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Abdekhoda M, Ahmadi M, Gohari M, Noruzi A. The Effects of Organizational Contextual Factors on Physicians’ Attitude toward Adoption of Electronic Medical Records, Based on Technology Acceptance Model. payavard. 2016; 10 (2) :181-193
URL: http://payavard.tums.ac.ir/article-1-6048-en.html

1- Assistant Professor, Medical Library and Information Sciences Department, Iranian Center of Excellence in Health Management, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran Assistant Professor, Medical Library and Information Sciences Department, Iranian Center of Excellence in Health Management, School of Health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz
2- Professor, Health Information Management Department, Health Management and Economics Research Center, Iran university of Medical Science, Tehran, Iran Professor, Health Information Management Department, Health Management and Economics Research Center, Iran university of Medical Science , Ahmadi.m@iums.ac.ir
3- Associate Professor, Statistics & Mathematics Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Associate Professor, Statistics & Mathematics Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran
4- Assistant Professor, Library and Information Science Department, School of Management, University of Tehran, Tehran, Iran Assistant Professor, Library and Information Science Department, School of Management, University of Tehran
Abstract:   (1103 Views)

Background and Aim: Inclusive implementation of Electronic Medical Records (EMR) is more serious because of physicians’ perception. This study was carried out to identify the effects of organizational contextual factors on physicians’ perception regarding EMR’s adoption in 2013 (The merger of Tehran University and Iran). 
Materials and Methods: This was a descriptive, analytical and cross- sectional study in which a sample of 270 physicians working in hospitals affiliated to Tehran University of Medical Sciences was selected. Physicians’ perception toward adoption of EMR has been assessed by Technology Acceptance Model or TAM questionnaire and organizational context variables. Collected data were analyzed by SPSS. The study model was tested by Structural Equation Modeling (SEM) and represented by AMOS. 
Results: The findings showed that perceived usefulness (PU), perceived ease of use (PEOU), management support, physicians’ involvement, physicians’ autonomy, and physician- patient relationship have direct and significant effect on physicians’ attitudes toward EMR adoption. However, training has no significant effect on TAM variables. Moreover, the results showed authorizing proposed conceptual path model explained about 56 percent of the variance of EMR adoption.
Conclusion: The present study revealed that organizational context factors had significant effect on physicians’ attitude toward EMRs’ adoption. The study clearly identified six relevant factors that affected physicians’ perception regarding EMR adoption. These factors should be considered when comprehensive implementation is pursued.  

Full-Text [PDF 889 kb]   (306 Downloads)    
Type of Study: Research | Subject: Health Information Technology
Received: 2016/11/27 | Accepted: 2016/11/27 | Published: 2016/11/27

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