Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model
Abstract Background Wide adoption of electronic medical records (EMR) systems in the United States can lead to better-quality medical care at lower cost. Despite the laws and financial subsidies by the United States government for service providers and suppliers, interoperability still lags. An unde...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-05-01
|
| Series: | Health Research Policy and Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12961-022-00851-0 |
| _version_ | 1811305831412531200 |
|---|---|
| author | Raghid El-Yafouri Leslie Klieb Valérie Sabatier |
| author_facet | Raghid El-Yafouri Leslie Klieb Valérie Sabatier |
| author_sort | Raghid El-Yafouri |
| collection | DOAJ |
| description | Abstract Background Wide adoption of electronic medical records (EMR) systems in the United States can lead to better-quality medical care at lower cost. Despite the laws and financial subsidies by the United States government for service providers and suppliers, interoperability still lags. An understanding of the drivers of EMR adoption for physicians and the role of policy-making can translate into increased adoption and enhanced information sharing between medical care providers. Methods Physicians across the United States were surveyed to gather primary data on their psychological, social and technical perceptions towards EMR systems. This quantitative study builds on the theory of planned behaviour, the technology acceptance model and the diffusion of innovation theory to propose, test and validate an innovation adoption model for the healthcare industry. A total of 382 responses were collected, and data were analysed via linear regression to uncover the effects of 12 variables on the intention to adopt EMR systems. Results Regression model testing uncovered that government policy-making or mandates and other social factors have little or negligible effect on physicians’ intention to adopt an innovation. Rather, physicians are directly driven by their attitudes and ability to control, and indirectly motivated by their knowledge of the innovation, the financial ability to acquire the system, the holistic benefits to their industry and the relative advancement of the system compared to others. Conclusions Identifying physicians’ needs regarding EMR systems and providing programmes that meet them can increase the potential for reaching the goal of nationwide interoperable medical records. Government, healthcare associations and EMR system vendors can benefit from our findings by working towards increasing physicians’ knowledge of the proposed innovation, socializing how medical care providers and the overall industry can benefit from EMR system adoption, and solving for the financial burden of system implementation and sustainment. |
| first_indexed | 2024-04-13T08:33:30Z |
| format | Article |
| id | doaj.art-8b5cf53bfed8455998edcfda409462e7 |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-04-13T08:33:30Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-8b5cf53bfed8455998edcfda409462e72022-12-22T02:54:10ZengBMCHealth Research Policy and Systems1478-45052022-05-0120111210.1186/s12961-022-00851-0Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic modelRaghid El-Yafouri0Leslie Klieb1Valérie Sabatier2Grenoble Ecole de ManagementTenxor IncGrenoble Ecole de ManagementAbstract Background Wide adoption of electronic medical records (EMR) systems in the United States can lead to better-quality medical care at lower cost. Despite the laws and financial subsidies by the United States government for service providers and suppliers, interoperability still lags. An understanding of the drivers of EMR adoption for physicians and the role of policy-making can translate into increased adoption and enhanced information sharing between medical care providers. Methods Physicians across the United States were surveyed to gather primary data on their psychological, social and technical perceptions towards EMR systems. This quantitative study builds on the theory of planned behaviour, the technology acceptance model and the diffusion of innovation theory to propose, test and validate an innovation adoption model for the healthcare industry. A total of 382 responses were collected, and data were analysed via linear regression to uncover the effects of 12 variables on the intention to adopt EMR systems. Results Regression model testing uncovered that government policy-making or mandates and other social factors have little or negligible effect on physicians’ intention to adopt an innovation. Rather, physicians are directly driven by their attitudes and ability to control, and indirectly motivated by their knowledge of the innovation, the financial ability to acquire the system, the holistic benefits to their industry and the relative advancement of the system compared to others. Conclusions Identifying physicians’ needs regarding EMR systems and providing programmes that meet them can increase the potential for reaching the goal of nationwide interoperable medical records. Government, healthcare associations and EMR system vendors can benefit from our findings by working towards increasing physicians’ knowledge of the proposed innovation, socializing how medical care providers and the overall industry can benefit from EMR system adoption, and solving for the financial burden of system implementation and sustainment.https://doi.org/10.1186/s12961-022-00851-0Electronic medical records adoptionElectronic health records adoptionInnovation adoptionTechnology acceptanceIntentions of physiciansInfluence of policy |
| spellingShingle | Raghid El-Yafouri Leslie Klieb Valérie Sabatier Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model Health Research Policy and Systems Electronic medical records adoption Electronic health records adoption Innovation adoption Technology acceptance Intentions of physicians Influence of policy |
| title | Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model |
| title_full | Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model |
| title_fullStr | Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model |
| title_full_unstemmed | Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model |
| title_short | Psychological, social and technical factors influencing electronic medical records systems adoption by United States physicians: a systematic model |
| title_sort | psychological social and technical factors influencing electronic medical records systems adoption by united states physicians a systematic model |
| topic | Electronic medical records adoption Electronic health records adoption Innovation adoption Technology acceptance Intentions of physicians Influence of policy |
| url | https://doi.org/10.1186/s12961-022-00851-0 |
| work_keys_str_mv | AT raghidelyafouri psychologicalsocialandtechnicalfactorsinfluencingelectronicmedicalrecordssystemsadoptionbyunitedstatesphysiciansasystematicmodel AT leslieklieb psychologicalsocialandtechnicalfactorsinfluencingelectronicmedicalrecordssystemsadoptionbyunitedstatesphysiciansasystematicmodel AT valeriesabatier psychologicalsocialandtechnicalfactorsinfluencingelectronicmedicalrecordssystemsadoptionbyunitedstatesphysiciansasystematicmodel |