers and implementers of clinical IT systems. The main objectives of this study are to determine whether (1) the physician’s perceived professional autonomy, (2) involvement in the decision to implement CDSS and (3) the belief that CDSS will improve job performance increase the intention to adopt CDSS. Four hypotheses were formulated and tested.</p> <p>Methods</p> <p>A questionnaire-based survey conducted between July 2010 and December 2010. The study was conducted in seven public and five private hospitals in Kuala Lumpur, Malaysia. Before contacting the hospitals, necessary permission was obtained from the Ministry of Health, Malaysia and the questionnaire was vetted by the ethics committee of the ministry. Physicians working in 12 hospitals from 10 different specialties participated in the study. The sampling method used was stratified random sampling and the physicians were stratified based on the specialty. A total of 450 physicians were selected using a random number generator. Each of these physicians was given a questionnaire and out of 450 questionnaires, 335 (response rate – 74%) were returned and 309 (69%) were deemed usable.</p> <p>Results</p> <p>The hypotheses were tested using Structural Equation Modeling (SEM). Salient results are: (1) Physicians’ perceived threat to professional autonomy lowers the intention to use CDSS (p < 0.01); (2) Physicians involvement in the planning, design and implementation increases their intention to use CDSS (p < 0.01); (3) Physicians belief that the new CDSS will improve his/her job performance increases their intention to use CDSS (p < 0.01).</p> <p>Conclusion</p> <p>The proposed model with the three main constructs (physician’s professional characteristic, involvement and belief) explains 47% of the variance in the intention to use CDSS. This is significantly higher than the models addressed so far. The results will have a major impact in implementing CDSS in developing countries.</p>http://www.biomedcentral.com/1472-6947/12/142Clinical decision support systemProfessional autonomyPerformance expectancyEffort expectancy,Participation in decision makingIntention to usePhysiciansMalaysia |
| spellingShingle | Sambasivan Murali Esmaeilzadeh Pouyan Kumar Naresh Nezakati Hossein Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study BMC Medical Informatics and Decision Making Clinical decision support system Professional autonomy Performance expectancy Effort expectancy,Participation in decision making Intention to use Physicians Malaysia |
| title | Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study |
| title_full | Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study |
| title_fullStr | Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study |
| title_full_unstemmed | Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study |
| title_short | Intention to adopt clinical decision support systems in a developing country: effect of Physician’s perceived professional autonomy, involvement and belief: a cross-sectional study |
| title_sort | intention to adopt clinical decision support systems in a developing country effect of physician s perceived professional autonomy involvement and belief a cross sectional study |
| topic | Clinical decision support system Professional autonomy Performance expectancy Effort expectancy,Participation in decision making Intention to use Physicians Malaysia |
| url | http://www.biomedcentral.com/1472-6947/12/142 |
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