Impact of Doctors' Resistance on Success of Drug Utilization Review System
ObjectivesThe drug utilization review (DUR) system, which checks any conflict event of medications, contributes to improve patient safety. One of the important barriers in its adoption is doctors' resistance. This study aimed to analyze the impacts of doctors' resistance on the success of...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
The Korean Society of Medical Informatics
2014-04-01
|
Series: | Healthcare Informatics Research |
Subjects: | |
Online Access: | http://e-hir.org/upload/pdf/hir-20-99.pdf |
_version_ | 1798025644753289216 |
---|---|
author | Jong Soo Choi Seong Hyeon Yun Dongsoo Kim Seung Woo Park |
author_facet | Jong Soo Choi Seong Hyeon Yun Dongsoo Kim Seung Woo Park |
author_sort | Jong Soo Choi |
collection | DOAJ |
description | ObjectivesThe drug utilization review (DUR) system, which checks any conflict event of medications, contributes to improve patient safety. One of the important barriers in its adoption is doctors' resistance. This study aimed to analyze the impacts of doctors' resistance on the success of the DUR system.MethodsThis study adopted an augmented the DeLone and McLean Information System (D&M IS) Success Model (2003), which used doctors' resistance as a socio-technological measure. This study framework is the same as that of the D&M IS Success Model in that it is based on qualities, such as system, information, and services. The major difference is that this study excluded the variable 'use' because it was not statistically significant for mandatory systems. A survey of doctors who used computers to enter prescriptions was conducted at a Korean tertiary hospital in February 2012.ResultsThis study is very meaningful in that it is the first study to explore the success factors of the DUR system associated with doctors' resistance. Doctors' resistance to the DUR system was not statistically associated with user usefulness, whereas it affected user satisfaction.ConclusionsThe results indicate that doctors still complain of discomfort in using the DUR system in the outpatient clinical setting, even though they admit that it contributes to patient safety. To mitigate doctors' resistance and raise user satisfaction, more opinions from doctors regarding the DUR system have to be considered and have to be reflected in the system. |
first_indexed | 2024-04-11T18:23:24Z |
format | Article |
id | doaj.art-9dc5a0d61f184c75aefa3e6ee5cf7b4a |
institution | Directory Open Access Journal |
issn | 2093-3681 2093-369X |
language | English |
last_indexed | 2024-04-11T18:23:24Z |
publishDate | 2014-04-01 |
publisher | The Korean Society of Medical Informatics |
record_format | Article |
series | Healthcare Informatics Research |
spelling | doaj.art-9dc5a0d61f184c75aefa3e6ee5cf7b4a2022-12-22T04:09:43ZengThe Korean Society of Medical InformaticsHealthcare Informatics Research2093-36812093-369X2014-04-012029910810.4258/hir.2014.20.2.99745Impact of Doctors' Resistance on Success of Drug Utilization Review SystemJong Soo Choi0Seong Hyeon Yun1Dongsoo Kim2Seung Woo Park3Department of Information Strategy, Samsung Medical Center, Seoul, Korea.Department of Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Industrial and Information Systems Engineering, Soongsil University, Seoul, Korea.Department of Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.ObjectivesThe drug utilization review (DUR) system, which checks any conflict event of medications, contributes to improve patient safety. One of the important barriers in its adoption is doctors' resistance. This study aimed to analyze the impacts of doctors' resistance on the success of the DUR system.MethodsThis study adopted an augmented the DeLone and McLean Information System (D&M IS) Success Model (2003), which used doctors' resistance as a socio-technological measure. This study framework is the same as that of the D&M IS Success Model in that it is based on qualities, such as system, information, and services. The major difference is that this study excluded the variable 'use' because it was not statistically significant for mandatory systems. A survey of doctors who used computers to enter prescriptions was conducted at a Korean tertiary hospital in February 2012.ResultsThis study is very meaningful in that it is the first study to explore the success factors of the DUR system associated with doctors' resistance. Doctors' resistance to the DUR system was not statistically associated with user usefulness, whereas it affected user satisfaction.ConclusionsThe results indicate that doctors still complain of discomfort in using the DUR system in the outpatient clinical setting, even though they admit that it contributes to patient safety. To mitigate doctors' resistance and raise user satisfaction, more opinions from doctors regarding the DUR system have to be considered and have to be reflected in the system.http://e-hir.org/upload/pdf/hir-20-99.pdfdrug utilization reviewinformation systemmedicare assignment |
spellingShingle | Jong Soo Choi Seong Hyeon Yun Dongsoo Kim Seung Woo Park Impact of Doctors' Resistance on Success of Drug Utilization Review System Healthcare Informatics Research drug utilization review information system medicare assignment |
title | Impact of Doctors' Resistance on Success of Drug Utilization Review System |
title_full | Impact of Doctors' Resistance on Success of Drug Utilization Review System |
title_fullStr | Impact of Doctors' Resistance on Success of Drug Utilization Review System |
title_full_unstemmed | Impact of Doctors' Resistance on Success of Drug Utilization Review System |
title_short | Impact of Doctors' Resistance on Success of Drug Utilization Review System |
title_sort | impact of doctors resistance on success of drug utilization review system |
topic | drug utilization review information system medicare assignment |
url | http://e-hir.org/upload/pdf/hir-20-99.pdf |
work_keys_str_mv | AT jongsoochoi impactofdoctorsresistanceonsuccessofdrugutilizationreviewsystem AT seonghyeonyun impactofdoctorsresistanceonsuccessofdrugutilizationreviewsystem AT dongsookim impactofdoctorsresistanceonsuccessofdrugutilizationreviewsystem AT seungwoopark impactofdoctorsresistanceonsuccessofdrugutilizationreviewsystem |