1 INTRODUCTION 2 LITERATURE

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "1 INTRODUCTION 2 LITERATURE"

Transcription

1 AN EMPIRICAL STUDY ON THE INTENTIONS OF PHYSICIANS IN ADOPTING ELECTRONIC MEDICAL RECORDS WITH MODIFIED TECHNOLOGY ACCEPTANCE MODELS IN RURAL AREAS OF TAIWAN Wei-Min Huang and Chiao-Ting Shih, Department of Healthcare Information Management, National Chung-Cheng University, Chiayi, Taiwan, R.O.C., Abstract Electronic medical records (EMR) solve many of the problems associated with paper records. Despite their advantages however, EMR systems have not been universally adopted by doctors, and their pattern of use is uncertain. This study combines theory on reasoned action with a technology acceptance model to determine which factors influence physician adaptation of EMR within rural areas of Taiwan. In particular, this study examines the role of external factors, such as professional autonomy, training, and computer self-efficacy. It finds that EMR use is not significantly influenced by feelings towards professional autonomy, but is positively related to levels of training and computer self-efficacy. Keywords - electronic medical record, professional autonomy, training, computer self-efficacy, reasoned action, technology acceptance model.

2 1 INTRODUCTION Paper-based patient record management faces many challenges. In addition to the temporal, spatial, and monetary constraints associated with continued record accumulation and compression over time, paper-based systems have limited functionality; many people cannot easily view the same record at the same time (Hwang et al. 2009). In order to resolve these problems, some hospitals use information technology to help them manage medical records, called electronic medical record (EMR) systems. These systems represent the main direction of modern medical care development: production of a realtime, shared, medical information system. Currently, the Taiwanese government is promoting the full implementation of electronic medical records in every hospital. Medical environments change frequently, which makes full acceptance of electronic medical records by hospitals and physicians an important issue. However, lately, most studies have focused largely on patient confidentiality and security(o Neill et al. 2009). Studies rarely examine other EMR-related issues. The main users of EMR are medical professionals or physicians, and the intentions behind their adaptation are fairly important(o Neill et al. 2009). Previous studies note that using these record systems is most advantageous in remote rural areas (O Neill et al. 2009), As a result, this study examines regional hospitals and physicians within remote rural areas in Taiwan (including islands). It combines the theory on reasoned action (TRA) and information technology acceptance model (TAM) to find what factors influence the adaptation of EMR by physicians. The results may provide valuable information for the medical industry and government in their implementation of EMR, and improve acceptance of EMR among physicians. 2 LITERATURE 2.1 Electronic Medical Records (EMR) "Medical records" refers to records of medical institutions and professionals engaged in medical work on patients, including records on various inspections, diagnoses and treatment processes(hwang et al. 2006). Electronic medical records originate from paper-based patient records, are often considered a part of larger data management systems, and are designed to store, manage, and query various medical data. They support medical professionals in their decision-making and improve operating efficiency, thus improving medical care quality(hersh 1995;Kazley & Ozcan 2007; Ayers et al. 2009; Al-Jafar 2002). Naturally, electronic medical records reduce printing costs, but they also act as a reference for medical research and help reduce the gap between the availability of urban and rural medical information. However, there are significant barriers to the implementation of EMS: high initial import and maintenance costs, training for personnel, and a lack of consistency between systems at different hospitals. 2.2 Factors Influencing Physician Adoption of Electronic Medical Records In the information technology area, different groups have different cognitive biases, especially physician groups. As professionals, individual physicians have different personal knowledge that may affect their decision to accept information technology. Thus, focusing on the potential acceptance of information technology by physicians is important for successfully running medical institutions(chau & Hu 2002). In particular, there are four key factors, explained below Limits on Professional Autonomy: Physicians rely on their autonomy and authority to make decisions. Even in cases where a decision support system aids their choices, they may not necessarily want to leverage this technology, because they may perceive certain technological advances as a challenge and threat to their authority. Furthermore, such advances may weaken the independence of the physician. As a result, information

3 technology implementation may carry with it unintended but significant negative effects(ilie et al. 2009; Berner et al. 2005; Walter & Lopez 2008) Training: Electronic medical records can substantially change hospital working environments. Every individual physician has a different expertise and background, and may in some cases lack the computer skills necessary to use an electronic medical information system. Likewise, hospitals may provide insufficient background knowledge on EMR and insufficient training (Ash 2000; Baron et al. 2005; Morton 2008). According to a Taiwan government electronic medical record survey, implementing proper training on EMR systems is difficult(department of health 2005). Previous studies have noted that training not only positively influences the usefulness of information technology(walter & Lopez 2008; Hu et al. 1999), but also specific training will positively impact information technology selfefficacy(staples et al. 1999) Computer Self-efficacy: Previous scholars define computer self-efficacy as a person who uses your computer's capabilities (Compeau & Higgins 1995). Along these lines, many researchers describe computer self-efficacy as the perception of the use, ability, and attitude of individuals towards computers(ma & Liu 2005; Venkatesh & Davis 1996) Physician Characteristics: In electronic medical records-related research, it is common to find basic demographic data on physicians, including information on personal characteristics. Past research has found that physicians who are more experienced, younger, and are aware of computer operations will more likely accept electronic medical record systems (Menachemi et al. 2008; Menachemi et al. 2007). 2.3 Theory of Reasoned Action, TRA Fishbein & Ajzen (1975) s theory of reasoned action, widely used to forecast and explain individual behavior, can also be combined with theory and research from other areas, and can be used to specifically measure certain concepts(feeley 2003), mainly attitudes, subjective norms, behavior intentions, and actual behavior. Widespread in various behavioral fields, reasoned action theory is particularly used within the field of public health to study the intentions behind individual behavior(feeley 2003; Davis et al. 1989). In the field of subjective norms, there are a number of studies indicating that a physician s support from management, their physician-patient relationships, and their network of colleagues will affect the physician s intentions to use electronic medical records(darr et al. 2003; Miller & Sim 2004 ; Rouf 2007; Morton 2008 ; Beiter 2008; Ayers et al. 2009). 2.4 Technology Acceptance Model, TAM The technology acceptance model (TAM) was first proposed by Davis as a combination of TRA and theories of cost efficiency (Davis et al. 1989). TAM contains five main factors: perceived usefulness, perceived ease of use, attitude towards use, behavioral intention of use, and actual system use(hung et al. 2005). TAM effectively explains why an individual accepts information technology, and how the intended use of this technology and its perceived usefulness and ease of use will significantly affect a medical worker s continued use of the system(hu et al. 1999; Morton 2008; Ma & Liu 2005; Ilie et al. 2009).

4 3 METHODOLOGY This study combines TRA with TAM, carefully incorporating other external variables such as limits on professional autonomy, training, and computer self-efficacy. Together, this methodology follows the following framework. Figure 1. Study Model Based on recommendations from the existing literature, this study limits the operational definition of several of its key concepts. For professional autonomy: when physicians use electronic medical records, they feel a perceived threat to their medical work processes and degree of control over work content. The operational definition of training is electronic medical records-related training, designed to enable physicians to learn how to use EMR information systems. Computer self-efficacy refers to a doctor s capabilities when using a computer to complete electronic medical information. Perceived usefulness refers to the degree to which a physician believes a new information system will improve his or her medical related performance. Perceived ease of use simply indicates the ease of which a physician uses electronic medical information systems. Attitude is defined as the positive or negative feelings of physicians towards the use of EMR systems. Subjective norms are factors that may influence the intent of a physician to use EMR systems, specifically the views of managers, colleagues, and patients. Lastly, behavior intention refers to physicians continuing to use electronic medical information system of their own subjective will. Given these variables and the existing literature, we test the following hypotheses: Hypothesis 1: Limits on professional autonomy may negatively impact the perceived usefulness of EMR. Hypothesis 2a: Physician acceptance of EMR training may positively impact the perceived usefulness of EMR. Hypothesis 2b: Physician acceptance of EMR training may positively impact the perceived ease of use of EMR. Hypothesis 2c: Physician acceptance of EMR training may positively impact EMR self-efficacy. Hypothesis 3a: Physician EMR self-efficacy may positively impact the perceived usefulness of EMR. Hypothesis 3b Physician EMR self-efficacy may positively impact the perceived ease of use of EMR. Hypothesis 3c Physician EMR self-efficacy may positively impact the intention of EMR adoption. Hypothesis 4: EMR perceived ease of use may positively impact the perceived usefulness of EMR. Hypothesis 5: EMR perceived ease of use may positively impact attitudes toward EMR adoption. Hypothesis 6: EMR perceived usefulness may positively impact attitudes toward EMR adoption. Hypothesis 7: EMR perceived usefulness may positively impact the intention to adopt EMR. Hypothesis 8: Attitudes toward adopting EMR may positively impact the intention of adopting EMR. Hypothesis 9: EMR subjective norms may positively impact the intention of adopting EMR. Table 1. Study Hypotheses List With the exception of computer self-efficacy, which is measured using a scale from zero to ten, the variables in this study are measured using a five-point Likert scale.

5 Reference findings indicate that the use of EMR in remote rural areas is more beneficial than in larger cities (O Neill et al. 2009). Thus, this study examines the regional hospitals of rural Taiwan and outlying islands. In doing so, we provided structured questionnaires, sent by mail, to each regional hospital. 4 DATA ANALYSIS 4.1 Sample Size and Response Rate The survey was deployed to 200 physicians in remote rural regional hospitals. From these, 60 usable responses were received, resulting in a net response rate of 30%. The results were imported and analyzed using PSS 12.0 and PLS 2.0. Regarding computer experience, 70% of respondents reported having ten years of experience or more with using computers, suggesting that the majority of physicians have a rich usage history. 4.2 Reliability and Validity of Research Constructs Using SPSS12.0, Cronbach s alpha reliability coefficients were computed to determine the internal consistency of all research constructs: Cronbach s alpha of 0.7 or above indicates high reliability, between 0.7 and 0.35 indicates ordinary reliability, and less than 0.35 indicates low reliability. Here, the analysis should remove lower related dimensions, until achieving a high reliability. Because each Cronbach s alpha was mostly above 0.7, the results indicate excellent scale reliability for most constructs (TABLE ). The only exception is the limit on professional autonomy (Cronbach s alpha value 0.676). This is still within however, and thus it remains a generally reliable construct. Scale Cronbach s α Limit of Professional Autonomy Training Computer Self-efficacy Perceived Usefulness Perceived Ease of Use Attitude Subjective Norms Behavioral Intention Table 2. Scale Reliabilities Content validity is used for measuring the relevance of a tool s content(cooper & Schindler 2006). This study s questionnaire was compiled with the guidance of both the current literature and advice of EMR practice experts, who helped ensure question content was clear and held high content validity. Factor analysis was used to measure construction validity(cooper & Schindler 2006), however first KMO (Kaiser-Meyer-Olkin, sampling relevance magnitude) was performed in order to ensure variables were suitable for factor analysis. A KMO value lower than 0.5 implies factor analysis may be inappropriate (Cooper & Schindler 2006). Here, the KMO result of is greater than 0.5, which suggests the data is suitable for factor analysis. Kaiser-Meyer-Olkin Measure of Sampling Adequacy..744 Bartlett's Test of Sphericity Approx. Chi-square Df 820 Sig..000 Table 3. Kaiser-Meyer-Olkin Measure (KMO)

6 Previous studies have noted that if the sample size is only 60 to 70, load factors must be 0.65 or above to be fully accepted (Cooper & Schindler 2006). In this study eight constructs have acceptable load factors, while two constructs have insufficient load factors (professional autonomy and attitude). Thus, these constructs are removed during the following data analysis. 4.3 Structural Equation Modeling Analysis Path coefficient Partial least squares regression (PLS) applies to variables needed to predict huge, samples more small. In this study, the number of samples taken was not easy, so we use PLS complete path analysis to reduce errors. Furthermore, we adopt a bootstrap method for estimating p values. Table IV displays the results of this method for each of our hypotheses. Between Facets Path t-value p-value Coefficient (β) Subjective Norm -> Behavioral Intention ** Attitude -> Behavioral Intention *** Training -> Perceived Ease of Use *** Training -> Perceived Usefulness *** Training -> Computer self-efficacy * Perceived Ease of Use -> Attitude *** Perceived Ease of Use -> Perceived Usefulness *** Perceived Usefulness -> Behavioral Intention ** Perceived Usefulness -> Attitude *** Limit of professional autonomy -> Perceived Usefulness Computer self-efficacy -> Behavioral Intention *** Computer self-efficacy -> Perceived Ease of Use *** Computer self-efficacy -> Perceived Usefulness * *p<0.1; **p<0.05; ***p<0.01(one-tailed test) Table 4. Standardized Total Effects PLS does not provide model fit indices; it only tests the entire mode of forecast level by the coefficient of determination R2 (0-1). In this study predictive tests are performed using an algorithm method. Figure 2 displays the path coefficient, R2, and p-value integration results. Table V presents the final results of the hypothesis tests. Figure 2. Standardized Total Effects Hypothesis Hypothesis 1: Limits on professional autonomy may negatively impact the perceived usefulness of EMR. Result No

7 Hypothesis 2a: Physician acceptance of EMR training may positively impact the perceived usefulness of EMR. Hypothesis 2b: Physician acceptance of EMR training may positively impact the perceived ease of use of EMR. Hypothesis 2c: Physician acceptance of EMR training may positively impact EMR selfefficacy. Hypothesis 3a: Physician EMR self-efficacy may positively impact the perceived usefulness of EMR. Hypothesis 3b Physician EMR self-efficacy may positively impact the perceived ease of use of EMR. Hypothesis 3c Physician EMR self-efficacy may positively impact the intention of adopting EMR. Hypothesis 4: EMR perceived ease of use may positively impact the perceived usefulness of EMR. Hypothesis 5: EMR perceived ease of use may positive ly impact attitudes toward EMR adoption. Hypothesis 6: EMR perceived usefulness may positively impact attitudes toward EMR adoption. Hypothesis 7: EMR perceived usefulness may positively impact the intention to adopt EMR. Hypothesis 8: Attitudes toward adopting EMR may positively impact the intention of adopting EMR. Hypothesis 9: EMR subjective norms may positively impact the intention of adopting EMR. Table 5. Hypothesis Testing Results No 5 CONCLUSIONS These results maintain enough explanatory power (R2 =78.4%) to help explain the intentions of physicians in adopting electronic medical record information systems. Among the hypotheses above, only hypotheses 1 and 3a were not accepted. Results from hypothesis 1 indicate that there is no relation between limits on professional autonomy and perceived usefulness, and hypothesis 3a indicates that computer self-efficacy negatively impacts perceived usefulness. This final section summarizes our findings and provides various policy suggestions. 5.1 Factors Affecting Computer Self-efficacy Our findings show that "training" has a significant positive effect on EMR self-efficacy. This means that if physicians are willing to adopt EMR and have received enough training on EMR, then their operation of EMR will improve. This finding is consistent with previous research (Staples et al. 1999), and suggests that medical institutions should provide comprehensive EMR training for individual physicians to increase their use of computer-based EMR information systems. 5.2 Factors Affecting Perceived Usefulness Our results also indicate that training and computer self-efficacy significantly influence the perceived usefulness of EMR, while limits on professional autonomy have no effect. This result somewhat conflicts with previous studies, but is consistent with Morton (2008). It indicates that physicians were not exposed to the actual medical decision-making process for implementation, and therefore were reporting their perceptions only (Morton 2008). Thus this study conjectures that Taiwan's EMR only act as a database pooling system; it does not replace the decision-making power of physicians, so physicians do not feel EMR will limit their autonomy to make medical decisions. These results also suggest that computer self-efficacy has a significant negative effect on the perceived usefulness of EMR. This relationship was not hypothesized, and differs from past research. Chau (2001) indicated self-efficacy with technology significantly negatively influenced EMR perceived

8 usefulness (Chau 2001). It explained that users employ technology systems mostly because of their ease of use, rather than their usefulness. Therefore this study contends that while Taiwanese physicians computer experience is rich, EMR system functionality is not recommended. Electronic medical record information system functionality should focus more on enhancing quality, speed, etc., and not expect to enhance physician EMR perceived usefulness. 5.3 Factors Affecting Perceived Ease of Use This study finds that training and computer self-efficacy significantly positively impact perceived ease of use. As a result, hospitals should consider providing appropriate and continued formal training according to rates of physician computer self-efficacy to reduce physicians stress and work loading when he or she is learning a new system. 5.4 Factors Affecting Attitudes Our results show perceived usefulness and perceived ease of use significantly positively influence attitudes towards the adoption of EMR information systems. If the physicians believe EMR information systems are useful and easy to use, physicians will have a positive attitude towards using these systems. Given this, when improving their EMR systems, the medical industry should especially strengthen system usefulness and ease of use, so as to attitudes towards their EMR systems and improve adoption. 5.5 Factors Affecting Intention of Adopting EMR These research findings indicate that four variables significantly positively impact the intention to adopt EMR. Among these, attitude has the most significant positive impact on adoption intentions. Therefore this study suggests that in order to enhance the intention to adopt EMR systems, hospitals should strengthen independent impact variables, including perceived usefulness, attitude, subjective norms, and computer self-efficacy. If hospitals can strengthen the positive feelings of physicians towards EMR and convince physicians of its usefulness, they will maintain a healthier attitude towards adoption. References Al-Jafar, A. E.. Factors affecting diffusion of the electronic medical record (EMR) from a physicians' perspective: The Kuwait experience. Dissertation Abstracts International, 2002, 5, Ash, S. J.. Managing Change:Analysis of a Hypothetical Case. Journal of the American Medical Informatics Association, 2000, 7(2), Ayers, J. D., Menachemi, N., Ramamonjiarivelo, Z., Matthews, M., & Brooks, G. R.. Adoption of electronic medical records: the role of network effects. Journal of Product & Brand Management, 2009, 18 (2), Baron, J. R., Fabens, L. E., Schiffman, M., & Wolf, E.. Electronic Health Records: Just around the Corner? Or over the Cliff?. Annals of Internal Medicine, 2005, 143 (3), Beiter, A. P., Sorscher, J., Henderson, J. C., & Talen, M.. Do electronic medical record (EMR) demonstrations change attitudes, knowledge, skills or needs?. Informatics in Primary Care, 2008, 16, Berner, S. E., Detmerdon, E., & Simborg, D. M.. Will the Wave Finally Break? A Brief View of the Adoption of Electronic Medical Records in the United States. Journal of the American Medical Informatics Association, 2005, 12 (1), 3-7. Chau, P. Y. K., Influence of Computer Attitude and Self-Efficacy on IT Usage Behavior. (Industry Trend or Event), Journal of End User Computing, 2001, 13(1), pp.26 Chau, Y. K. P., & Hu, J. P.. Examining a Model of Information Technology Acceptance by Individual Professionals: An Explorator. Journal of Management Information System, 2002, 18

9 (4), Compeau, R. D., & Higgins, A. C.. Computer Self-Efficacy: Development of a Measure and Initial Test. MIS Quarterly, 1995, 19 (2), Cooper, D. R., & Schindler, P. S.. Business Research Methods. ( 9 ). 2006, New York: McGraw- Hill/Irwin. Darr, A., Harrison, I. M., Shakked, L., & Shalom, N.. Physicians and nurses reactions to electronic medical records. Journal of Health Organization and Management, 2003, 17 (5), Davis, D. F., Bagozzi, P. R., & Warshaw, R. P.. User Acceptance of Computer Technology: A Comparison of Two Theoretical Models. Management Science, 1989, 35 (8), Department of health. Department of health and medical research institutes in the medical record year 94 e-survey, Taipei City: Department of health Feeley, H. T.. Using the Theory of Reasoned Action to Model Retention in Rural Primary Care Physicians. The Journal of Rural Health, 2003, 19 (3), Hersh, R. W.. The Electronic Medical Record: Promises and Problems. Journal of the American Society for Information Science, 1995, 46 (10), Hu, J. P., Chau, Y. K. P., Liu Sheng, R. O., & Tam, Y. K.. Examining the technology acceptance model using physician acceptance of telemedicine technology. Journal of Management Information Systems, 1999, 16 (2), Hung, S. Y., Liang, T. P., Chang, C. M., A Meta-Analysis of Empirical Research Using TAM. Journal of Information Management, 2005, 12 (4), Hwang, H. G., Lu, C. H., Hsiao, J. L., Chen, R. F.. Factors Influencing Benefits of Electronic Medical Records Exchange: Physician Perspectives. Journal of e-business, 2009, 11 (1), Hwang, H. G., She, M. L., Liu, Z. F.. Medical information management. Chiayi County: Taiwan's health information management association, Ilie, V., Slyke, V. C., Parikh, A. M., & Courtney, F. J.. Paper Versus Electronic Medical Records: The Effects of Access on Physicians Decisions to Use Complex Information Technologies. Decision Sciences, 2009, 40 (2), Kazley, S. A., & Ozcan, A. Y.. Organizational and Environmental Determinants of Hospital EMR Adoption: A National Study. Journal of Medical Systems, 2007, 31, Ma, Q., & Liu, L.. The role of Internet self-efficacy in the acceptance of web-based electronic medical records. Contemporary Issues in End User Computing, 2005, 17 (1), Menachemi, N., Matthews, M., Ford, W. E., Hikmet, N., & Brooks, G. R.. The Relationship Between Local Hospital IT Capabilities and Physician EMR Adoption. Journal of Medical Systems, 2008, doi: /s Menachemi, N., Langley, A., & Brooks, R. G.. The Use of Information Technologies Among Rural and Urban Physicians in Florida. Journal of Medical Systems. 2007, 31, Miller, H.R., & Sim, I.. Physicians Use Of Electronic Medical Records: Barriers And Solutions. Health Affairs, 2004, 23 (2), Morton, E. M.. Use and Acceptance of an Electronic Health Record: Factors Affecting Physician Attitudes O Neill, L., Talbert, J., & Klepack, W.. Physician Characteristics Associated with Early Adoption of Electronic Medical Records in Smaller Group Practices. Idea Group Inc (IGI), 2009, Rouf, E., Whittle, J., Lu, N., & Schwartz, D.M.. Computers in the Exam Room: Differences in Physician Patient Interaction May Be Due to Physician Experience. Society of General Internal Medicine, 2007, 22, Staples, S. D., Hulland, S. J., & Higgins, A. C.. A Self-Efficacy Theory Explanation for the Management of Remote Workers in Virtual. Organization Science, 1999, 10 (6), Venkatesh, V., & Davis, D.F.. A model of the antecedents of perceived ease of use: Development and test. Decision Sciences, 1996, 27 (3), Walter, Z., & Lopez, S. M.. Physician acceptance of information technologies: Role of perceived threat to professional autonomy. Decision Support Systems, 2008, 46,

AN EMPIRICAL STUDY ON THE INTENTIONS OF PHYSICIANS IN ADOPTING ELECTRONIC MEDICAL RECORDS WITH MODIFIED TECHNOLOGY ACCEPTANCE MODELS IN RURAL AREAS OF

AN EMPIRICAL STUDY ON THE INTENTIONS OF PHYSICIANS IN ADOPTING ELECTRONIC MEDICAL RECORDS WITH MODIFIED TECHNOLOGY ACCEPTANCE MODELS IN RURAL AREAS OF AN EMPIRICAL STUDY ON THE INTENTIONS OF PHYSICIANS IN ADOPTING ELECTRONIC MEDICAL RECORDS WITH MODIFIED TECHNOLOGY ACCEPTANCE MODELS IN RURAL AREAS OF TAIWAN Wei-Min Huang and Chiao-Ting Shih, Department

More information

AN EMPIRICAL STUDY ON THE PHYSICIANS BEHAVIORAL INTENTION WITH ELECTRONIC MEDICAL RECORD SYSTEMS IN TAIWAN

AN EMPIRICAL STUDY ON THE PHYSICIANS BEHAVIORAL INTENTION WITH ELECTRONIC MEDICAL RECORD SYSTEMS IN TAIWAN AN EMPIRICAL STUDY ON THE PHYSICIANS BEHAVIORAL INTENTION WITH ELECTRONIC MEDICAL RECORD SYSTEMS IN TAIWAN Wei-Min Huang, Graduate Institute of Healthcare Information Management, National Chung Cheng University,

More information

DEVELOPING AN EXTENDED TECHNOLOGY ACCEPTANCE MODEL: DOCTORS ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS IN JORDAN

DEVELOPING AN EXTENDED TECHNOLOGY ACCEPTANCE MODEL: DOCTORS ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS IN JORDAN DEVELOPING AN EXTENDED TECHNOLOGY ACCEPTANCE MODEL: DOCTORS ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS IN JORDAN INTRODUCTION Fauziah Baharom 1, Ola T. Khorma 2, Haslina Mohd 3, and Mahmood G. Bashayreh

More information

EXAMINING HEALTHCARE PROFESSIONALS ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS USING UTAUT

EXAMINING HEALTHCARE PROFESSIONALS ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS USING UTAUT EXAMINING HEALTHCARE PROFESSIONALS ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS USING UTAUT Matthew J. Wills, Dakota State University Omar F. El-Gayar, Dakota State University Dorine Bennett, Dakota State

More information

HIT 9 KEY FACTORS INFLUENCING THE ADOPTION OF EMR IN TAIWAN HOSPITAL

HIT 9 KEY FACTORS INFLUENCING THE ADOPTION OF EMR IN TAIWAN HOSPITAL HIT 9 KEY FACTORS INFLUENCING THE ADOPTION OF EMR IN TAIWAN HOSPITAL JU-LING HSIAO 1, HSIN-GINN HWANG 2 CHIA-NAN UNIVERSITY OF PHARMACY AND SCIENCE 1 NATIONAL CHIAO TUNG UNIVERSITY 2 1 Introduction Since

More information

An Investigation of the Factors Influencing the Adoption of E-Health Services:

An Investigation of the Factors Influencing the Adoption of E-Health Services: An Investigation of the Factors Influencing the Adoption of E-Health Services: The Case for Selected Hospitals in Lagos State, Nigeria 1 Senanu Okuboyejo & 2 Valerie Ochiotu Department of Computer and

More information

PHYSICIANS ACCEPTANCE OF WEB-BASED MEDICAL ASSESSMENT SYSTEMS: FINDINGS FROM A NATIONAL SURVEY

PHYSICIANS ACCEPTANCE OF WEB-BASED MEDICAL ASSESSMENT SYSTEMS: FINDINGS FROM A NATIONAL SURVEY PHYSICIANS ACCEPTANCE OF WEB-BASED MEDICAL ASSESSMENT SYSTEMS: FINDINGS FROM A NATIONAL SURVEY Bengisu Tulu School of Information Science Claremont Graduate University bengisu.tulu@cgu.edu Brian Hilton

More information

http://jist.irandoc.ac.ir *adelsulaimany@gmail.com 1. zarafshani2000@yahoo.com 2. Theory Planned Behavior (TPB) TPB

http://jist.irandoc.ac.ir *adelsulaimany@gmail.com 1. zarafshani2000@yahoo.com 2. Theory Planned Behavior (TPB) TPB * 1 1389/06/ 29 : 1389/05/05 : 2 251-8 223 ( ) 2 251-8 231 ( ) ISC SCOPUS L ISA http://jist.irandoc.ac.ir 343-325 2 27 1390 : *adelsulaimany@gmail.com 1. zarafshani2000@yahoo.com 2. Theory Planned Behavior

More information

Abstract. Keywords: Physician, Perceived Service Level, Perceived Risk, Electronic Medical Record, Health Care IT Adoption/Acceptance

Abstract. Keywords: Physician, Perceived Service Level, Perceived Risk, Electronic Medical Record, Health Care IT Adoption/Acceptance WHAT DRIVES PHYSICIANS INTENTION TO USE ELECTRONIC MEDICAL RECORD SYSTEM: THE ROLES OF PERCEIVED SERVICE LEVEL, COMPUTER SELF-EFFICACY, AND PERCEIVED RISK Shin-Yuan Hung, Department of Information Management,

More information

User Behavior Research of Information Security Technology Based on TAM

User Behavior Research of Information Security Technology Based on TAM , pp.203-210 http://dx.doi.org/10.14257/ijsia.2014.8.2.21 User Behavior Research of Information Security Technology Based on TAM Wang Cheng 1 and Wang Shi-bo 1 1 School of Economics and Management of Qiqihar

More information

PREDICTING ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS: WHAT FACTORS MATTER MOST?

PREDICTING ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS: WHAT FACTORS MATTER MOST? PREDICTING ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS: WHAT FACTORS MATTER MOST? Shanan G. Gibson & Elaine D. Seeman College of Business, East Carolina University gibsons@ecu.edu; seemane@ecu.edu ABSTRACT

More information

THE THEORY OF PLANNED BEHAVIOR AND ITS ROLE IN TECHNOLOGY ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS IMPLEMENTATION

THE THEORY OF PLANNED BEHAVIOR AND ITS ROLE IN TECHNOLOGY ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS IMPLEMENTATION THE THEORY OF PLANNED BEHAVIOR AND ITS ROLE IN TECHNOLOGY ACCEPTANCE OF ELECTRONIC MEDICAL RECORDS IMPLEMENTATION Elaine Seeman, Department of Management Information Systems College of Business, East Carolina

More information

APPLYING THE TECHNOLOGY ACCEPTANCE MODEL AND FLOW THEORY TO ONLINE E-LEARNING USERS ACCEPTANCE BEHAVIOR

APPLYING THE TECHNOLOGY ACCEPTANCE MODEL AND FLOW THEORY TO ONLINE E-LEARNING USERS ACCEPTANCE BEHAVIOR APPLYING THE TECHNOLOGY ACCEPTANCE MODEL AND FLOW THEORY TO ONLINE E-LEARNING USERS ACCEPTANCE BEHAVIOR Su-Houn Liu, Chung Yuan Christian University, vandy@mis.cycu.edu.tw Hsiu-Li Liao, Chung Yuan Christian

More information

DETERMINANTS OF INSTRUCTORS TO APPLY IT IN TEACHING

DETERMINANTS OF INSTRUCTORS TO APPLY IT IN TEACHING Proceedings of the International Conference for Education, 2005 World Scientific Publishing Company DETERMINANTS OF INSTRUCTORS TO APPLY IT IN TEACHING SHOW-HUI HUANG International Business & Trade, Shu-Te

More information

EMPLOYEES ADOPTION OF E-PROCUREMENT SYSTEM: AN EMPIRICAL STUDY

EMPLOYEES ADOPTION OF E-PROCUREMENT SYSTEM: AN EMPIRICAL STUDY EMPLOYEES ADOPTION OF E-PROCUREMENT SYSTEM: AN EMPIRICAL STUDY Inder Singh 1 and Devendra Kumar Punia 2 1 Center for Information Technology in CES, University of Petroleum & Energy Studies, Dehradun (Uttarakhand),

More information

EXAMINING STUDENTS ACCEPTANCE OF TABLET PC USING TAM

EXAMINING STUDENTS ACCEPTANCE OF TABLET PC USING TAM EXAMINING STUDENTS ACCEPTANCE OF TABLET PC USING TAM Omar El-Gayar, Dakota State University, omar.el-gayar@dsu.edu Mark Moran, Dakota State University, mark.moran@dsu.edu ABSTRACT With the proliferation

More information

A COMPARISON ANALYSIS ON THE INTENTION TO CONTINUED USE OF A LIFELONG LEARNING WEBSITE

A COMPARISON ANALYSIS ON THE INTENTION TO CONTINUED USE OF A LIFELONG LEARNING WEBSITE International Journal of Electronic Business Management, Vol. 10, No. 3, pp. 213-223 (2012) 213 A COMPARISON ANALYSIS ON THE INTENTION TO CONTINUED USE OF A LIFELONG LEARNING WEBSITE Hsiu-Li Liao * and

More information

Learning Attitude and Its Effect on Applying Cloud Computing Service to IT Education

Learning Attitude and Its Effect on Applying Cloud Computing Service to IT Education Learning Attitude and Its Effect on Applying Cloud Computing Service to IT Education Chen-Feng Wu Department of Information Management, Yu Da University No 168, Hsueh-fu Rd, Tanwen Village, Chaochiao Township,

More information

INVESTIGATING THE SUCCESS FACTORS FOR THE ACCEPTANCE OF MOBILE HEALTHCARE TECHNOLOGY

INVESTIGATING THE SUCCESS FACTORS FOR THE ACCEPTANCE OF MOBILE HEALTHCARE TECHNOLOGY INVESTIGATING THE SUCCESS FACTORS FOR THE ACCEPTANCE OF MOBILE HEALTHCARE TECHNOLOGY Chun-Hua Hsiao, Department of Marketing, Kainan University, Taoyuan, Taiwan, R.O.C., maehsiao@gmail.com Mei-Chun Chen,

More information

TAM Analysis of College Students Online Banking Brand Selection Factors

TAM Analysis of College Students Online Banking Brand Selection Factors ISSN(Print): 2377-0082 ISSN(Online): 2377-0163 EQUILIBRIUM, CHAOS, AND CONERGENCE IN DYNAMICAL NETWORK In Press TAM Analysis of College Students Online Banking Brand Selection Factors Jing Xu*, Xue Liu,

More information

Predicting Undergraduate Nursing Students Intention to Use the Electronic Health Records Software Application

Predicting Undergraduate Nursing Students Intention to Use the Electronic Health Records Software Application Predicting Undergraduate Nursing Students Intention to Use the Electronic Health Records Software Application Yanika Kowitlawakul a and Sally Chan a Alice Lee Centre for Nursing Studies/Yong Loo Lin School

More information

UNDERSTANDING EXPLORATORY USE

UNDERSTANDING EXPLORATORY USE UNDERSTANDING EXPLORATORY USE OF ERP SYSTEMS 1 Rui D. Sousa Terry College of Business University of Georgia rsousa@uga.edu Dale L. Goodhue Terry College of Business University of Georgia dgoodhue@terry.uga.edu

More information

Exploring the Antecedents of Electronic Service Acceptance: Evidence from Internet Securities Trading

Exploring the Antecedents of Electronic Service Acceptance: Evidence from Internet Securities Trading Exploring the Antecedents of Electronic Service Acceptance: Evidence from Internet Securities Trading Siriluck Rotchanakitumnuai Department of Management Information Systems Faculty of Commerce and Accountancy

More information

Evaluating User Acceptance of Online Banking Information Systems: An Empirical Case of Pakistan Paper 18

Evaluating User Acceptance of Online Banking Information Systems: An Empirical Case of Pakistan Paper 18 Evaluating User Acceptance of Online Banking Information Systems: An Empirical Case of Pakistan Paper 18 Fida Hussain Chandio fida.chandio@brunel.ac.uk ABSTRACT Pakistan banking sector has gone through

More information

Issues in Information Systems Volume 16, Issue I, pp. 163-169, 2015

Issues in Information Systems Volume 16, Issue I, pp. 163-169, 2015 A Task Technology Fit Model on e-learning Linwu Gu, Indiana University of Pennsylvania, lgu@iup.edu Jianfeng Wang, Indiana University of Pennsylvania, jwang@iup.edu ABSTRACT In this research, we propose

More information

Factors influencing nurses acceptance of hospital information systems in Iran: application of the Unified Theory of Acceptance and Use of Technology

Factors influencing nurses acceptance of hospital information systems in Iran: application of the Unified Theory of Acceptance and Use of Technology Factors influencing nurses acceptance of hospital information systems in Iran: application of the Unified Theory of Acceptance and Use of Technology Roxana Sharifian, Fatemeh Askarian, Mohtaram Nematolahi

More information

ANALYSIS OF USER ACCEPTANCE OF A NETWORK MONITORING SYSTEM WITH A FOCUS ON ICT TEACHERS

ANALYSIS OF USER ACCEPTANCE OF A NETWORK MONITORING SYSTEM WITH A FOCUS ON ICT TEACHERS ANALYSIS OF USER ACCEPTANCE OF A NETWORK MONITORING SYSTEM WITH A FOCUS ON ICT TEACHERS Siti Rahayu Abdul Aziz 1, Mohamad Ibrahim 2, and Suhaimi Sauti 3 1 Universiti Teknologi MARA, Malaysia, rahayu@fskm.uitm.edu.my

More information

THE ROLE OF OCCUPATIONAL VALUES IN ELECTRONIC MEDICAL RECORDS IMPLEMENTATION

THE ROLE OF OCCUPATIONAL VALUES IN ELECTRONIC MEDICAL RECORDS IMPLEMENTATION THE ROLE OF OCCUPATIONAL VALUES IN ELECTRONIC MEDICAL RECORDS IMPLEMENTATION Shanan G. Gibson, Department of Management College of Business, East Carolina University (252) 328-6354, gibsons@ecu.edu Elaine

More information

The Technology Acceptance Model with Online Learning for the Principals in Elementary Schools and Junior High Schools

The Technology Acceptance Model with Online Learning for the Principals in Elementary Schools and Junior High Schools The Technology Acceptance Model with Online Learning for the Principals in Elementary Schools and Junior High Schools RONG-JYUE FANG 1, HUA- LIN TSAI 2, CHI -JEN LEE 3, CHUN-WEI LU 4 1,2 Department of

More information

Attitude, Behavioral Intention and Usage: An Empirical Study of Taiwan Railway s Internet Ticketing System

Attitude, Behavioral Intention and Usage: An Empirical Study of Taiwan Railway s Internet Ticketing System Attitude, Behavioral Intention and Usage: An Empirical Study of Taiwan Railway s Internet Ticketing System Wen-Hung Wang Department of Shipping and Transportation Management National Taiwan Ocean University,

More information

Complementing Classroom Teaching with an Internet Course Website: Does Gender and Race Matter

Complementing Classroom Teaching with an Internet Course Website: Does Gender and Race Matter Complementing Classroom Teaching with an Internet Course Website: Does Gender and Race Matter T. Ramayah School of Management, Universiti Sains Malaysia, 11800 Penang, MALAYSIA Abstract This research looks

More information

Measuring End User Satisfaction with Hospital s Mobile Health System in Korea

Measuring End User Satisfaction with Hospital s Mobile Health System in Korea , pp.21-30 http://dx.doi.org/10.14257/ijunesst.2013.6.6.03 Measuring End User Satisfaction with Hospital s Mobile Health System in Korea Heesung Yoon, Jungok Nah and Wynne Chin Global Service Management,

More information

An Empirical Study on the Influence of Perceived Credibility of Online Consumer Reviews

An Empirical Study on the Influence of Perceived Credibility of Online Consumer Reviews An Empirical Study on the Influence of Perceived Credibility of Online Consumer Reviews GUO Guoqing 1, CHEN Kai 2, HE Fei 3 1. School of Business, Renmin University of China, 100872 2. School of Economics

More information

The Diffusion of E-Learning Innovations in an Australian Secondary College: Strategies and Tactics for Educational Leaders

The Diffusion of E-Learning Innovations in an Australian Secondary College: Strategies and Tactics for Educational Leaders The Diffusion of E-Learning Innovations in an Australian Secondary College: Strategies and Tactics for Educational Leaders Sam Jebeile Division of Economic and Financial Studies Macquarie University Australia

More information

EFFECT OF ENVIRONMENTAL CONCERN & SOCIAL NORMS ON ENVIRONMENTAL FRIENDLY BEHAVIORAL INTENTIONS

EFFECT OF ENVIRONMENTAL CONCERN & SOCIAL NORMS ON ENVIRONMENTAL FRIENDLY BEHAVIORAL INTENTIONS 169 EFFECT OF ENVIRONMENTAL CONCERN & SOCIAL NORMS ON ENVIRONMENTAL FRIENDLY BEHAVIORAL INTENTIONS Joshi Pradeep Assistant Professor, Quantum School of Business, Roorkee, Uttarakhand, India joshipradeep_2004@yahoo.com

More information

Developing and Validating Customer Relationship Management (CRM) Practices Construct

Developing and Validating Customer Relationship Management (CRM) Practices Construct International Journal of Business and Behavioral Sciences Vol., No.; January 0 Developing and Validating Customer Relationship Management (CRM) Practices Construct Zuliana Zulkifli, *Izah Mohd Tahir Faculty

More information

Task-Technology Fit and Adoption Behaviors of Mobile Business Systems

Task-Technology Fit and Adoption Behaviors of Mobile Business Systems International DSI / Asia and Pacific DSI 2007 Full Paper (July, 2007) Task-Technology Fit and Adoption Behaviors of Mobile Business Systems Ching-Chang Lee *, Kuo-Wei Su, Cheng-Ta Lu, Xin-Xin Yu National

More information

Factors affecting the Satisfaction of China s Mobile Services Industry Customer. Su-Chao Chang a, Chi-Min Chou a, *

Factors affecting the Satisfaction of China s Mobile Services Industry Customer. Su-Chao Chang a, Chi-Min Chou a, * Factors affecting the Satisfaction of China s Mobile Services Industry Customer Su-Chao Chang a, Chi-Min Chou a, * a Dept. of Business Administration, National Cheng Kung University, 1 University Rd.,

More information

INVESTIGATING BUSINESS SCHOOLS INTENTIONS TO OFFER E-COMMERCE DEGREE-PROGRAMS

INVESTIGATING BUSINESS SCHOOLS INTENTIONS TO OFFER E-COMMERCE DEGREE-PROGRAMS INVESTIGATING BUSINESS SCHOOLS INTENTIONS TO OFFER E-COMMERCE DEGREE-PROGRAMS Jean Baptiste K. Dodor College of Business Jackson State University HTUjeandodor@yahoo.comUTH 601-354-1964 Darham S. Rana College

More information

Consumer Search & Real Estate Websites: A Replication and Extension of the TAM

Consumer Search & Real Estate Websites: A Replication and Extension of the TAM Consumer Search & Real Estate Websites: A Replication and Extension of the TAM Karen Bayne, Scion Research Tony Garrett, Sarah Todd, University of Otago Abstract The use of internet real estate search

More information

Cloud Computing: A Comparison Between Educational Technology Experts' and Information Professionals' Perspectives

Cloud Computing: A Comparison Between Educational Technology Experts' and Information Professionals' Perspectives Noa Aharony 1 Cloud Computing: A Comparison Between Educational Technology Experts' and Information Professionals' Perspectives Noa Aharony Department of Information Science, Bar-Ilan University Noa.aharony@biu.ac.il

More information

Decision Support Systems

Decision Support Systems Decision Support Systems 51 (2011) 587 596 Contents lists available at ScienceDirect Decision Support Systems journal homepage: www.elsevier.com/locate/dss The adoption of mobile healthcare by hospital's

More information

E-Commerce Web Sites Trust Factors: An Empirical Approach

E-Commerce Web Sites Trust Factors: An Empirical Approach Contemporary Engineering Sciences, Vol. 6, 2013, no. 1, 1 7 HIKARI Ltd, www.m-hikari.com E-Commerce Web Sites Trust Factors: An Empirical Approach Radwan M. Al-Dwairi Department of Computer Information

More information

Study of Determinants of e-crm in Influencing Consumer Satisfaction in B2C Websites

Study of Determinants of e-crm in Influencing Consumer Satisfaction in B2C Websites 444 Study of Determinants of e-crm in Influencing Consumer Satisfaction in B2C Rui Liu, Weijun Wang Department of Information Management, HuaZhong Normal University, Wuhan 430079, China liuruiccnu@hotmail.com

More information

Mobile Stock Trading (MST) and its Social Impact: A Case Study in Hong Kong

Mobile Stock Trading (MST) and its Social Impact: A Case Study in Hong Kong Mobile Stock Trading (MST) and its Social Impact: A Case Study in Hong Kong K. M. Sam 1, C. R. Chatwin 2, I. C. Ma 3 1 Department of Accounting and Information Management, University of Macau, Macau, China

More information

Sci.Int.(Lahore)26(4),1681-1686,2014 ISSN 1013-5316; CODEN: SINTE 8 1681

Sci.Int.(Lahore)26(4),1681-1686,2014 ISSN 1013-5316; CODEN: SINTE 8 1681 Sci.Int.(Lahore)26(4),1681-1686,2014 ISSN 1013-5316; CODEN: SINTE 8 1681 BARRIERS IN IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS IN PAKISTAN 1 Faisal Shafique Butt, 2 Rabbia Mahum, 3 Amna Zia, 4 Samina

More information

STUDENTS PERCEPTIONS OF IT SUPPORTED LEARNING

STUDENTS PERCEPTIONS OF IT SUPPORTED LEARNING Bilgi Ekonomisi ve Yönetimi Dergisi / 2011 Cilt: VI Sayı: II STUDENTS PERCEPTIO OF IT SUPPORTED LEARNING Meliha HANDZIC * Merdžana OBRALIC ** Emir CICKUSIC *** Abstract: The objective of this study was

More information

Factors Affecting the Adoption of Online Banking An Integration of Technology Acceptance Model and Theory of Planned Behavior

Factors Affecting the Adoption of Online Banking An Integration of Technology Acceptance Model and Theory of Planned Behavior Factors Affecting the Adoption of Online Banking An Integration of Technology Acceptance Model and Theory of Planned Behavior Nour-Mohammad Yaghoubi (Ph.D) Management Department of University of Sistan

More information

Electronic Health Record System Evaluation Based on Patient Safety

Electronic Health Record System Evaluation Based on Patient Safety Electronic Health Record System Evaluation Based on Patient Safety Yung Yu (Paul) SU, Khin Than WIN & John FULCHER Health Informatics Research Centre, University of Wollongong, Australia Correspondence:

More information

DAVOOD MEHRJOO a1 AND MANSOOR MIRMOOSAVI b

DAVOOD MEHRJOO a1 AND MANSOOR MIRMOOSAVI b Indian J.Sci.Res. 7 (1): 687-691, 014 ISSN: 0976-876 (Print) ISSN: 50-0138(Online) ELECTRONIC SYSTEM OF HUMAN RESOURCE MANAGEMENT AND EXERCISE OF LEADERSHIP IN HUMAN RESOURCES: A CASE STUDY OF AMIRALMOMENIN

More information

Understanding college students continuing intentions to use multimedia e-learning systems

Understanding college students continuing intentions to use multimedia e-learning systems World Transactions on Engineering and Technology Education Vol.8, No.4, 2010 2010 WIETE Understanding college students continuing intentions to use multimedia e-learning systems Yi-Chien Lin, Yi-Cheng

More information

Extended technology acceptance model of Internet utilization behavior

Extended technology acceptance model of Internet utilization behavior Information & Management 41 (2004) 719 729 Extended technology acceptance model of Internet utilization behavior Hung-Pin Shih * Information Management Department, Hsuan Chuang University, No. 48, Road

More information

Evaluating the Factors Affecting on Intension to Use of E-Recruitment

Evaluating the Factors Affecting on Intension to Use of E-Recruitment American Journal of Information Science and Computer Engineering Vol., No. 5, 205, pp. 324-33 http://www.aiscience.org/journal/ajisce Evaluating the Factors Affecting on Intension to Use of E-Recruitment

More information

MAGNT Research Report (ISSN. 1444-8939) Vol.2 (Special Issue) PP: 213-220

MAGNT Research Report (ISSN. 1444-8939) Vol.2 (Special Issue) PP: 213-220 Studying the Factors Influencing the Relational Behaviors of Sales Department Staff (Case Study: The Companies Distributing Medicine, Food and Hygienic and Cosmetic Products in Arak City) Aram Haghdin

More information

Exploring students acceptance of e-learning using Technology Acceptance Model in Jordanian universities

Exploring students acceptance of e-learning using Technology Acceptance Model in Jordanian universities International Journal of Education and Development using Information and Communication Technology (IJEDICT), 2013, Vol. 9, Issue 2, pp. 4-18 Exploring students acceptance of e-learning using Technology

More information

An Application of the UTAUT Model for Understanding Student Perceptions Using Course Management Software

An Application of the UTAUT Model for Understanding Student Perceptions Using Course Management Software An Application of the UTAUT Model for Understanding Student Perceptions Using Course Management Software Jack T. Marchewka Chang Liu Operations Management and Information Systems Department Northern Illinois

More information

FACTORS THAT DETERMINE EELECTRONIC MEDICAL RECORDS USERS SATISFACTION: A CASE OF INDONESIA

FACTORS THAT DETERMINE EELECTRONIC MEDICAL RECORDS USERS SATISFACTION: A CASE OF INDONESIA FACTORS THAT DETERMINE EELECTRONIC MEDICAL RECORDS USERS SATISFACTION: A CASE OF INDONESIA 1 TOGAR ALAM NAPITUPULU, 2 SURYANTO HASOLOAN JULHAM PATRIA 1 Senior Lecturer, Bina Nusantara University, Indonesia

More information

Measuring the Success of Healthcare Information System in Malaysia: A Case Study

Measuring the Success of Healthcare Information System in Malaysia: A Case Study IOSR Journal of Business and Management (IOSR-JBM) e-issn: 2278-487X, p-issn: 2319-7668. Volume 18, Issue 4.Ver. II (Apr. 2016), PP 100-106 www.iosrjournals.org Measuring the Success of Healthcare Information

More information

Gender-Specific Websites: How Do Female Visitors Respond? ABSTRACT

Gender-Specific Websites: How Do Female Visitors Respond? ABSTRACT Gender-Specific Websites: How Do Female Visitors Respond? Eugenia Huang National Chengchi University: 64, Sec. 2, Zhinan Rd., Taipei 116, Taiwan, R.O.C. Phone: +886-2-29387348 eugenia@nccu.edu.tw Cheng-Wei,

More information

A Framework for Predicting EHR Adoption Attitudes: A Physician Survey

A Framework for Predicting EHR Adoption Attitudes: A Physician Survey A Framework for Predicting EHR Adoption Attitudes: A Physician Survey 1 A Framework for Predicting EHR Adoption Attitudes: A Physician Survey by Mary E. Morton, PhD, RHIA, and Susan Wiedenbeck, PhD Abstract

More information

Attitudes of nursing staff towards electronic patient records: A questionnaire survey

Attitudes of nursing staff towards electronic patient records: A questionnaire survey Postprint 1.0 Version Journal website http://dx.doi.org/10.1016/j.ijnurstu.2009.11.016 Pubmed link http://www.ncbi.nlm.nih.gov/pubmed/20022007 DOI 10.1016/j.ijnurstu.2009.11.016 Attitudes of nursing staff

More information

The Influence of Stressful Life Events of College Students on Subjective Well-Being: The Mediation Effect of the Operational Effectiveness

The Influence of Stressful Life Events of College Students on Subjective Well-Being: The Mediation Effect of the Operational Effectiveness Open Journal of Social Sciences, 2016, 4, 70-76 Published Online June 2016 in SciRes. http://www.scirp.org/journal/jss http://dx.doi.org/10.4236/jss.2016.46008 The Influence of Stressful Life Events of

More information

E-learning: Students perceptions of online learning in hospitality programs. Robert Bosselman Hospitality Management Iowa State University ABSTRACT

E-learning: Students perceptions of online learning in hospitality programs. Robert Bosselman Hospitality Management Iowa State University ABSTRACT 1 E-learning: Students perceptions of online learning in hospitality programs Sungmi Song Hospitality Management Iowa State University Robert Bosselman Hospitality Management Iowa State University ABSTRACT

More information

Antecedence for Valuable MBA Projects: A Case Study of Graduate School of Business, Universiti Sains Malaysia

Antecedence for Valuable MBA Projects: A Case Study of Graduate School of Business, Universiti Sains Malaysia Antecedence for Valuable MBA Projects: A Case Study of Graduate School of Business, Universiti Sains Malaysia Rajendran Muthuveloo Graduate School of Business, Universiti Sains Malaysia, Penang, Malaysia

More information

Andree E. Widjaja Jengchung Victor Chen

Andree E. Widjaja Jengchung Victor Chen Andree E. Widjaja Jengchung Victor Chen Institute of International Management National Cheng Kung University, Tainan, Taiwan Andree/Victor 1 Agenda Introduction Cloud Computing Information Security and

More information

The Implementation of e-procurement System in Health Sector in Greece: Attitudes of Potential Users and Implications for Hospital Management

The Implementation of e-procurement System in Health Sector in Greece: Attitudes of Potential Users and Implications for Hospital Management International Journal of Health Research and Innovation, vol. 1, no. 1, 2013, 15-23 ISSN: 2051-5057 (print version), 2051-5065 (online) Scienpress, 2013 The Implementation of e-procurement System in Health

More information

Management Science Letters

Management Science Letters Management Science Letters 3 (2013) 2767 2774 Contents lists available at GrowingScience Management Science Letters homepage: www.growingscience.com/msl How customer relationship management influences

More information

A STUDY ON ERP SYSTEM ACCEPTANCE BASED ON TECHNOLOGY ACCEPTANCE MODEL

A STUDY ON ERP SYSTEM ACCEPTANCE BASED ON TECHNOLOGY ACCEPTANCE MODEL A STUDY ON SYSTEM ACCEPTANCE BASED ON TECHNOLOGY ACCEPTANCE MODEL Rajesri Govindaraju and Nenny Indriany Faculty of Industrial Technology, Bandung Institute of Technology Jalan Ganesha No. 10, Bandung

More information

NANYANG TECHNOLOGICAL UNIVERSITY

NANYANG TECHNOLOGICAL UNIVERSITY NANYANG TECHNOLOGICAL UNIVERSITY Division of Information Studies Wee Kim Wee School of Communication & Information Digitally Mediated Fitness Games for Corporate Wellness CI6299 Critical Inquiry Proposal

More information

Attitudes and Behaviors of Clinical Staff Toward an Electronic Medical Record System

Attitudes and Behaviors of Clinical Staff Toward an Electronic Medical Record System Association for Information Systems AIS Electronic Library (AISeL) SAIS 2006 Proceedings Southern (SAIS) 3-1-2006 Attitudes and Behaviors of Clinical Staff Toward an Electronic Medical Record System Robert

More information

Determinants of Intention to Use an Online Bill Payment System among MBA Students

Determinants of Intention to Use an Online Bill Payment System among MBA Students Determinants of Intention to Use an Online Bill Payment System among MBA Students T. Ramayah Chin Yee Ling School of Management, Universiti Sains Malaysia E-mail: ramayah@usm.my Norazah Mohd Suki College

More information

Cloud Computing Implementation in Indonesia

Cloud Computing Implementation in Indonesia Cloud Computing Implementation in Indonesia M. Dachyar, Machadi Dhana Prasetya Department of Industrial Engineering University of Indonesia Depok - 16424 Indonesia Abstract Cloud Computing is one of the

More information

Brand management model of vocational high schools in Taiwan

Brand management model of vocational high schools in Taiwan Available online at www.sciencedirect.com Procedia Social and Behavioral Sciences 2 (2010) 4229 4233 WCES-2010 management model of vocational high schools in Taiwan Yi-Ling Hung a, Ching-Sheue Fu a * a

More information

Factors Influencing Government Employee Performance via Information Systems Use: an Empirical Study

Factors Influencing Government Employee Performance via Information Systems Use: an Empirical Study Factors Influencing Government Employee Performance via Information Systems Use: an Empirical Study Pin Luarn 1 and Kuo-Liang Huang 1, 2 1 National Taiwan University of Science and Technology, Taiwan 2

More information

CHAPTER 5: CONSUMERS ATTITUDE TOWARDS ONLINE MARKETING OF INDIAN RAILWAYS

CHAPTER 5: CONSUMERS ATTITUDE TOWARDS ONLINE MARKETING OF INDIAN RAILWAYS CHAPTER 5: CONSUMERS ATTITUDE TOWARDS ONLINE MARKETING OF INDIAN RAILWAYS 5.1 Introduction This chapter presents the findings of research objectives dealing, with consumers attitude towards online marketing

More information

Older-Users Acceptance of Smartcard Payment Systems: An Investigation of an Old-street Venders

Older-Users Acceptance of Smartcard Payment Systems: An Investigation of an Old-street Venders Older-Users Acceptance of Smartcard Payment Systems: An Investigation of an Old-street Venders 1 Sheng-Chin Yu, 2 Fong-Ling Fu, 3 Chia-jen Ting, 4 Hsing-Chuan Lu 1, Assoc Prof. of TungNan University, scyu@mail.tnu.edu.tw

More information

Proc. of Int. Conf. on Computing, Communication & Manufacturing 2014

Proc. of Int. Conf. on Computing, Communication & Manufacturing 2014 Proc. of Int. Conf. on Computing, Communication & Manufacturing 2014 Technology Acceptance Model implementation in Open Source Learning Management System Parantap Chatterjee MCKV Institute Of Engineering/MCA,

More information

Use and Acceptance of an Electronic Health Record: Factors Affecting Physician Attitudes. A Thesis. Submitted to the Faculty.

Use and Acceptance of an Electronic Health Record: Factors Affecting Physician Attitudes. A Thesis. Submitted to the Faculty. Use and Acceptance of an Electronic Health Record: Factors Affecting Physician Attitudes A Thesis Submitted to the Faculty of Drexel University by Mary Elizabeth Morton in partial fulfillment of the requirements

More information

THE EFFECT OF TECHNOLOGICAL AND COMMERCIAL VIABILITY ON MICROSOFT TAIWAN INNOVATION COMPETENCY

THE EFFECT OF TECHNOLOGICAL AND COMMERCIAL VIABILITY ON MICROSOFT TAIWAN INNOVATION COMPETENCY Bilgi Ekonomisi ve Yönetimi Dergisi / 2013 Cilt: VIII Sayı: I THE EFFECT OF TECHNOLOGICAL AND COMMERCIAL VIABILITY ON MICROSOFT TAIWAN INNOVATION COMPETENCY Cheng-Ping Shih 1 Ya-Chung Hung 2 Abstract Innovation

More information

Vice-Chancellors Influence on Academic Staff Intentions to Use Learning Management Systems (LMS) For Teaching and Learning. J. Macharia & E.

Vice-Chancellors Influence on Academic Staff Intentions to Use Learning Management Systems (LMS) For Teaching and Learning. J. Macharia & E. Vice-Chancellors Influence on Academic Staff Intentions to Use Learning Management Systems (LMS) For Teaching and Learning J. Macharia & E. Nyakwende Abstract Universities world over are increasingly deploying

More information

An Instrument to Assess Organizational Readiness to Implement Knowledge Management Process

An Instrument to Assess Organizational Readiness to Implement Knowledge Management Process An Instrument to Assess Organizational Readiness to Implement Knowledge Management Process Mohamed Jalaldeen Mohamed Razi, Nor Shahriza Abdul Karim Department of Information Systems Kulliyyah of Information

More information

The role of business intelligence in knowledge sharing: a Case Study at Al-Hikma Pharmaceutical Manufacturing Company

The role of business intelligence in knowledge sharing: a Case Study at Al-Hikma Pharmaceutical Manufacturing Company The role of business intelligence in knowledge sharing: a Case Study at Al-Hikma Pharmaceutical Manufacturing Company Samer Barakat 1* Hasan Ali Al-Zu bi 2 Hanadi Al-Zegaier 3 1. Management Information

More information

The Online Banking Usage in Indonesia: An Empirical Study

The Online Banking Usage in Indonesia: An Empirical Study DOI: 10.7763/IPEDR. 2012. V54. 19 The Online Banking Usage in Indonesia: An Empirical Study Sulistyo Budi Utomo 1 + 1 Indonesia School of Economics (STIESIA) Surabaya Abstract. Many Indonesian banks have

More information

The Moderating Effect of Employee Commitment on HR Managers Role and HR Performance Indicator

The Moderating Effect of Employee Commitment on HR Managers Role and HR Performance Indicator The Moderating Effect of Employee Commitment on HR Managers Role and HR Performance Indicator Yin-Lin Tsai, Ph.D., Assistant Professor, National Chi Nan University, Taiwan ABSTRACT In the era of increasing

More information

An Empirical Examination of the Relationship between Financial Trader s Decision-making and Financial Software Applications

An Empirical Examination of the Relationship between Financial Trader s Decision-making and Financial Software Applications Empirical Examination of Financial decision-making & software apps. An Empirical Examination of the Relationship between Financial Trader s Decision-making and Financial Software Applications Research-in-Progress

More information

Technology Complexity, Personal Innovativeness And Intention To Use Wireless Internet Using Mobile Devices In Malaysia

Technology Complexity, Personal Innovativeness And Intention To Use Wireless Internet Using Mobile Devices In Malaysia International Review of Business Research Papers Vol.4 No.5. October-November 2008. PP.1-10 Technology Complexity, Personal Innovativeness And Intention To Use Wireless Internet Using Mobile Devices In

More information

Abstract. Keywords: Mobile commerce, short messaging services, mobile marketing. Mobile Marketing

Abstract. Keywords: Mobile commerce, short messaging services, mobile marketing. Mobile Marketing Consumer Perspectives On Mobile Advertising And Marketing Craig Standing, Steve Benson, Edith Cowan University Heikki Karjaluoto, University of Oulu, Finland Abstract Mobile marketing is set to make a

More information

Chia-Chun Wu 2* Assistant Professor Dept. of Information Management I-Shou University Kaohsiung, Taiwan chiachun@isu.edu.tw

Chia-Chun Wu 2* Assistant Professor Dept. of Information Management I-Shou University Kaohsiung, Taiwan chiachun@isu.edu.tw IRACST- International Journal of Research in Management & Technology (IJRMT), ISSN: 2249-9563 Utilizing the Technology Acceptance Model to Explore the Effects on Purchase Lisa Y. Chen 1 Associate Professor

More information

An Exploration of Remote Healthcare Service Adoption from multistakeholders

An Exploration of Remote Healthcare Service Adoption from multistakeholders An Exploration of Remote Healthcare Service Adoption from multistakeholders in China preferred journal: MISQ Xitong Guo, School of Management, Harbin Institute of Technology, xitongguo@gmail.com Dominic

More information

The effects of organizational contextual factors on physicians attitude toward adoption of Electronic Medical Records

The effects of organizational contextual factors on physicians attitude toward adoption of Electronic Medical Records The effects of organizational contextual factors on physicians attitude toward adoption of Electronic Medical Records Mohammadhiwa Abdekhoda a, Maryam Ahmadi a, b, Mahmodreza Gohari c, Alireza Noruzi d

More information

Acceptance of Health Information Technology in Health Professionals: An Application of the Revised Technology Acceptance Model

Acceptance of Health Information Technology in Health Professionals: An Application of the Revised Technology Acceptance Model Acceptance of Health Information Technology in Health Professionals: An Application of the Revised Technology Acceptance Model Panagiotis Ketikidis 1,2, Tomislav Dimitrovski 2, Peter Bath 3, Lambros Lazuras

More information

Understanding the behavioral intention to use ERP systems: An extended technology acceptance model

Understanding the behavioral intention to use ERP systems: An extended technology acceptance model Understanding the behavioral intention to ERP systems: An extended technology acceptance model C.A. Gumussoy, F. Calisir & A. Bayram Industrial Engineering Department, Management Faculty, Istanbul Technical

More information

The Conceptualization of Integrated Consumer Health Informatics Utilization Framework

The Conceptualization of Integrated Consumer Health Informatics Utilization Framework The Conceptualization of Integrated Consumer Health Informatics Utilization Framework Norfadzila, S.W.A., Balakrishnan, V., A. Abrizah Abstract The purpose of this paper is to propose an integrated consumer

More information

An Empirical Study on the Effects of Software Characteristics on Corporate Performance

An Empirical Study on the Effects of Software Characteristics on Corporate Performance , pp.61-66 http://dx.doi.org/10.14257/astl.2014.48.12 An Empirical Study on the Effects of Software Characteristics on Corporate Moon-Jong Choi 1, Won-Seok Kang 1 and Geun-A Kim 2 1 DGIST, 333 Techno Jungang

More information

The Diffusion of E-Learning Innovations in an Australian Secondary College: Strategies and Tactics for Educational Leaders

The Diffusion of E-Learning Innovations in an Australian Secondary College: Strategies and Tactics for Educational Leaders The Diffusion of E-Learning Innovations in an Australian Secondary College: Strategies and Tactics for Educational Leaders Sam Jebeile Division of Economic and Financial Studies Macquarie University Australia

More information

Analysis of Electronic Health Record Implementation and Usage in Texas Acute Care Hospitals

Analysis of Electronic Health Record Implementation and Usage in Texas Acute Care Hospitals Analysis of Electronic Health Record Implementation and Usage in Texas Acute Care Hospitals Stacy Mitchell mitchells@uncw.edu Ulku Yaylacicegi yaylacicegiu@uncw.edu Department of Information Systems and

More information

Consumer Purchase Intention Research Based on Social Media Marketing

Consumer Purchase Intention Research Based on Social Media Marketing International Journal of Business and Social Science Vol. 5, No. 10(1); September 2014 Consumer Purchase Intention Research Based on Social Media Marketing Maoyan College of Management Shanghai University

More information

What Drives Mobile Health Care? An Empirical Evaluation of Technology Acceptance

What Drives Mobile Health Care? An Empirical Evaluation of Technology Acceptance What Drives Mobile Health Care? An Empirical Evaluation of Technology Acceptance Jen-Her Wu a,b, Shu-Ching Wang a,c, Li-Min Lin d a Department of Information Management, National Sun Yat-sen University,

More information

TRUST AND USER ACCEPTANCE OF MOBILE ADVERTISING

TRUST AND USER ACCEPTANCE OF MOBILE ADVERTISING TRUST AND USER ACCEPTANCE OF MOBILE ADVERTISING Samer Barakat, Management Information Systems Department, Faculty of Economics & Administrative Science, Applied Science Private University, Jordan sbarakat@asu.edu.jo

More information

Predicting consumer intentions to shop online: An empirical test of competing theories

Predicting consumer intentions to shop online: An empirical test of competing theories Available online at www.sciencedirect.com Electronic Commerce Research and Applications 6 (007) 433 44 www.elsevier.com/locate/ecra Predicting consumer intentions to shop online: An empirical test of competing

More information