Document (#37043)

Author
Nov, O.
Schecter, W.
Title
Dispositional resistance to change and hospital physicians' use of electronic medical records : a multidimensional perspective
Source
Journal of the American Society for Information Science and Technology. 63(2012) no.4, S.648-656
Year
2012
Abstract
Although electronic medical records (EMR) adoption by health care organizations has been widely studied, little is known about the determinants of EMR individual use by physicians after institutional adoption has taken place. In this study, the determinants of inpatient physicians' continuous use of EMR were studied. Four dimensions of EMR use were analyzed: use intensity, use extent, use frequency, and use scope. A web-based survey was administered to physicians at a large university hospital; respondents filled out a survey with questions relating to their EMR use, attitude, beliefs, work style, and dispositional resistance to change. Structural equation modeling was carried out to analyze the relationship between these factors. Physicians were found to differ substantially in the scope, extent, and intensity of their EMR use. Their attitude toward EMR use was associated with all use dimensions. Dispositional resistance to change was negatively related to perceived ease of use and with perceived usefulness both directly and through the mediation of compatibility with preferred work style. Time loss was negatively related to both perceived usefulness and attitude toward EMR use. Implications for research and practice are discussed.
Field
Medizin

Similar documents (content)

  1. Hu, P.J.-H.; Brown, S.A.; Thong, J.Y.L.; Chan, F.K.Y.; Tam, K.Y.: Determinants of service quality and continuance intention of online services : the case of eTax (2009) 0.21
    0.2072558 = sum of:
      0.2072558 = product of:
        0.5181395 = sum of:
          0.01612953 = weight(abstract_txt:related in 4714) [ClassicSimilarity], result of:
            0.01612953 = score(doc=4714,freq=1.0), product of:
              0.0611356 = queryWeight, product of:
                4.2213125 = idf(docFreq=1737, maxDocs=43556)
                0.014482605 = queryNorm
              0.26383203 = fieldWeight in 4714, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                4.2213125 = idf(docFreq=1737, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.016661623 = weight(abstract_txt:electronic in 4714) [ClassicSimilarity], result of:
            0.016661623 = score(doc=4714,freq=1.0), product of:
              0.062472843 = queryWeight, product of:
                1.0108775 = boost
                4.26723 = idf(docFreq=1659, maxDocs=43556)
                0.014482605 = queryNorm
              0.26670188 = fieldWeight in 4714, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                4.26723 = idf(docFreq=1659, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.014590021 = weight(abstract_txt:their in 4714) [ClassicSimilarity], result of:
            0.014590021 = score(doc=4714,freq=2.0), product of:
              0.051952217 = queryWeight, product of:
                1.1290172 = boost
                3.1772897 = idf(docFreq=4936, maxDocs=43556)
                0.014482605 = queryNorm
              0.2808354 = fieldWeight in 4714, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                3.1772897 = idf(docFreq=4936, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.026324775 = weight(abstract_txt:survey in 4714) [ClassicSimilarity], result of:
            0.026324775 = score(doc=4714,freq=1.0), product of:
              0.0847467 = queryWeight, product of:
                1.1773736 = boost
                4.9700623 = idf(docFreq=821, maxDocs=43556)
                0.014482605 = queryNorm
              0.3106289 = fieldWeight in 4714, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                4.9700623 = idf(docFreq=821, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.0067705954 = weight(abstract_txt:with in 4714) [ClassicSimilarity], result of:
            0.0067705954 = score(doc=4714,freq=1.0), product of:
              0.043182485 = queryWeight, product of:
                1.1885617 = boost
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.014482605 = queryNorm
              0.15679032 = fieldWeight in 4714, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.022683289 = weight(abstract_txt:were in 4714) [ClassicSimilarity], result of:
            0.022683289 = score(doc=4714,freq=2.0), product of:
              0.06972216 = queryWeight, product of:
                1.3079283 = boost
                3.6807828 = idf(docFreq=2983, maxDocs=43556)
                0.014482605 = queryNorm
              0.3253383 = fieldWeight in 4714, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                3.6807828 = idf(docFreq=2983, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.04513289 = weight(abstract_txt:dimensions in 4714) [ClassicSimilarity], result of:
            0.04513289 = score(doc=4714,freq=1.0), product of:
              0.121397145 = queryWeight, product of:
                1.4091498 = boost
                5.9484615 = idf(docFreq=308, maxDocs=43556)
                0.014482605 = queryNorm
              0.37177885 = fieldWeight in 4714, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                5.9484615 = idf(docFreq=308, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.06729155 = weight(abstract_txt:usefulness in 4714) [ClassicSimilarity], result of:
            0.06729155 = score(doc=4714,freq=2.0), product of:
              0.1257506 = queryWeight, product of:
                1.4341941 = boost
                6.0541816 = idf(docFreq=277, maxDocs=43556)
                0.014482605 = queryNorm
              0.5351191 = fieldWeight in 4714, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                6.0541816 = idf(docFreq=277, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.17430249 = weight(abstract_txt:determinants in 4714) [ClassicSimilarity], result of:
            0.17430249 = score(doc=4714,freq=2.0), product of:
              0.23717675 = queryWeight, product of:
                1.9696496 = boost
                8.314507 = idf(docFreq=28, maxDocs=43556)
                0.014482605 = queryNorm
              0.7349055 = fieldWeight in 4714, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                8.314507 = idf(docFreq=28, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
          0.12825273 = weight(abstract_txt:perceived in 4714) [ClassicSimilarity], result of:
            0.12825273 = score(doc=4714,freq=3.0), product of:
              0.19330695 = queryWeight, product of:
                2.1778214 = boost
                6.1288433 = idf(docFreq=257, maxDocs=43556)
                0.014482605 = queryNorm
              0.66346675 = fieldWeight in 4714, product of:
                1.7320508 = tf(freq=3.0), with freq of:
                  3.0 = termFreq=3.0
                6.1288433 = idf(docFreq=257, maxDocs=43556)
                0.0625 = fieldNorm(doc=4714)
        0.4 = coord(10/25)
    
  2. Zhang, Y.; Li, X.; Fan, W.: User adoption of physician's replies in an online health community : an empirical study (2020) 0.17
    0.1746818 = sum of:
      0.1746818 = product of:
        0.873409 = sum of:
          0.008463244 = weight(abstract_txt:with in 2291) [ClassicSimilarity], result of:
            0.008463244 = score(doc=2291,freq=1.0), product of:
              0.043182485 = queryWeight, product of:
                1.1885617 = boost
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.014482605 = queryNorm
              0.1959879 = fieldWeight in 2291, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.078125 = fieldNorm(doc=2291)
          0.13944174 = weight(abstract_txt:adoption in 2291) [ClassicSimilarity], result of:
            0.13944174 = score(doc=2291,freq=4.0), product of:
              0.13980249 = queryWeight, product of:
                1.5122039 = boost
                6.3834853 = idf(docFreq=199, maxDocs=43556)
                0.014482605 = queryNorm
              0.9974196 = fieldWeight in 2291, product of:
                2.0 = tf(freq=4.0), with freq of:
                  4.0 = termFreq=4.0
                6.3834853 = idf(docFreq=199, maxDocs=43556)
                0.078125 = fieldNorm(doc=2291)
          0.12981439 = weight(abstract_txt:negatively in 2291) [ClassicSimilarity], result of:
            0.12981439 = score(doc=2291,freq=1.0), product of:
              0.21158664 = queryWeight, product of:
                1.8603601 = boost
                7.8531613 = idf(docFreq=45, maxDocs=43556)
                0.014482605 = queryNorm
              0.61352825 = fieldWeight in 2291, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                7.8531613 = idf(docFreq=45, maxDocs=43556)
                0.078125 = fieldNorm(doc=2291)
          0.2152239 = weight(abstract_txt:hospital in 2291) [ClassicSimilarity], result of:
            0.2152239 = score(doc=2291,freq=2.0), product of:
              0.2352466 = queryWeight, product of:
                1.9616187 = boost
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.014482605 = queryNorm
              0.9148863 = fieldWeight in 2291, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.078125 = fieldNorm(doc=2291)
          0.3804657 = weight(abstract_txt:physicians in 2291) [ClassicSimilarity], result of:
            0.3804657 = score(doc=2291,freq=1.0), product of:
              0.5881165 = queryWeight, product of:
                4.9040465 = boost
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.014482605 = queryNorm
              0.6469223 = fieldWeight in 2291, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.078125 = fieldNorm(doc=2291)
        0.2 = coord(5/25)
    
  3. Loh, S.; Oliveira, J.P.M. de; Gastal, F.L.: Knowledge discovery in textual documentation : qualitative and quantitative analyses (2001) 0.15
    0.15488027 = sum of:
      0.15488027 = product of:
        0.7744013 = sum of:
          0.023209328 = weight(abstract_txt:records in 480) [ClassicSimilarity], result of:
            0.023209328 = score(doc=480,freq=1.0), product of:
              0.06715032 = queryWeight, product of:
                1.0480378 = boost
                4.424095 = idf(docFreq=1418, maxDocs=43556)
                0.014482605 = queryNorm
              0.34563243 = fieldWeight in 480, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                4.424095 = idf(docFreq=1418, maxDocs=43556)
                0.078125 = fieldNorm(doc=480)
          0.008463244 = weight(abstract_txt:with in 480) [ClassicSimilarity], result of:
            0.008463244 = score(doc=480,freq=1.0), product of:
              0.043182485 = queryWeight, product of:
                1.1885617 = boost
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.014482605 = queryNorm
              0.1959879 = fieldWeight in 480, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.078125 = fieldNorm(doc=480)
          0.052482672 = weight(abstract_txt:medical in 480) [ClassicSimilarity], result of:
            0.052482672 = score(doc=480,freq=1.0), product of:
              0.11568676 = queryWeight, product of:
                1.3756081 = boost
                5.806872 = idf(docFreq=355, maxDocs=43556)
                0.014482605 = queryNorm
              0.45366186 = fieldWeight in 480, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                5.806872 = idf(docFreq=355, maxDocs=43556)
                0.078125 = fieldNorm(doc=480)
          0.15218627 = weight(abstract_txt:hospital in 480) [ClassicSimilarity], result of:
            0.15218627 = score(doc=480,freq=1.0), product of:
              0.2352466 = queryWeight, product of:
                1.9616187 = boost
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.014482605 = queryNorm
              0.6469223 = fieldWeight in 480, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.078125 = fieldNorm(doc=480)
          0.5380598 = weight(abstract_txt:physicians in 480) [ClassicSimilarity], result of:
            0.5380598 = score(doc=480,freq=2.0), product of:
              0.5881165 = queryWeight, product of:
                4.9040465 = boost
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.014482605 = queryNorm
              0.9148863 = fieldWeight in 480, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.078125 = fieldNorm(doc=480)
        0.2 = coord(5/25)
    
  4. Huuskonen, S.; Vakkari, P.: Students' search process and outcome in Medline in writing an essay for a class on evidence-based medicine (2008) 0.15
    0.14582358 = sum of:
      0.14582358 = product of:
        0.40506548 = sum of:
          0.015635421 = weight(abstract_txt:their in 3889) [ClassicSimilarity], result of:
            0.015635421 = score(doc=3889,freq=3.0), product of:
              0.051952217 = queryWeight, product of:
                1.1290172 = boost
                3.1772897 = idf(docFreq=4936, maxDocs=43556)
                0.014482605 = queryNorm
              0.30095774 = fieldWeight in 3889, product of:
                1.7320508 = tf(freq=3.0), with freq of:
                  3.0 = termFreq=3.0
                3.1772897 = idf(docFreq=4936, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.011848543 = weight(abstract_txt:with in 3889) [ClassicSimilarity], result of:
            0.011848543 = score(doc=3889,freq=4.0), product of:
              0.043182485 = queryWeight, product of:
                1.1885617 = boost
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.014482605 = queryNorm
              0.27438307 = fieldWeight in 3889, product of:
                2.0 = tf(freq=4.0), with freq of:
                  4.0 = termFreq=4.0
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.02806914 = weight(abstract_txt:were in 3889) [ClassicSimilarity], result of:
            0.02806914 = score(doc=3889,freq=4.0), product of:
              0.06972216 = queryWeight, product of:
                1.3079283 = boost
                3.6807828 = idf(docFreq=2983, maxDocs=43556)
                0.014482605 = queryNorm
              0.40258563 = fieldWeight in 3889, product of:
                2.0 = tf(freq=4.0), with freq of:
                  4.0 = termFreq=4.0
                3.6807828 = idf(docFreq=2983, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.031860758 = weight(abstract_txt:extent in 3889) [ClassicSimilarity], result of:
            0.031860758 = score(doc=3889,freq=1.0), product of:
              0.10520711 = queryWeight, product of:
                1.3118236 = boost
                5.537617 = idf(docFreq=465, maxDocs=43556)
                0.014482605 = queryNorm
              0.30283844 = fieldWeight in 3889, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                5.537617 = idf(docFreq=465, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.051955193 = weight(abstract_txt:medical in 3889) [ClassicSimilarity], result of:
            0.051955193 = score(doc=3889,freq=2.0), product of:
              0.11568676 = queryWeight, product of:
                1.3756081 = boost
                5.806872 = idf(docFreq=355, maxDocs=43556)
                0.014482605 = queryNorm
              0.44910234 = fieldWeight in 3889, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                5.806872 = idf(docFreq=355, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.0684009 = weight(abstract_txt:dimensions in 3889) [ClassicSimilarity], result of:
            0.0684009 = score(doc=3889,freq=3.0), product of:
              0.121397145 = queryWeight, product of:
                1.4091498 = boost
                5.9484615 = idf(docFreq=308, maxDocs=43556)
                0.014482605 = queryNorm
              0.56344736 = fieldWeight in 3889, product of:
                1.7320508 = tf(freq=3.0), with freq of:
                  3.0 = termFreq=3.0
                5.9484615 = idf(docFreq=308, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.041634522 = weight(abstract_txt:usefulness in 3889) [ClassicSimilarity], result of:
            0.041634522 = score(doc=3889,freq=1.0), product of:
              0.1257506 = queryWeight, product of:
                1.4341941 = boost
                6.0541816 = idf(docFreq=277, maxDocs=43556)
                0.014482605 = queryNorm
              0.33108807 = fieldWeight in 3889, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                6.0541816 = idf(docFreq=277, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.09087007 = weight(abstract_txt:negatively in 3889) [ClassicSimilarity], result of:
            0.09087007 = score(doc=3889,freq=1.0), product of:
              0.21158664 = queryWeight, product of:
                1.8603601 = boost
                7.8531613 = idf(docFreq=45, maxDocs=43556)
                0.014482605 = queryNorm
              0.42946976 = fieldWeight in 3889, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                7.8531613 = idf(docFreq=45, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
          0.064790905 = weight(abstract_txt:perceived in 3889) [ClassicSimilarity], result of:
            0.064790905 = score(doc=3889,freq=1.0), product of:
              0.19330695 = queryWeight, product of:
                2.1778214 = boost
                6.1288433 = idf(docFreq=257, maxDocs=43556)
                0.014482605 = queryNorm
              0.3351711 = fieldWeight in 3889, product of:
                1.0 = tf(freq=1.0), with freq of:
                  1.0 = termFreq=1.0
                6.1288433 = idf(docFreq=257, maxDocs=43556)
                0.0546875 = fieldNorm(doc=3889)
        0.36 = coord(9/25)
    
  5. Eerola, J.; Vakkari, P.: How a general and a specific thesaurus cover expressions in patients' questions and physicians' answers (2008) 0.14
    0.13804257 = sum of:
      0.13804257 = product of:
        0.69021285 = sum of:
          0.018237526 = weight(abstract_txt:their in 3730) [ClassicSimilarity], result of:
            0.018237526 = score(doc=3730,freq=2.0), product of:
              0.051952217 = queryWeight, product of:
                1.1290172 = boost
                3.1772897 = idf(docFreq=4936, maxDocs=43556)
                0.014482605 = queryNorm
              0.35104424 = fieldWeight in 3730, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                3.1772897 = idf(docFreq=4936, maxDocs=43556)
                0.078125 = fieldNorm(doc=3730)
          0.014658768 = weight(abstract_txt:with in 3730) [ClassicSimilarity], result of:
            0.014658768 = score(doc=3730,freq=3.0), product of:
              0.043182485 = queryWeight, product of:
                1.1885617 = boost
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.014482605 = queryNorm
              0.33946097 = fieldWeight in 3730, product of:
                1.7320508 = tf(freq=3.0), with freq of:
                  3.0 = termFreq=3.0
                2.508645 = idf(docFreq=9634, maxDocs=43556)
                0.078125 = fieldNorm(doc=3730)
          0.028354112 = weight(abstract_txt:were in 3730) [ClassicSimilarity], result of:
            0.028354112 = score(doc=3730,freq=2.0), product of:
              0.06972216 = queryWeight, product of:
                1.3079283 = boost
                3.6807828 = idf(docFreq=2983, maxDocs=43556)
                0.014482605 = queryNorm
              0.4066729 = fieldWeight in 3730, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                3.6807828 = idf(docFreq=2983, maxDocs=43556)
                0.078125 = fieldNorm(doc=3730)
          0.09090266 = weight(abstract_txt:medical in 3730) [ClassicSimilarity], result of:
            0.09090266 = score(doc=3730,freq=3.0), product of:
              0.11568676 = queryWeight, product of:
                1.3756081 = boost
                5.806872 = idf(docFreq=355, maxDocs=43556)
                0.014482605 = queryNorm
              0.7857654 = fieldWeight in 3730, product of:
                1.7320508 = tf(freq=3.0), with freq of:
                  3.0 = termFreq=3.0
                5.806872 = idf(docFreq=355, maxDocs=43556)
                0.078125 = fieldNorm(doc=3730)
          0.5380598 = weight(abstract_txt:physicians in 3730) [ClassicSimilarity], result of:
            0.5380598 = score(doc=3730,freq=2.0), product of:
              0.5881165 = queryWeight, product of:
                4.9040465 = boost
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.014482605 = queryNorm
              0.9148863 = fieldWeight in 3730, product of:
                1.4142135 = tf(freq=2.0), with freq of:
                  2.0 = termFreq=2.0
                8.280605 = idf(docFreq=29, maxDocs=43556)
                0.078125 = fieldNorm(doc=3730)
        0.2 = coord(5/25)