{"title":"提高用户对电子病历接受程度的策略","authors":"I. Muna, Guardian Yoki Sanjaya","doi":"10.22146/jmpk.v26i4.8948","DOIUrl":null,"url":null,"abstract":"Background: The benefits of using electronic medical records have encouraged the government and hospitals in Indonesia to continue developing them. Many factors support and hinder the successful implementation of electronic medical records. User acceptance is a key variable in the mandatory use of electronic medical records. The Unified Theory of Acceptance and Use of Technology is the theory used to evaluate EMR and factors that influence user acceptance, namely intention to use RME. \nObjective: This study aims to identify the influence of UTAUT indicators on the behavior intention to use outpatient electronic medical records. \nMethods : This research used a descriptive case study approach with a location at PKU Muhammadiyah Wonosobo Hospital with a sample of all users of outpatient electronic medical records. The research was conducted with in-depth interviews with 10 informants and distributing questionnaires to 95 respondents who were analyzed using SmartPLS. \nResults: Outpatient RME users at PKU Muhammadiyah Wonosobo Hospital accept to use and utilize the system now and in the future due to positive perceptions of performance expectations, effort expectations, and facility conditions. Obstacles are still found that hamper the acceptance of outpatient RME users including RME not yet integrated with all services in the hospital, RME feature dysfunction, interoperability interference, data access is not automatic, availability of inappropriate infrastructure, lack of availability of skilled IT human resources, lack of regulation. Performance expectation has a positive and significant effect on usage intention (t=2.381; p=0.018). Expectation of effort has a positive and significant effect on intention to use (t=2.004; p=0.046). Facility conditions have a positive and significant effect on usage intention (t=2.245; p=0.025). Social influence has an insignificant positive effect on intention to use (t=1.179; p=0.239). \nConclusion : Increasing user acceptance of EMR is done by increasing performance expectations, business expectations, and facility conditions that support implementation. User expectations for the use of RME in the future are system improvements, all user needs accommodated, and interoperability so that the system can be fully integrated.","PeriodicalId":114735,"journal":{"name":"Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)","volume":"1 4","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"STRATEGI PENINGKATAN PENERIMAAN PENGGUNA REKAM MEDIS ELEKTRONIK\",\"authors\":\"I. Muna, Guardian Yoki Sanjaya\",\"doi\":\"10.22146/jmpk.v26i4.8948\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: The benefits of using electronic medical records have encouraged the government and hospitals in Indonesia to continue developing them. Many factors support and hinder the successful implementation of electronic medical records. User acceptance is a key variable in the mandatory use of electronic medical records. The Unified Theory of Acceptance and Use of Technology is the theory used to evaluate EMR and factors that influence user acceptance, namely intention to use RME. \\nObjective: This study aims to identify the influence of UTAUT indicators on the behavior intention to use outpatient electronic medical records. \\nMethods : This research used a descriptive case study approach with a location at PKU Muhammadiyah Wonosobo Hospital with a sample of all users of outpatient electronic medical records. The research was conducted with in-depth interviews with 10 informants and distributing questionnaires to 95 respondents who were analyzed using SmartPLS. \\nResults: Outpatient RME users at PKU Muhammadiyah Wonosobo Hospital accept to use and utilize the system now and in the future due to positive perceptions of performance expectations, effort expectations, and facility conditions. Obstacles are still found that hamper the acceptance of outpatient RME users including RME not yet integrated with all services in the hospital, RME feature dysfunction, interoperability interference, data access is not automatic, availability of inappropriate infrastructure, lack of availability of skilled IT human resources, lack of regulation. Performance expectation has a positive and significant effect on usage intention (t=2.381; p=0.018). Expectation of effort has a positive and significant effect on intention to use (t=2.004; p=0.046). Facility conditions have a positive and significant effect on usage intention (t=2.245; p=0.025). Social influence has an insignificant positive effect on intention to use (t=1.179; p=0.239). \\nConclusion : Increasing user acceptance of EMR is done by increasing performance expectations, business expectations, and facility conditions that support implementation. 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引用次数: 0
摘要
背景:使用电子病历的好处促使印度尼西亚政府和医院继续开发电子病历。支持和阻碍电子病历成功实施的因素很多。用户接受度是强制使用电子病历的一个关键变量。接受和使用技术统一理论(Unified Theory of Acceptance and Use of Technology)被用来评估电子病历和影响用户接受度的因素,即使用 RME 的意向。研究目的本研究旨在确定UTAUT指标对使用门诊电子病历行为意向的影响。方法:本研究采用描述性案例研究法,研究地点为北京大学穆罕默迪亚-沃诺索博医院,样本为门诊电子病历的所有用户。研究对 10 名信息提供者进行了深入访谈,并向 95 名受访者发放了问卷,使用 SmartPLS 对问卷进行了分析。研究结果PKU Muhammadiyah Wonosobo 医院的门诊电子病历用户对性能预期、努力预期和设施条件都持积极态度,因此他们现在和将来都愿意使用和利用该系统。但仍有一些障碍阻碍了门诊病人对远程医疗系统的接受,包括远程医疗系统尚未与医院的所有服务整合、远程医疗系统功能障碍、互操作性干扰、数据访问不是自动的、基础设施不合适、缺乏熟练的信息技术人力资源、缺乏监管等。性能期望对使用意向有显著的正向影响(t=2.381;p=0.018)。对努力的期望对使用意向有正向显著影响(t=2.004;p=0.046)。设施条件对使用意向有显著的正向影响(t=2.245;p=0.025)。社会影响对使用意向的积极影响不显著(t=1.179;p=0.239)。结论:要提高用户对电子病历的接受程度,就必须提高绩效预期、业务预期和支持实施的设施条件。用户对未来使用 RME 的期望是系统改进、满足用户的所有需求以及互操作性,以便系统能够完全集成。
STRATEGI PENINGKATAN PENERIMAAN PENGGUNA REKAM MEDIS ELEKTRONIK
Background: The benefits of using electronic medical records have encouraged the government and hospitals in Indonesia to continue developing them. Many factors support and hinder the successful implementation of electronic medical records. User acceptance is a key variable in the mandatory use of electronic medical records. The Unified Theory of Acceptance and Use of Technology is the theory used to evaluate EMR and factors that influence user acceptance, namely intention to use RME.
Objective: This study aims to identify the influence of UTAUT indicators on the behavior intention to use outpatient electronic medical records.
Methods : This research used a descriptive case study approach with a location at PKU Muhammadiyah Wonosobo Hospital with a sample of all users of outpatient electronic medical records. The research was conducted with in-depth interviews with 10 informants and distributing questionnaires to 95 respondents who were analyzed using SmartPLS.
Results: Outpatient RME users at PKU Muhammadiyah Wonosobo Hospital accept to use and utilize the system now and in the future due to positive perceptions of performance expectations, effort expectations, and facility conditions. Obstacles are still found that hamper the acceptance of outpatient RME users including RME not yet integrated with all services in the hospital, RME feature dysfunction, interoperability interference, data access is not automatic, availability of inappropriate infrastructure, lack of availability of skilled IT human resources, lack of regulation. Performance expectation has a positive and significant effect on usage intention (t=2.381; p=0.018). Expectation of effort has a positive and significant effect on intention to use (t=2.004; p=0.046). Facility conditions have a positive and significant effect on usage intention (t=2.245; p=0.025). Social influence has an insignificant positive effect on intention to use (t=1.179; p=0.239).
Conclusion : Increasing user acceptance of EMR is done by increasing performance expectations, business expectations, and facility conditions that support implementation. User expectations for the use of RME in the future are system improvements, all user needs accommodated, and interoperability so that the system can be fully integrated.