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Individual determinants of the Quebec electronic health record adoption

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Author(s): Mezni H | Gagnon MP | Duplantie J

Journal: Pratiques et organisation des soins
ISSN 1952-9201

Volume: 40;
Issue: 2;
Start page: 125;
Date: 2009;
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Keywords: Medical records systems | computerized | physicians | adoption factors

ABSTRACT
Aim: The potential of electronic health records to improve effectiveness, safety and quality of health care has been shown in several previous studies. However healthcare professionals remain reticent as for its use, which limits its potential effect on the health care system.The present study aimed to evaluate physicians’ perceptions towards the electronic health record of Quebec.Methods: Based on a literature review of the factors affecting the adoption of information and communication technologies in general, and e-health in particular, questionnaire was developed. A total of 12 doctors who represent potential users of the Quebec electronichealth record completed and returned the questionnaire.Afterwards we performed a thematic analysis of content which was followed by a theorisation of emerging concepts.Results: Physicians’ intention to adopt the Quebec electronic health record is positively influenced by perceived usefulness, perceived ease of use, demonstrability of the results, system’s compatibility with practice, and computer self-efficacy. Conversely, resistanceto change negatively influences physicians’ adoption of the electronic health record.Conclusion: It is crucial to understand factors that influence the acceptance of the Quebec electronic health records to inform decision makers. This will allow identifying potential users’ expectations and to adjust implementation strategies accordingly in order to favour a better integration of this technology into medical practices.Prat Organ Soins 2009;40(2):125-31
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