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Developing a theoretical model of clinician information usage propensity.
Philip J Scott1, James S Briggs
1Centre for Healthcare Modelling and Informatics, University of Portsmouth, Portsmouth PO1 3HE, UK. philip.scott@port.ac.uk
Studies in Health Technology and Informatics
|September 12, 2009
Summary
Clinician information usage propensity, an indicator of attitudes toward clinical information, was explored. Cultural resistance emerged as a key factor, particularly among female clinicians and hospital doctors.
Area of Science:
- Medical Informatics
- Health Services Research
- Information Science
Background:
- Understanding clinician attitudes towards information systems is crucial for effective healthcare.
- Previous research highlights varied clinician engagement with clinical information.
Purpose of the Study:
- To develop and validate the theoretical construct "clinician information usage propensity."
- To identify factors influencing clinicians' attitudes and behaviors regarding clinical information and systems.
Main Methods:
- Qualitative research followed by survey development and validation.
- 146 clinician responses analyzed using principal components analysis.
Main Results:
- Four factors emerged: beliefs about clinical judgment, information quality, cultural resistance, and cognitive approach, explaining 47.2% of variance.
- Cultural resistance was the primary factor, higher in female clinicians and hospital doctors.
- Beliefs about information quality and cognitive approach showed low reliability.
Conclusions:
- The clinician information usage propensity construct requires refinement for better instrument sensitivity and variance explanation.
- Beliefs about clinical judgment warrant further investigation in medical informatics.
- Understanding cultural resistance is key to improving technology adoption in healthcare.
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