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Explaining physicians' use of EMR systems and performance in the shakedown phase
Tracy Ann Sykes1, Viswanath Venkatesh, Arun Rai
1Australian National University, College of Business and Economics, Canberra, Australia. tracy@tracyannsykes.com
Journal of the American Medical Informatics Association : JAMIA
|February 5, 2011
Summary
Physician social connections, personality, and perceived usefulness impact electronic medical records (EMR) system use. Understanding these factors can improve physician adoption and patient satisfaction during EMR implementation.
Area of Science:
- Health Informatics
- Medical Sociology
- Human-Computer Interaction
Background:
- Electronic Medical Records (EMR) systems are increasingly implemented in healthcare settings.
- Physician adoption and effective use of EMR systems are critical for realizing their benefits.
- Early implementation stages present unique challenges for system integration and user engagement.
Purpose of the Study:
- To investigate factors influencing physician use of EMR systems during the initial implementation phase.
- To examine the relationship between physician social networks, individual characteristics, technology perceptions, and EMR system utilization.
- To understand how EMR system use impacts patient satisfaction.
Main Methods:
- Quantitative study involving 151 physicians and 8440 patient satisfaction surveys over one year.
- Data collected from employee individual-level and social network data, EMR system logs, and patient satisfaction surveys.
- Analysis incorporated social network analysis, demographic data, personality traits, and technology acceptance models.
Main Results:
- Physicians with stronger social network ties for work advice used the EMR system less.
- Demographic factors (gender, age), personality traits (openness, agreeableness, extroversion), and perceived usefulness significantly predicted EMR system use.
- Social network integration and individual characteristics are key determinants of physician EMR adoption.
Conclusions:
- Understanding the interplay of social, individual, and technological factors is crucial for successful EMR implementation.
- Interventions targeting physician connectivity and perceived usefulness can enhance EMR adoption rates.
- Optimizing EMR system use through targeted strategies can positively influence patient satisfaction.
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