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Related Experiment Videos

A framework for predicting EHR adoption attitudes: a physician survey.

Mary E Morton1, Susan Wiedenbeck

  • 1University of Mississippi Medical Center, School of Health Related Professions, Jackson, MS, USA.

Perspectives in Health Information Management
|February 20, 2010
PubMed
Summary

Physician acceptance of electronic health records (EHRs) is low, hindering widespread adoption. Understanding individual, social, and technical factors is key to improving EHR implementation and patient care quality.

Keywords:
ambulatory careattitudesbarriersdiffusion of innovationselectronic health recordshealth information systemsperceptionsphysicianstechnology acceptanceuser adoption

Related Experiment Videos

Area of Science:

  • Health Informatics
  • Information Systems Research
  • Medical Sociology

Background:

  • The U.S. government aimed for universal electronic health records (EHRs) by 2014 to enhance patient care quality.
  • Despite this goal, EHR adoption in ambulatory care settings remains low, currently exceeding only 10 percent.

Purpose of the Study:

  • To identify individual characteristics and socio-technical factors influencing physician acceptance of EHRs.
  • To develop and test a framework for understanding EHR adoption barriers.

Main Methods:

  • Utilized a framework integrating Diffusion of Innovations theory and the Technology Acceptance Model.
  • Employed case study and survey methodologies for data collection.
  • Applied structural equation modeling (SEM) to test the proposed model.

Main Results:

  • The developed model explained over 73 percent of the variance in physicians' attitudes toward EHRs.
  • The model demonstrated acceptable fit, indicating its validity.
  • User acceptance emerged as a critical factor impeding EHR diffusion.

Conclusions:

  • Physician acceptance is a significant barrier to the widespread adoption of EHRs.
  • Leadership and organizational changes play a crucial role in influencing user adoption of health IT.
  • Further research and strategic interventions are needed to promote EHR implementation.