Beyond technology acceptance to effective technology use: a parsimonious and actionable model.

Area of Science:

• Health Informatics
• Healthcare Technology Implementation
• Human-Computer Interaction in Healthcare

Background:

• Implementing new health information technology (HIT) is crucial for modern healthcare organizations.
• Understanding factors influencing effective technology use (ETU) is essential for successful HIT adoption.
• Existing models may not fully capture the nuances of technology adoption by healthcare providers.

Purpose of the Study:

• To develop and validate a concise and practical model for effective technology use (ETU).
• To identify key determinants influencing both the consistency and quality of technology use.
• To explore the differential impact of technology perceptions on various dimensions of ETU.

Main Methods:

• A cross-sectional survey was administered to 53 primary care providers in a large integrated health care system.
• The survey assessed perceptions of technology compatibility, implementation climate, usefulness, and ease of use.
• Effective technology use (ETU) was measured by both the consistency and quality of technology application.

Main Results:

• Implementation climate positively influenced the consistency of technology use.
• High-quality technology use was achieved when both implementation climate and compatibility with work values were strong.
• Workplace values significantly impact the quality of technology use, highlighting their importance in HIT implementation.

Conclusions:

• Parsimonious models are needed to effectively implement new healthcare information technology.
• Actionable determinants of ETU, considering their differential effects on multiple usage dimensions, are critical.
• Focusing on implementation climate and alignment with user values can enhance the quality of health technology use.