Document (#37045)

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) 0.18

   0.17974967 = sum of:
     0.17974967 = product of:
       0.4993046 = sum of:
         0.016802933 = weight(abstract_txt:electronic in 2716) [ClassicSimilarity], result of:
           0.016802933 = score(doc=2716,freq=1.0), product of:
             0.06278959 = queryWeight, product of:
               1.0147692 = boost
               4.281712 = idf(docFreq=1660, maxDocs=44218)
               0.014451167 = queryNorm
             0.267607 = fieldWeight in 2716, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               4.281712 = idf(docFreq=1660, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.0143216755 = weight(abstract_txt:their in 2716) [ClassicSimilarity], result of:
           0.0143216755 = score(doc=2716,freq=2.0), product of:
             0.05128384 = queryWeight, product of:
               1.1232058 = boost
               3.1594994 = idf(docFreq=5101, maxDocs=44218)
               0.014451167 = queryNorm
             0.27926293 = fieldWeight in 2716, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               3.1594994 = idf(docFreq=5101, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.02610029 = weight(abstract_txt:survey in 2716) [ClassicSimilarity], result of:
           0.02610029 = score(doc=2716,freq=1.0), product of:
             0.08421597 = queryWeight, product of:
               1.1752241 = boost
               4.9587345 = idf(docFreq=843, maxDocs=44218)
               0.014451167 = queryNorm
             0.3099209 = fieldWeight in 2716, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               4.9587345 = idf(docFreq=843, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.0066871927 = weight(abstract_txt:with in 2716) [ClassicSimilarity], result of:
           0.0066871927 = score(doc=2716,freq=1.0), product of:
             0.0428026 = queryWeight, product of:
               1.1848776 = boost
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.014451167 = queryNorm
             0.15623334 = fieldWeight in 2716, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.022447074 = weight(abstract_txt:were in 2716) [ClassicSimilarity], result of:
           0.022447074 = score(doc=2716,freq=2.0), product of:
             0.06919762 = queryWeight, product of:
               1.3047119 = boost
               3.6700637 = idf(docFreq=3061, maxDocs=44218)
               0.014451167 = queryNorm
             0.32439086 = fieldWeight in 2716, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               3.6700637 = idf(docFreq=3061, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.044534426 = weight(abstract_txt:dimensions in 2716) [ClassicSimilarity], result of:
           0.044534426 = score(doc=2716,freq=1.0), product of:
             0.12025269 = queryWeight, product of:
               1.4043354 = boost
               5.925446 = idf(docFreq=320, maxDocs=44218)
               0.014451167 = queryNorm
             0.37034038 = fieldWeight in 2716, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               5.925446 = idf(docFreq=320, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.06732093 = weight(abstract_txt:usefulness in 2716) [ClassicSimilarity], result of:
           0.06732093 = score(doc=2716,freq=2.0), product of:
             0.12571515 = queryWeight, product of:
               1.4358771 = boost
               6.0585327 = idf(docFreq=280, maxDocs=44218)
               0.014451167 = queryNorm
             0.5355037 = fieldWeight in 2716, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               6.0585327 = idf(docFreq=280, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.17495199 = weight(abstract_txt:determinants in 2716) [ClassicSimilarity], result of:
           0.17495199 = score(doc=2716,freq=2.0), product of:
             0.2376294 = queryWeight, product of:
               1.9741199 = boost
               8.329592 = idf(docFreq=28, maxDocs=44218)
               0.014451167 = queryNorm
             0.73623884 = fieldWeight in 2716, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               8.329592 = idf(docFreq=28, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
         0.1261381 = weight(abstract_txt:perceived in 2716) [ClassicSimilarity], result of:
           0.1261381 = score(doc=2716,freq=3.0), product of:
             0.19106674 = queryWeight, product of:
               2.1680117 = boost
               6.0984654 = idf(docFreq=269, maxDocs=44218)
               0.014451167 = queryNorm
             0.66017824 = fieldWeight in 2716, product of:
               1.7320508 = tf(freq=3.0), with freq of:
                 3.0 = termFreq=3.0
               6.0984654 = idf(docFreq=269, maxDocs=44218)
               0.0625 = fieldNorm(doc=2716)
       0.36 = coord(9/25)
   

2. Zhang, Y.; Li, X.; Fan, W.: User adoption of physician's replies in an online health community : an empirical study (2020) 0.17

   0.17428975 = sum of:
     0.17428975 = product of:
       0.8714487 = sum of:
         0.008358991 = weight(abstract_txt:with in 4) [ClassicSimilarity], result of:
           0.008358991 = score(doc=4,freq=1.0), product of:
             0.0428026 = queryWeight, product of:
               1.1848776 = boost
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.014451167 = queryNorm
             0.19529167 = fieldWeight in 4, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.078125 = fieldNorm(doc=4)
         0.13794239 = weight(abstract_txt:adoption in 4) [ClassicSimilarity], result of:
           0.13794239 = score(doc=4,freq=4.0), product of:
             0.13871904 = queryWeight, product of:
               1.5083131 = boost
               6.3641686 = idf(docFreq=206, maxDocs=44218)
               0.014451167 = queryNorm
             0.99440134 = fieldWeight in 4, product of:
               2.0 = tf(freq=4.0), with freq of:
                 4.0 = termFreq=4.0
               6.3641686 = idf(docFreq=206, maxDocs=44218)
               0.078125 = fieldNorm(doc=4)
         0.12722507 = weight(abstract_txt:negatively in 4) [ClassicSimilarity], result of:
           0.12722507 = score(doc=4,freq=1.0), product of:
             0.20864405 = queryWeight, product of:
               1.8498071 = boost
               7.805067 = idf(docFreq=48, maxDocs=44218)
               0.014451167 = queryNorm
             0.6097709 = fieldWeight in 4, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               7.805067 = idf(docFreq=48, maxDocs=44218)
               0.078125 = fieldNorm(doc=4)
         0.21603055 = weight(abstract_txt:hospital in 4) [ClassicSimilarity], result of:
           0.21603055 = score(doc=4,freq=2.0), product of:
             0.23569897 = queryWeight, product of:
               1.966085 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.014451167 = queryNorm
             0.91655284 = fieldWeight in 4, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.078125 = fieldNorm(doc=4)
         0.38189173 = weight(abstract_txt:physicians in 4) [ClassicSimilarity], result of:
           0.38189173 = score(doc=4,freq=1.0), product of:
             0.58924747 = queryWeight, product of:
               4.9152126 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.014451167 = queryNorm
             0.64810073 = fieldWeight in 4, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.078125 = fieldNorm(doc=4)
       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) 0.16

   0.15535803 = sum of:
     0.15535803 = product of:
       0.77679014 = sum of:
         0.023099538 = weight(abstract_txt:records in 4482) [ClassicSimilarity], result of:
           0.023099538 = score(doc=4482,freq=1.0), product of:
             0.066900045 = queryWeight, product of:
               1.047458 = boost
               4.4196396 = idf(docFreq=1446, maxDocs=44218)
               0.014451167 = queryNorm
             0.34528434 = fieldWeight in 4482, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               4.4196396 = idf(docFreq=1446, maxDocs=44218)
               0.078125 = fieldNorm(doc=4482)
         0.008358991 = weight(abstract_txt:with in 4482) [ClassicSimilarity], result of:
           0.008358991 = score(doc=4482,freq=1.0), product of:
             0.0428026 = queryWeight, product of:
               1.1848776 = boost
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.014451167 = queryNorm
             0.19529167 = fieldWeight in 4482, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.078125 = fieldNorm(doc=4482)
         0.05249849 = weight(abstract_txt:medical in 4482) [ClassicSimilarity], result of:
           0.05249849 = score(doc=4482,freq=1.0), product of:
             0.11564373 = queryWeight, product of:
               1.3771603 = boost
               5.8107834 = idf(docFreq=359, maxDocs=44218)
               0.014451167 = queryNorm
             0.45396745 = fieldWeight in 4482, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               5.8107834 = idf(docFreq=359, maxDocs=44218)
               0.078125 = fieldNorm(doc=4482)
         0.15275668 = weight(abstract_txt:hospital in 4482) [ClassicSimilarity], result of:
           0.15275668 = score(doc=4482,freq=1.0), product of:
             0.23569897 = queryWeight, product of:
               1.966085 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.014451167 = queryNorm
             0.64810073 = fieldWeight in 4482, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.078125 = fieldNorm(doc=4482)
         0.54007643 = weight(abstract_txt:physicians in 4482) [ClassicSimilarity], result of:
           0.54007643 = score(doc=4482,freq=2.0), product of:
             0.58924747 = queryWeight, product of:
               4.9152126 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.014451167 = queryNorm
             0.91655284 = fieldWeight in 4482, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.078125 = fieldNorm(doc=4482)
       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) 0.14

   0.14411421 = sum of:
     0.14411421 = product of:
       0.40031722 = sum of:
         0.01534785 = weight(abstract_txt:their in 1891) [ClassicSimilarity], result of:
           0.01534785 = score(doc=1891,freq=3.0), product of:
             0.05128384 = queryWeight, product of:
               1.1232058 = boost
               3.1594994 = idf(docFreq=5101, maxDocs=44218)
               0.014451167 = queryNorm
             0.29927263 = fieldWeight in 1891, product of:
               1.7320508 = tf(freq=3.0), with freq of:
                 3.0 = termFreq=3.0
               3.1594994 = idf(docFreq=5101, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.011702588 = weight(abstract_txt:with in 1891) [ClassicSimilarity], result of:
           0.011702588 = score(doc=1891,freq=4.0), product of:
             0.0428026 = queryWeight, product of:
               1.1848776 = boost
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.014451167 = queryNorm
             0.27340835 = fieldWeight in 1891, product of:
               2.0 = tf(freq=4.0), with freq of:
                 4.0 = termFreq=4.0
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.02777684 = weight(abstract_txt:were in 1891) [ClassicSimilarity], result of:
           0.02777684 = score(doc=1891,freq=4.0), product of:
             0.06919762 = queryWeight, product of:
               1.3047119 = boost
               3.6700637 = idf(docFreq=3061, maxDocs=44218)
               0.014451167 = queryNorm
             0.40141323 = fieldWeight in 1891, product of:
               2.0 = tf(freq=4.0), with freq of:
                 4.0 = termFreq=4.0
               3.6700637 = idf(docFreq=3061, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.031592328 = weight(abstract_txt:extent in 1891) [ClassicSimilarity], result of:
           0.031592328 = score(doc=1891,freq=1.0), product of:
             0.104555435 = queryWeight, product of:
               1.3094736 = boost
               5.5251865 = idf(docFreq=478, maxDocs=44218)
               0.014451167 = queryNorm
             0.30215865 = fieldWeight in 1891, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               5.5251865 = idf(docFreq=478, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.05197085 = weight(abstract_txt:medical in 1891) [ClassicSimilarity], result of:
           0.05197085 = score(doc=1891,freq=2.0), product of:
             0.11564373 = queryWeight, product of:
               1.3771603 = boost
               5.8107834 = idf(docFreq=359, maxDocs=44218)
               0.014451167 = queryNorm
             0.44940484 = fieldWeight in 1891, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               5.8107834 = idf(docFreq=359, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.0674939 = weight(abstract_txt:dimensions in 1891) [ClassicSimilarity], result of:
           0.0674939 = score(doc=1891,freq=3.0), product of:
             0.12025269 = queryWeight, product of:
               1.4043354 = boost
               5.925446 = idf(docFreq=320, maxDocs=44218)
               0.014451167 = queryNorm
             0.56126726 = fieldWeight in 1891, product of:
               1.7320508 = tf(freq=3.0), with freq of:
                 3.0 = termFreq=3.0
               5.925446 = idf(docFreq=320, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.041652698 = weight(abstract_txt:usefulness in 1891) [ClassicSimilarity], result of:
           0.041652698 = score(doc=1891,freq=1.0), product of:
             0.12571515 = queryWeight, product of:
               1.4358771 = boost
               6.0585327 = idf(docFreq=280, maxDocs=44218)
               0.014451167 = queryNorm
             0.331326 = fieldWeight in 1891, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               6.0585327 = idf(docFreq=280, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.08905754 = weight(abstract_txt:negatively in 1891) [ClassicSimilarity], result of:
           0.08905754 = score(doc=1891,freq=1.0), product of:
             0.20864405 = queryWeight, product of:
               1.8498071 = boost
               7.805067 = idf(docFreq=48, maxDocs=44218)
               0.014451167 = queryNorm
             0.4268396 = fieldWeight in 1891, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               7.805067 = idf(docFreq=48, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
         0.06372264 = weight(abstract_txt:perceived in 1891) [ClassicSimilarity], result of:
           0.06372264 = score(doc=1891,freq=1.0), product of:
             0.19106674 = queryWeight, product of:
               2.1680117 = boost
               6.0984654 = idf(docFreq=269, maxDocs=44218)
               0.014451167 = queryNorm
             0.33350983 = fieldWeight in 1891, product of:
               1.0 = tf(freq=1.0), with freq of:
                 1.0 = termFreq=1.0
               6.0984654 = idf(docFreq=269, maxDocs=44218)
               0.0546875 = fieldNorm(doc=1891)
       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

   0.13828912 = sum of:
     0.13828912 = product of:
       0.6914456 = sum of:
         0.017902093 = weight(abstract_txt:their in 1732) [ClassicSimilarity], result of:
           0.017902093 = score(doc=1732,freq=2.0), product of:
             0.05128384 = queryWeight, product of:
               1.1232058 = boost
               3.1594994 = idf(docFreq=5101, maxDocs=44218)
               0.014451167 = queryNorm
             0.34907866 = fieldWeight in 1732, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               3.1594994 = idf(docFreq=5101, maxDocs=44218)
               0.078125 = fieldNorm(doc=1732)
         0.014478197 = weight(abstract_txt:with in 1732) [ClassicSimilarity], result of:
           0.014478197 = score(doc=1732,freq=3.0), product of:
             0.0428026 = queryWeight, product of:
               1.1848776 = boost
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.014451167 = queryNorm
             0.3382551 = fieldWeight in 1732, product of:
               1.7320508 = tf(freq=3.0), with freq of:
                 3.0 = termFreq=3.0
               2.4997334 = idf(docFreq=9868, maxDocs=44218)
               0.078125 = fieldNorm(doc=1732)
         0.028058844 = weight(abstract_txt:were in 1732) [ClassicSimilarity], result of:
           0.028058844 = score(doc=1732,freq=2.0), product of:
             0.06919762 = queryWeight, product of:
               1.3047119 = boost
               3.6700637 = idf(docFreq=3061, maxDocs=44218)
               0.014451167 = queryNorm
             0.40548858 = fieldWeight in 1732, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               3.6700637 = idf(docFreq=3061, maxDocs=44218)
               0.078125 = fieldNorm(doc=1732)
         0.09093005 = weight(abstract_txt:medical in 1732) [ClassicSimilarity], result of:
           0.09093005 = score(doc=1732,freq=3.0), product of:
             0.11564373 = queryWeight, product of:
               1.3771603 = boost
               5.8107834 = idf(docFreq=359, maxDocs=44218)
               0.014451167 = queryNorm
             0.7862947 = fieldWeight in 1732, product of:
               1.7320508 = tf(freq=3.0), with freq of:
                 3.0 = termFreq=3.0
               5.8107834 = idf(docFreq=359, maxDocs=44218)
               0.078125 = fieldNorm(doc=1732)
         0.54007643 = weight(abstract_txt:physicians in 1732) [ClassicSimilarity], result of:
           0.54007643 = score(doc=1732,freq=2.0), product of:
             0.58924747 = queryWeight, product of:
               4.9152126 = boost
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.014451167 = queryNorm
             0.91655284 = fieldWeight in 1732, product of:
               1.4142135 = tf(freq=2.0), with freq of:
                 2.0 = termFreq=2.0
               8.29569 = idf(docFreq=29, maxDocs=44218)
               0.078125 = fieldNorm(doc=1732)
       0.2 = coord(5/25)