Explaining physicians' acceptance of EHCR systems: An extension of TAM with trust and risk factors

被引：188

作者：

Ortega Egea, Jose Manuel ^{[1
]}

Roman Gonzalez, Maria Victoria ^{[1
]}

机构：

[1] Univ Almeria, Fac Econ & Business Adm, Dept Business Adm, La Canada De San Urbano 04120, Almeria, Spain

来源：

COMPUTERS IN HUMAN BEHAVIOR | 2011年 / 27卷 / 01期

关键词：

Health information technology; EHCR systems; TAM; Trust; Risk; Physicians; COMMON METHOD VARIANCE; TECHNOLOGY ACCEPTANCE; INFORMATION-TECHNOLOGY; USER ACCEPTANCE; TELEMEDICINE TECHNOLOGY; INTRINSIC MOTIVATION; PERCEIVED USEFULNESS; ELECTRONIC COMMERCE; SELF-EFFICACY; MODEL;

D O I：

10.1016/j.chb.2010.08.010

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

This paper explains physicians' acceptance, in terms of usage intentions, of a central component of health information technology: electronic health care records (EHCR systems). For this purpose, the original version of the Technology Acceptance Model (TAM), which included perceived usefulness, perceived ease of use, attitude towards usage, and usage intentions, is extended with trust and risk-related factors such as physicians' perceptions of institutional trust, perceived risk, and information integrity. The results stress the special importance of attitudinal factors (attitude towards usage and perceived institutional trust) and cognitive instrumental processes (mainly, usefulness perceptions) in determining physicians' intention to use EHCR systems. Perceptions of institutional trust exerted strong direct effects on physicians' perceived usefulness, perceived ease of use, and attitude towards the use of EHCR systems. In addition, trust fully mediated the influences of perceived risk and information integrity perceptions on physicians' acceptance of EHCR systems. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：319 / 332

页数：14

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