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...

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Main Authors: Jong Soo Choi, Seong Hyeon Yun, Dongsoo Kim, Seung Woo Park
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
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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.
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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
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AT dongsookim impactofdoctorsresistanceonsuccessofdrugutilizationreviewsystem
AT seungwoopark impactofdoctorsresistanceonsuccessofdrugutilizationreviewsystem