Understanding continuance intentions of physicians with electronic medical records (EMR): An expectancy-confirmation perspective

被引:61
作者
Ayanso, Anteneh [1 ]
Herath, Tejaswini C. [1 ]
O'Brien, Nicole [1 ]
机构
[1] Brock Univ, Goodman Sch Business, Dept Finance Operat & Informat Syst, St Catharines, ON L2S 3A1, Canada
基金
加拿大自然科学与工程研究理事会;
关键词
Health care IT; IS adoption; IS continuance; ECT; EMR; Perceived risk; INFORMATION-TECHNOLOGY ADOPTION; MULTIDIMENSIONAL CONSTRUCTS; USER ACCEPTANCE; PERCEIVED RISK; HEALTH RECORDS; BEHAVIOR;
D O I
10.1016/j.dss.2015.06.003
中图分类号
TP18 [人工智能理论];
学科分类号
081104 ; 0812 ; 0835 ; 1405 ;
摘要
This paper examines physicians' continuance intentions with electronic medical records (EMR) in the post-adoption phase. Expectation-confirmation theory (ECT) is used with the incorporation of perceived risk as the theoretical foundation. Based on the extended ECT model, eight hypotheses were formulated to aid in the understanding of physicians' continuance intentions. A field survey of 135 Canadian physicians that utilize EMR systems was conducted to test these hypotheses. The study found that physicians are willing to continue using EMR systems. In addition, the empirical results suggest that perceived usefulness and perceived risk impact satisfaction, which in turn influences physicians' continuance intentions. In addition, perceived risk also has a direct influence on physicians' continuance intentions. These results contribute to the IT adoption and use literature, particularly in the post-adoption context. (C) 2015 Elsevier B.V. All rights reserved.
引用
收藏
页码:112 / 122
页数:11
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