Evaluating Physician and Manager Perspectives on EHR Usage in Turkey: A Factor Analysis Approach

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-07-24 DOI:10.1111/jep.70214

Songul Cinaroglu, Simge Kamalı

{"title":"Evaluating Physician and Manager Perspectives on EHR Usage in Turkey: A Factor Analysis Approach","authors":"Songul Cinaroglu, Simge Kamalı","doi":"10.1111/jep.70214","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims and Objectives</h3>\n \n <p>Understanding the perspectives of health professionals about Electronic Health Records (EHRs) is pivotal for better management of health information systems (HIS). The purpose of this study is to examine explanatory factors of usage of EHRs according to the physician and hospital manager's evaluations.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A survey was administered in three hospitals in the İzmir metropolitan area, and 202 physicians and hospital administrators participated in this study. The internal consistency of the questionnaire was assessed using Cronbach's Alpha (0.74), and the suitability of the factor analytical model was assessed using KMO (0.79) and Bartlett's test (X<sup>2</sup> = 1720.97, <i>p</i> < 0.001). Exploratory factor analysis was performed with Varimax rotation to determine the factors underlying the model. Then, confirmatory factor analysis (CFA) was performed to reveal the latent structure of the model.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The performance of CFA model is statistically significant (<i>p</i> < 0.0001), acceptable at moderate level (X<sup>2</sup>/df = 3,81) the goodness-of-fit indices are good (CFI = 0,87; GFI = 0,76; NFI = 0,83; AGFI = 0,70). Three factors explain the latent structure of this model and evaluations of physician and hospital managers towards the usage of EHRs named as: <i>benefits of usage of EHRs</i>; <i>concerns about the usage of EHRs</i> and <i>the effect of EHRs on the quality of work, efficiency, access to the information and safety</i>.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Study results highlight the necessity of comprehending the EHR from the perspectives of health professionals and managers by focusing on the advantages of EHRs, concerns towards the deployment of EHR systems, and the improvement effects of EHR in work quality, efficiency, and HIS.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70214","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Aims and Objectives

Understanding the perspectives of health professionals about Electronic Health Records (EHRs) is pivotal for better management of health information systems (HIS). The purpose of this study is to examine explanatory factors of usage of EHRs according to the physician and hospital manager's evaluations.

Methods

A survey was administered in three hospitals in the İzmir metropolitan area, and 202 physicians and hospital administrators participated in this study. The internal consistency of the questionnaire was assessed using Cronbach's Alpha (0.74), and the suitability of the factor analytical model was assessed using KMO (0.79) and Bartlett's test (X² = 1720.97, p < 0.001). Exploratory factor analysis was performed with Varimax rotation to determine the factors underlying the model. Then, confirmatory factor analysis (CFA) was performed to reveal the latent structure of the model.

Results

The performance of CFA model is statistically significant (p < 0.0001), acceptable at moderate level (X²/df = 3,81) the goodness-of-fit indices are good (CFI = 0,87; GFI = 0,76; NFI = 0,83; AGFI = 0,70). Three factors explain the latent structure of this model and evaluations of physician and hospital managers towards the usage of EHRs named as: benefits of usage of EHRs; concerns about the usage of EHRs and the effect of EHRs on the quality of work, efficiency, access to the information and safety.

Conclusion

Study results highlight the necessity of comprehending the EHR from the perspectives of health professionals and managers by focusing on the advantages of EHRs, concerns towards the deployment of EHR systems, and the improvement effects of EHR in work quality, efficiency, and HIS.

查看原文本刊更多论文

评估医生和管理者的观点对电子病历的使用在土耳其：一个因素分析方法

目的和目标了解卫生专业人员对电子健康记录（EHRs）的看法对于更好地管理卫生信息系统（HIS）至关重要。本研究的目的是根据医师和医院管理人员的评价，探讨电子病历使用的解释因素。方法对İzmir市区3家医院202名医师和医院管理人员进行问卷调查。采用Cronbach’s Alpha（0.74）评价问卷的内部一致性，采用KMO（0.79）和Bartlett检验（X2 = 1720.97, p < 0.001）评价因子分析模型的适宜性。探索性因子分析使用Varimax旋转来确定模型背后的因素。然后，进行验证性因子分析（CFA）来揭示模型的潜在结构。结果CFA模型的性能有统计学意义（p < 0.0001），可接受在中等水平（X2/df = 3,81），拟合优度指标良好(CFI = 0,87；gfi = 0,76；nfi = 0,83；agfi = 0,70)。三个因素解释了该模型的潜在结构以及医生和医院管理者对电子病历使用的评价，称为：使用电子病历的收益；关注电子病历的使用，以及电子病历对工作质量、效率、获取信息和安全的影响。结论研究结果强调了从卫生专业人员和管理人员的角度理解电子健康档案的必要性，重点关注电子健康档案的优势，对电子健康档案系统部署的关注，以及电子健康档案对工作质量、效率和HIS的改善作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.