Facing the digital frontier: exploring user acceptance of electronic health records in an urban, rural and remote setting in the Philippines.

Autor:	De Mesa RYH; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines rhdemesa.ppcs@gmail.com., Galingana CLT; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines., Tan-Lim CSC; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines.; Department of Clinical Epidemiology, University of the Philippines Manila, Manila, Philippines., Javelosa MAU; Department of Clinical Epidemiology, University of the Philippines Manila, Manila, Philippines., Panganiban JMS; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines., Fabian NMC; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines.; University of the East Ramon Magsaysay Memorial Medical Center Inc, Quezon City, Philippines., Calderon Y; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines., Rey MP; Department of Accounting and Finance, Cesar E.A. Virata School of Business, University of the Philippines Diliman, Quezon City, Philippines., Bernal-Sundiang N; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines., Sanchez JT; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines., Dans LF; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines.; Department of Clinical Epidemiology, University of the Philippines Manila, Manila, Philippines., Casile RU; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines., Dans AL; Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Philippines.
Jazyk:	angličtina
Zdroj:	BMJ open quality [BMJ Open Qual] 2024 Apr 18; Vol. 13 (2). Date of Electronic Publication: 2024 Apr 18.
DOI:	10.1136/bmjoq-2023-002621
Abstrakt:	Objectives: A thorough understanding of user needs and behavioural intent-to-use underpins the development of a responsive health information system. This study aimed to examine health workers' intent-to-use an electronic health record (EHR) system in an urban, rural and remote setting in the Philippines. Methods: Following the Unified Theory of Acceptance and Use of Technology framework, user acceptance and the factors influencing intent-to-use the EHR were examined through a self-administered questionnaire. A total of 128 EHR users, comprising physicians, nurses, midwives, barangay health workers and administrative staff, were surveyed. Median scores for each domain were compared across the sites using the Kruskal-Wallis test. Ridge regression analysis was used to identify factors associated with behavioural intent-to-use. Results: Over 94% of users across all sites reported their intent-to-use the EHR in the near future. Of the seven predictor variables examined, only self-efficacy was found to be significantly associated with behavioural intent-to-use. Intent-to-use the EHR increased by 31% (p=0.007) for each unit increase in self-efficacy score among participants. Discussion: Acceptance was high across the three sites, with self-efficacy being a predictor of intent-to-use the technology. This suggests that users are more likely to adopt an EHR if they believe they have the capacity to successfully navigate the technology and perform their designated tasks with it. Conclusion: Co-producing interventions with primary care providers is crucial in sustaining EHR systems. Rather than developing a technology based on the surveillance needs of policymakers, an EHR developed from the grassroots was shown to be well-received by end-users. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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